By KONAR HIRALAL
Speedy review The exam procedure around the world retains on altering as technology and know-how maintains to adapt and strengthen. the only real goal is ‘improved sufferer care’. the present exam method is basically aimed not just to judge the authentic or theoretical wisdom, but additionally the conceptual realizing and the analytical strength of the candidate. To qualify any exam procedure, along with the textbook wisdom, a candidate is anticipated to illustrate the abilities of medical exam and knowledge interpretation, the paintings of verbal exchange, decision-making and the administration matters. With this sole decision the ebook “Bedside Clinics and Viva-Voce in Obstetrics and Gynecology” has been written. This e-book is meant for the scholars at their ultimate section, whereas getting ready for the exam. The e-book has to be learn and reread to improve an effective grab of every subject because it incorporates a large wealth of the recent fabric. Key good points • Covers comprehensively the whole sector of scientific, sensible and Viva-Voce a part of the exam, pleasing college path curriculum • solutions are framed in an easy and concise approach for simple figuring out and copy • Immensely worthwhile for speedy revision of the complete direction, to these having a history of Textbook wisdom • version solutions are made to lead a candidate tips to write the speculation questions (short questions chapters either in obstetrics and gynecology part) • issues on Ultrasonography, Doppler experiences, Computed Tomography (CT), Magnetic Resonance Imaging (MRI), Positron Emission Tomography (PET), Laparoscopic and Hysteroscopic surgical procedure, robot surgical procedure were included widely to acquaint a candidate with the growth of technological know-how and expertise • SBAs and MCQs are awarded with version solutions for extensive insurance of the topic and to make up the vulnerable parts • Exhaustive variety of medical pictures, graphs, sketches and line drawings were integrated for larger realizing of inauspicious parts • Authoritative and finished synoptic consultant for the medical and Viva-Voce a part of the exam • mainly, the data is up to date, evidence-based, and the studying is straightforward and relaxing.
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Additional info for Dutta’s Bedside Clinics and Viva-Voce in Obstetrics and Gynecology
Ii. Computed tomography (CT) is more informative compared to X-ray pelvimetry. It is done less commonly. iii. X-ray pelvimetry: Erect lateral view is generally taken. Anteroposterior view may also be taken. However, X-ray pelvimetry has got limited value and it cannot predict successful vaginal delivery. It is not recommeded currently. Obstetric Case Discussions Q. What is clinical pelvimetry and when it is done? Ans. In vertex presentation pelvic assessment is done at any time beyond 37 weeks but it is better to be done with the beginning of labor.
But a nonlactating woman, may resume her menstruation by 6 weeks time in about 40% cases. Q. When she should start contraception in the postpartum phase? Ans. It depends on whether she is lactating or not. Women who are exclusively breastfeeding, remain anovulatory in 90% of cases. Chance of ovulation is increased if she is not lactating or partially lactating. Recommendation is to start contraception from 3rd postpartum month if she is full breastfeeding and from 3rd postpartum week if she is feeding partially or not breastfeeding.
Q. Ans. Q. Ans. How do you measure symphysiofundal height (SFH) and what is its importance? The woman is asked to empty her bladder. The top of the centralized uterine fundus is measured from the superior border of the symphysis pubis with a measuring tape. The SFH measured in cm normally corresponds to the period of gestation in weeks. This is applicable after 24 weeks of pregnancy only. 8). What are the information that can be obtained from the pelvic grips? Pelvic grips are two — Pawlik’s grip and pelvic grip.