Pipes Output http://pipes.yahoo.com:80/pipes/pipe.info?_id=UAodyQaY3RGnjXfnbbsjiw Fri, 28 Feb 2014 11:39:51 +0000 http://pipes.yahoo.com:80/pipes/ http://www.askdrshihaan.org/pregnancy/2009/01/causes-of-maternal-mortality-part-ii/ 1) Thromboembolism: Changes in the clotting factors and venous stasis and thromboembolism (especially after cesarean section). Thromboembolism may cause death in any of the trimesters of pregnancy. Thrombolism may also occur after delivery (postpartum).High risk factors for postpartum thrombolism include age over 35 , obesity, post cesarean section. Mutations in Factor V Leiden and heterozygous [...] http://www.askdrshihaan.org/pregnancy/2009/01/causes-and-prevention-of-maternal-mortalitydeaths-part-1/ Causes of Maternal Mortality: 1)Severe bleeding- 25% 2)Indirect Causes -20% eg anaemia,malaria and heart disease. 3)Infection- 15% 4)Eclampsia-12% 5)Unsafe abortion-13% 6)Obstructed labour-8% 7)Other direct causes-eg embolism, ectopic pregnancy and anaesthesia related. The causes of maternal mortality are the same in developed and developing countries.However there is variation in the common causes of maternal mortality, in [...] http://www.askdrshihaan.org/pregnancy/2009/01/maternal-death-mortality-definitions-and-introduction/ Clear definitions of maternal mortality must be made so that we can compare these rates from different communities/countries. By allowing us to focus on the causes of mortality (especially the common causes), we will be able to reduce the maternal mortality rate. Important definitions in maternal mortality: Maternal Mortality rate: This is the risk of [...] http://www.askdrshihaan.org/pregnancy/2009/01/examination-of-the-rape-victim-rape-management-part-2/ i) There should be no delay in the examination: Valuable time should not be lost when a woman complains of rape. She should be brought immediately for medical examination. The police should bring the alleged rape victim as soon as possible. Detail statements may be taken by the police after the medical examination. Medical evidence [...] http://www.askdrshihaan.org/pregnancy/2009/01/rape-which-drugs-to-be-given/ Drugs to be given to rape victims: i) Analgesics or sedatives should be administered if indicated. ii) Tetanus toxoid should be given if deep lacerations are present. iii)Antibiotic -Ceftriaxone, 125mg intramuscularly to prevent gonorrhea. -Give metronidazole 2 g (single dose) and azithromycin 1g orally (or doxycycline 100mg twice daily-for 7 days) to prevent chlamydial infection. [...] http://www.askdrshihaan.org/pregnancy/2009/01/rape-management-part-1/ Because of the gravity of the situation, the emergency staff/ clinician who first sees a rape victim must be empathetic. 1)Written consent must be obtained for the gynaecological examination. Photographs may also be taken if they are to be used as evidence. The written consent may be obtained either from the patient or guardian/next of [...] http://www.askdrshihaan.org/pregnancy/2009/01/rape-definition-and-general-considerations/ Rape has many definitions ,depending on various jurisdictions. It is important for emergency staff and clinicians who deal with rape victims to be familiar with the laws pertaining to rape (sexual assault )in their own country and state (laws vary in different us states). About 95% of rape victims are women. It is also essential [...] http://www.askdrshihaan.org/pregnancy/2009/01/womens-health-history-taking-an-introduction-part-ii/ History of Menstruation These are questions that will be asked by your doctor. It is very important in gynaecological disorders. i)How old were you when the monthly periods (menstrual periods) began. This is the age of menarche. ii) What is the date of your last period?Can you remember it. What the the period before the [...] http://www.askdrshihaan.org/pregnancy/2009/01/management-of-the-patient-receiving-hormonal-replacement-therapy-for-menopause/ The patients should be educated about the start-up symptoms of HRT. These inclede: -Breast tenderness -Nipple sensitivity -Rise in appetite -Weight gain -Cramps in the calf Patients should be informed that during starting the HRT symptoms similar to early pregnancy will be common.These symptoms usually remit at about 12 to 14 weeks of gestation. Patients [...] http://www.askdrshihaan.org/pregnancy/2009/01/hormone-replacement-therapy-in-menopause/ Weather to take postmenopausal hormonal therapy or not is one of the most complex health care decisions facing women. It is also a complex decision for doctors to determine which of their patients will benefit from postmenopausal hormonal replacement therapy. In the United States about 30% of postmenopausal women use hormonal replacement therapy. Please do [...]