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SKILLS AND PROTOCOLS IN OBSTETRICS AND GYNAECOLOGY (pb) 2015
Author: RUBINA SOHAIL
ISBN: 9789696371168
Year: 2015
Publisher: PARAMOUNT BOOKS (PVT) LTD.
Category: OBSTETRICS & GYNAECOLOGY
Edition: 1
Format: Paperback
Language: English
Pages: 280
Level 5th Year MBBS
Type Medical Textbook / Reference
 ABOUT THE TITLE
Preface
This book is an endeavour to put my passion for teaching to good use for students who are not clear as to how to go about learning skills. Most of the students start learning skills at the end of their training, as part of preparations for their examination. I recommend reading and applying material from this book, starting from the early part of the training so that enough opportunity exists to practice the skills learnt again and again. This book contains sections on skills, standard operating procedures, protocols and guidelines adapted from RCOG for local use. The book is directed towards MBBS students, postgraduate trainees of MCPS, FCPS, DGO, MS, and MRCOG and young doctors. Learning a skill is not possible unless the theory of performing the skill is not mastered prior to the actual procedure. Therefore, twenty three skills have been given in the form of a checklist. The checklist helps in concisely putting forward each task in the correct sequence. Adapted RCOG guidelines are easy to read and remember to be applied in clinical situations. The standard operating
procedures clarify exactly what and how things need to be done. I am sure both students and doctors will find the book useful not only for passing the examination, but also for helping them, To become better doctors. I look forward to feedback and advice on how to make this book more useful and effective.

Author: Dr. Rubina Sohail is a graduate of Allama Iqbal Medical College, currently working as professor of Obstertrics and Gynecology at Services Institute of Medical Sciences, Lahore. She has been the convener of postgraduate long course in Obstetrics and Gynaecology since 1998. She has worked extensively for maternal and reproductive health with government organisations, development partners and other organisations. She is currently the Vice President of Pakistan Menopause Society and President Elect of South Asian Federation of Obstetrics and Gynecology (SAFOG). Dr. Rubina Sohail has contributed more than 35 reserach articles to national and international journals and also contributed chapters to many books from the South Asian region.
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 TABLE OF CONTENTS
Dedication vii
Preface viii
Acknowledgement ix
List of Abbreviations x
Section 1. Skills 1
Introduction to Skills 3
Topic 1. Components of Examination Trolley 5
Topic 2. General Physical Examination 7
Topic 3. Breast and Axillary Lymph Nodes Examination 10
Topic 4. Abdominal Examination in Obstetrics 14
Topic 5. Vaginal Examination 17
Topic 6. Examination of Uterovaginal Prolapse 19
Topic 7. Pap Smear 22
Topic 8. Pipelle Sampling 24
Topic 9. Mechanism of Labour 26
Topic 10. Delivery of the Placenta 28
Topic 11. Manual Removal of Retained Placenta 30
Topic 12. Outlet Forceps Delivery 34
Topic 13. Vacuum Extraction 36
Topic 14. Shoulder Dystocia 39
Topic 15. Vaginal Breech Delivery 44
Topic 16. External Cephalic Version 48
Topic 17. Amniocentesis 50
Topic 18. Breastfeeding 52
Topic 19. PPIUCD 56
Topic 20. Implanon 59
Topic 21. Insertion of Copper-T 62
Topic 22. Insertion of Multiload 64
Topic 23. Mirena Insertion 66
Topic 24. Insertion of Foley Catheter 69
Topic 25. Gowning and Gloving 71
Topic 26. Opening of Abdomen 75
Topic 27. Balloon Tamponade 77
Topic 28. B-Lynch Suture 80
Section 2. General Protocols 83
Introduction to General Protocols 85
Topic 29. Hyperemesis Gravidarum 86
Topic 30. Precipitate Delivery Management in Labour Ward 89
Topic 31. Postpartum Care in Hospital—12 Hours 90
Section 3. Protocols for Drugs 93
Topic 32. Prostaglandin E2 Vaginal Tablet (3 mg) 95
Topic 33. Misoprostol 97
Topic 34. Oxytocin Infusion 99
Topic 35. Severe Pre-Eclampsia/Eclampsia 101
Topic 36. Hydralazine 106
Topic 37. Labetalol 108
Topic 38. Magnesium Sulfate 111
Topic 39. Nifedipine 114
Topic 40. Analgesia in Labour 117
Section 4. Standard Operating Procedures 119
Introduction to Standard Operating Procedures (SOPs) 121
Topic 41. Coping with Hospital Admission High Risk Pregnancy 122
Topic 42. Four-Hour Obstetrical Hold—Short Stay Patients 123
Topic 43. Non-Stress Test 125
Topic 44. Epidural Analgesia During Labour 126
Topic 45. Lithotomy Position 131
Topic 46. Perineal Scrub for Vaginal Delivery 132
Topic 47. Care of the Newborn in the Delivery Room 133
Topic 48. Care of the Patient with Neonatal Loss 135
Topic 49. Collection of Cord Blood Sample in Rh-Negative Mother 137
Topic 50. Caesarean Section 138
Topic 51. Caesarean Section—Staff Nurse Responsibilities 141
Topic 52. Use of Electro-Cautery During Operative Procedures 143
Topic 53. Prevention of Surgical Site Infection 145
Topic 54. Postoperative Care of the Patient After Gynaecological Surgery 147
Topic 55. Postoperative Pain Management in Major Gynaecological Procedures and Caesarean Section 148
Topic 56. Instructions at Discharge—Normal Vaginal Delivery 149
Topic 57. Instructions at Discharge—Caesarean Section 151
Topic 58. Instructions at Discharge—Major Gynaecological Procedure 153
Topic 59. Instructions at Discharge—Minor Gynaecological Procedure 155
Topic 60. Instructions at Discharge—Diagnostic Laparoscopy 156
Topic 61. Infection Prevention—Components 157
Topic 62. Infection Prevention—Steps 159
Topic 63. Infection Prevention—Disinfection and Sterilization 160
Section 5. Patient Safety Checklist 163
Introduction to Patient Safety Checklist 165
Topic 64. Induction of Labour (IOL) 170
Topic 65. Trial of Labour After Previous Caesarean Delivery (TOLAC) 172
Topic 66. Planned Caesarean Section 174
Topic 67. Pregnancy Risk Assessment 176
Section 6. Guidelines and Protocols 179
Introduction to Guidelines and Protocols 181
Topic 68. Guideline Management of HIV in Pregnancy 182
Topic 69. Protocol Management of HIV in Pregnancy 194
Topic 70. Guideline Maternal Collapse in Pregnancy and the Puerperium 196
Topic 71. Protocol Maternal Collapse in Pregnancy and the Puerperium 205
Topic 72. Guideline Obstetric Cholestasis 207
Topic 73. Protocol Obstetric Cholestasis 212
Topic 74. Guideline Operative Vaginal Delivery 214
Topic 75. Protocol Operative Vaginal Delivery 221
Topic 76. Guideline Preterm Premature Rupture of Membranes 223
Topic 77. Protocol Management of PPROM 227
Topic 78. Guideline Reduced Foetal Movements 229
Topic 79. Protocol Reduced Foetal Movements 236
Topic 80. Guideline Shoulder Dystocia 239
Topic 81. Protocol Shoulder Dystocia 245
Topic 82. Guideline Prevention of Early-Onset Neonatal Group B Streptococcal Disease 249
Topic 83. Protocol Prevention of Early-Onset Neonatal Group B Streptococcal Disease 255
Topic 84. Guideline Tocolysis in Preterm Labour 257
Topic 85. Protocol Tocolysis in Preterm Labour 262
Bibliography 265
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