Multiple Pregnancy / Twin Pregnancy – Labour Management

  Multiple Pregnancy / Twin Pregnancy – Labour Management Place of delivery – as the twin pregnancy is considered a ‘high risk’, the patient should be confined in an equipped hospital preferably having an intensive neonatal care unit. First stage: Usual conduction of the first stage as outlined for a singleton fetus is to be followed with additional precautions. Patient should be

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Multiple Pregnancy / Twin Pregnancy – Puerperium Management

Multiple Pregnancy / Twin Pregnancy – Puerperium Management: Management of third stage Routine administration of 0.2 mg methergin IV with the delivery of the anterior shoulder of second baby. Placenta is delivered by controlled cord traction Continue the oxytocin drip for at least one hour. Blood transfusion if necessary The patient is to be carefully watched for about 2hrs after

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Infertility Management – Recent Advancement

Infertility is defined as a failure to conceive within one or more years of regular unprotected coitus.   Assisted Reproductive Technology (ART):                         ART encompasses all the procedures that assist the process of reproduction by retriving  oocytes from the ovary or sperm from the testis or epididymis (or) It refers to any fertility treatments in which the gametes (sperm &

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Artificial Insemination : Intra uterine insemination (IUI) | iui Procedure

Artificial Insemination : Intra uterine insemination (IUI) | iui Procedure : IUI may be either AIH (artificial insemination husband) or AID (artificial insemination donor). Husband semen is commonly used.             Purpose:- To bypass the endocervical canal which is abnormal & to place increased concentration of motile sperm as close to the fallopian tubes. Indications:- Hostile cervical

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In Vitro Fertilization | ivf Process | And Embryo Transfer ( IVF – ET )

In Vitro Fertilization | ivf Process | And Embryo Transfer ( IVF – ET ) :  This involves ovulation induction, oocyte retrieval & for 3-5 days followed by sub sequent transfer of selected fertilized oocyte trans cervically under ultra sound guidance in to the uterine cavity.  50,000 selected sperms are used for insemination. ivf PROCEDURE :-   Eighteen hours after insemination,

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Gamete Intra – Fallopian Transfer (GIFT)

It was first described by Aschetal in 1984.It involves aspiration of oocytes following ovulation induction either laproscopically or under ultrasound guidance transvaginally. Laparoscopic route is preferred as it anyway requires sperm & oocyte transfer in to the fallopian tube. 2hours before aspiration, semen is prepared, washed from the seminal plasma * remained in culture medium at 37 c. The oocytes

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