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The Department of Obstetrics and Gynaecology
Guidelines -Admit in wwd-if in early labor or -Admit in LWD if cervix > 4cm dilated, uterine activity is optimum, show, and/or spontaneous rupture of membranes present. -Confirm reports of Hb, blood group, VDRL/ HIV, and urinalysis are ready and normal. If not, get them done. -Send blood for spot test for HIV if not done earlier to emergency laboratory and check the report. -Check if she has received tetanus immunization (at least 2 doses, if the last dose prior to pregnancy was given > 5 years ago, and 1 dose if the last dose prior to pregnancy was given < 5 years ago). -Do not send blood for cross matching unless there is an indication for the same. |
Treatment Orders -Shave/ clip hair and prepare private parts -Simple enema stat -Lateral position -Liquids orally -TPR 1/2 hourly -FHS 1/2 hourly
Inform if *
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Guidelines -Confirm reports of Hb, blood group, VDRL/ HIV, and urinalysis are ready and normal. If not, get them done. - Send blood for spot test for HIV if not done earlier to emergency lab and check the report. -Check if she has received tetanus immunization (at least 2 doses, if the last dose prior to pregnancy was given > 5 years ago, and 1 dose if the last dose prior to pregnancy was given < 5 years ago). DO : -IV access through # 18 cannula- collect and send blood for grouping cross matching, do ward Hb only if ANC report is not available or is old. -Call- Anaesthetist/ Neonatologist. -Confirm consent for LSCS. Ensure relatives’ presence. Lecturer/ AMO consent to be obtained if the relatives are not available and LSCS is required very urgently. -Ask patient to be shifted to OT after preparation. -Confirm presence of admission before starting surgery, as far as possible. |
Treatment Orders -Nil by mouth- If not then -Give Na/K Citrate solution 30 ml orally. - Inj. Ranitidine 50mg iv stat -Simple enema stat -Shave/ clip hair and prepare abdomen, back (if hair is present), and private parts. -Obtain consent for blood and blood products transfusion. -Cap for the mother -Foley catheter -TPR, FHS 1/2 hourly and -Left lateral position till she is shifted to OT table. -IV 500 ml RL -Antibiotics (see antibiotic policy) |
Guidelines -IV access through # 18 cannula. - Collect and send blood for grouping cross matching. -Confirm availability of cross-matched blood in blood bank. -Confirm reports of Hb, blood group, VDRL/ HIV, and urinalysis are ready and normal. If not, get them done. -Send blood for spot test for HIV if not done earlier to emergency lab and check the report. -Do Hb- if report > 1 month old. -Check if she has received tetanus immunization (at least 2 doses, if the last dose prior to pregnancy was given > 5 years ago, and 1 dose if the last dose prior to pregnancy was given < 5 years ago). -Inform Lecturer on call -Give packed cell transfusion. -Active management of 3rd stage of labor. -Prompt suturing of episiotomy / perineal tear. -Obtain consent for blood and blood products transfusion. |
Treatment Orders -Shave/ clip hair and prepare private parts -Simple enema stat -Nasal moist oxygen -Lateral position -TPR, FHS 1/2 hourly -Watch for vaginal bleeding -I/O chart -M/C urine -Antibiotics (See antibiotics policy) -IV packed cells. - IV Frusemide -Postpartum hemorrhage prophylaxis.
Inform if
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Guidelines -Confirm reports of Hb, blood group, VDRL/ HIV, and urinalysis are ready. If not, get them done. -IV access through # 18 cannula. -Send blood for spot test for HIV if not done earlier to emergency lab and check the report. -Do ward Hb, if report > 1 month old. - Check if she has received tetanus immunization (at least 2 doses, if the last dose prior to pregnancy was given > 5 years ago, and 1 dose if the last dose prior to pregnancy was given < 5 years ago). - Obtain consent for blood and blood products transfusion. -Give packed cell transfusion if Hb < 9 g/dl. -Active management of 3rd stage of labor. -Prompt suturing of episiotomy / perineal tear |
Treatment Orders -Shave/ clip hair and prepare private parts -Simple enema stat -Lateral position -TPR, FHS 1/2 hourly -Watch for vaginal bleeding -I/O chart -M/C urine -Antibiotics (See antibiotics policy) -IV packed cells. - IV Frusemide -Postpartum hemorrhage prophylaxis.
Inform if
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