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The Department of Obstetrics and Gynaecology
Labour Ward Practice Guidelines |
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Copyright |
© Department of Obstetrics and Gynecology For private circulation only |
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Notice
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Obstetrics and Gynecology are ever- changing sciences. The department has checked with sources believed to be reliable in order to provide information which is complete and in accordance with the standards acceptable at the time of publication of this book. However in view of the possible changes in these sciences and human error, neither the department nor the publisher nor any other person involved in the publication of this book warrants that the information contained in it is in every respect accurate or complete, and they are not responsible for any errors or omissions, or for the results obtained from the use of such information. Readers are encouraged to confirm the information contained in this book with other sources, including product information provided by manufacturers of different drugs, so as to be certain that changes have not been made in the recommended doses or in contraindications for the use of those drugs. | |||||||||||||||||||||||||||||||||||||||||||||||||||
Preface
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The following guidelines are for resident doctors and staff members working in the receiving room and labor ward. These are evidence-based, based on the standard postgraduate books of obstetrics and therapeutics, and literature survey. They are meant to help manage the patients effectively. The use of these recommendations is optional. Modes of management other than those described may be used to suit different patients. The decision of the qualified doctor treating each patient will be final. |
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Abbreviations |
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Contents |
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-Depilatory cream/lotion can be used instead of shaving if the patient so desires, but its use is subject to facilities available -Check list•- Confirm for all women who come to Receiving Room -Inform if * - All instructions for normal labor are also to be followed. -If woman is in labour and she has no HIV report from KEM hospital or from Mumbai District AIDS Control Society (MDACS) then send her blood for spot test for HIV to emergency laboratory and check the report. -Inform neonatologist during 1 st stage of labour in all high risk patients and on delivery of the remaining patients. -Prescribe antibiotics- As per protocol. -If blood group of patient is not known then ask if all 8 types of blood are available (4 +ve and 4 –ve). If any are not available, ask BBO to check patient’s blood group and check if that blood group bag is available. Ask availability of O+ve and O-ve blood. |
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