Caesarean section
Caesarean section involves making an abdominal skin incision and an incision over the lower segment of the uterus to deliver the baby. ...
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Twins, triplets or more
Multiple pregnancies now account for 1.5% of all pregnancies. The commonest form of multiple pregnancies are twins, though triplets,...
Endometriosis
Endometriosis is a condition where the endometrial tissue (the lining of the inner uterus) is found outside the uterus. Most commonly,...
Ovarian cysts
"Cysts" in the ovaries may be simple fluid-filled ones or complex ones filled with fluid mixed with solid areas. These usually do not...
Uterine Fibroids (leiomyomas)
Fibroids are also known as leiomyomas. These are benign smooth muscle tumours of the uterus with a capsule around the tumours. They are...
Sexually transmitted infections
Consider screening for sexually transmitted infections in the following situations: before starting a sexual relationship with a new...
Health screening for women
A) Screening for chronic illness from 40 years of age 1. Hypertension The blood pressure should be measured at least once every 2 years....
Amniocentesis and CVS (chorionic villus sampling)
Invasive diagnostic procedures like amniocentesis and chorionic villus sampling (CVS) are performed under ultrasound guidance to obtain...
Contraception
Natural methods Lactational amenorrhea method There is only a small (about 2%) chance of pregnancy for the first 6 months after delivery...
Post-natal care
Postnatally, I normally see my patients one week and 3 months after delivery. At the first postnatal visit I check the following: Return...
Common questions from pregnant women
A) Nausea and vomiting in pregnancy 1. This begins early in pregnancy, most commonly between the 4th and 7th week or pregnancy, peaks at...
Pregnancies from IVF or SO-IUI
IVF refers to in vitro fertilization while SO-IUI refers to super ovulation in utero insemination. These procedures are assisted...
Older pregnant mothers
Older pregnant women are at higher risks of: a) miscarriages b) chromosomal abnormalities e.g. Down syndrome c) stillbirth at term d)...
Previous bad outcomes in pregnancy
These histories could include that of: a) previous miscarriages b) previous spontaneous preterm labour c) previous indicated preterm...
History of abnormalities in children in family
These abnormalities could be due to: a) chromosomal abnormality b) structural abnormality e.g. congenital heart abnormalities c) genetic...
Mothers with medical conditions
These could include: high blood pressure or hypertension high blood sugar level or diabetes mellitus high or low thyroid hormone levels...
Previous Caesarean section or scars in uterus
The risks in this current pregnancy are higher if there was a previous Caesarean section compared to if there was a previous successful...
Delayed cord clamping, cord blood banking and cord tissue banking
Cord Blood Banking vs Delayed umbilical cord clamping Delayed umbilical cord clamping The advantages of delayed umbilical cord clamping...
Hysteroscopy and Dilatation & Curettage (D&C)
What is it? Hysteroscopy Hysteroscopy involves the insertion of a scope with an attached camera to visualise the inner cavity of the...
Cervical cerclage
Cervical Insufficiency Cervical insufficiency (previously known as cervical incompetence) is defined as the inability of the cervix to...
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