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Sulaimany Maternity Teaching Hospital

Sulaimany Maternity Teaching Hospital. 29/6/2014. Senior on call : Dr. sunds Thursday 29-6-2014. Permanent 2nd cal dr.Nahida , dr.Chiman Permanent 1 st call dr.wala , dr.Banaz,dr.Shano Operator:dr.Omar,dr.Brwa saman. TN. Of delivery (). TN.of delivery (71)

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Sulaimany Maternity Teaching Hospital

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  1. Sulaimany Maternity Teaching Hospital 29/6/2014

  2. Senior on call : Dr. sundsThursday 29-6-2014 • Permanent 2nd caldr.Nahida ,dr.Chiman • Permanent 1st call dr.wala, dr.Banaz,dr.Shano • Operator:dr.Omar,dr.Brwasaman

  3. TN. Of delivery () • TN.of delivery (71) • TN .of NVD (58) primi (23) • multi (35) Emergency C/S (5) Elective C/S(8)

  4. Medical disease with pregnancy: • PET 1case VD AntipartumHaemorrhage: 3 cases 1- complete PP 3 previous CS by CS 2- G3P2 Placental abruption by NVD 3- Primi 26 wks NVD VBAG:- 4 cases

  5. Operative vaginal delivery : • Ventouse (2) forceps(0) • abnormal presentation (3)cases of breach by NVD • No .of inductions (13) No .of success(12) • No. of failed ( 1) • Abortions:13 wks under GA 9 wks under GA 9 wks complete abortion 13 wks twin placenta by sponging 22 wks 3Pr CS complete abortion 7 wks RPOC under GA

  6. Premature: 8 cases 33 wks 2 of them 26 wks 2 of them 28 wks 31 wks 35 wks 29 wks IUD:3 cases one of them primi 28 wks Primi 38 wks Primi 26 wks

  7. Emergency C/S 29/6

  8. COMPLICATED CASE: • GullanGerdu • 34 yrs. Old • G11P9-1A1all NVD • LMP? • US=IU pregnancy 7wks missed abortion +Moderate Pelvic free fluid • Clinically distended abdomen + tachycardia +pale • IO –Sever haemoperitomium+RupturedRt tubal ectopic pregnancy Rtsulpengectomy also Left tube ligated +D&C done for her

  9. THANK YOU

  10. Elective C/S 29-6-2014DR. chnur

  11. Gynecological cases

  12. THANK YOU

  13. Emergency Departement • 29 June 2014 • Senior on Call Dr .Banaz • Permanent on Call : dr.sazan+dr.shoxandrsara • Total no. of admissions : 26 • Referred to other wards :11 • Remaining cases :14 • Discharge on responsibility:1

  14. Obstetric Cases • PIH =2 • PET =1 • DM =2 • PUC =4 • Labor pain =12 Gynecology Cases • Abortions =4 • Ectopic pregnancy=1

  15. Complicated cases • Snurmhamadabdullah 29yrs G2P1 • LMP=14_6_2014 • BHCG=>1500 • UlS=ET=6mm • RT.ovarianheamorrhagic cyst35*38mm • trace pelvic free fluid • left adnexial mass 26*16*18mm • OlE= Stable • soft abd.lowerabd.tenderness

  16. Complicated case Banazibrahimomer 35 yrs G7P5-1 A3 US 35 wks LMP unknown Trace albumin in urin On treatment Bp 140/95

  17. THANKYOU

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