Medical brain notes 11

  Introduction   Emergencies during childbirth carry a high risk of mortality and morbidity to the woman and her baby. Accurate and prompt action of the midwife to summon medical aid determines their survival. In most cases emergencies in obstetrics are associated with hemorrhage, amniotic embolism, maternal and fetal distress and obstructed labour and cord prolapse. These conditions that constitute emergencies in childbirth will be discussed in this unit and your role as a midwife to effect prompt life saving measures to prevent death will be highlighted   Objectives   At the end of this unit the learner will be knowledgeable to be able to   ·                Identify the types and causes of emergencies in pregnancy and labour.   ·                Give post abortion care.   ·       ...

  Bleeding In Early Pregnancy This is bleeding from the genital tract before 24 th  week of pregnancy. Approximately, a 20% of pregnant women experience bleeding during the first trimester. Vaginal bleeding in pregnancy is abnormal. Any report of it should be viewed seriously by the midwife. When it occurs, the volume of blood loss, colour and if associated with pain or not should be established.   Causes ·                Abortion   ·                Implantation bleeding   ·                Cervical lesions.   ·                Erosion, mucous polyps  and carcinoma of the cervix   ·                Hydatidi...