Obstertrics

INTRODUCTION: Hypertensive disorder of pregnancy is among the leading causes of maternal and perinatal mortality in developing countries. There are only few studies regarding this topic so this study helps us to improve our management protocol thereby reducing maternal and foetal morbidity and mortality. The aim of this study was to find out the prevalence of pregnancy induced hypertensive disorder among patient admitted to the Department of Obstertric and Gynecology in a tertiary care centre...

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Obstetric anesthetists should have an infrastructure that allows for referral and assessment of high risk patients. Management plans should be agreed well before delivery. This information must be available to other members of the team. Protocol for common high risk problems should be agreed and introduced. Promoting regional blockade for Cesarean section will reduce maternal anesthetic mortality. Epidural anesthesia preserves fetal biochemistry better than other forms of anesthesia.

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An indication for prophylaxis in vaginal and abdominal hysterectomy is given in the case of high postoperative infection morbidity. In order to reach an adequate level of antibacterial activity in serum and tissue one should apply the initial dose before the operation. The presence of various risk factors in Caesarean section is also an indication for prophylaxis. This applies especially to emergency Caesarean sections which have an increased infection rate. The application of the substance should follow the separation of the child from the mother after cutting the umbilical cord in order to prevent a diaplacental diffusion of the substance which can lead to a false diagnosis of the newborn...

Four, and later five, of the medical schools in the one multiple choice question (MCQ) paper in Obstertrics and Gynaecology to their students at the end of the Obstetrics and Gynaecology courses. The paper was amended twice after intervals of approximately 12 months. The results showed differences in performance between the five schools on questions and alternatives within questions, which were common to all editions of the paper (the "short" paper). These differences were also shown in the first two editions of the full paper (the "long" paper), but were not apparent in the third...