Obstetric and Obstetric and Gynecological Gynecological
sheetsheetDr. Ali Abd El-Monsif ThabetDr. Ali Abd El-Monsif Thabet
IntroductionIntroduction
ObstetricsObstetrics: is science deal : is science deal with woman from puberty till with woman from puberty till menopause including the antenatal, menopause including the antenatal, intranatal and postnatal periodsintranatal and postnatal periods
GynecologyGynecology: is science deal : is science deal with the disease of woman such as with the disease of woman such as genital prolapse, pelvic genital prolapse, pelvic inflammatory disease,……….etcinflammatory disease,……….etc
Course ContentCourse Content Sheet of Obstetrics and GynecologySheet of Obstetrics and Gynecology Anatomy of the normal female genital Anatomy of the normal female genital
tracttract Antenatal careAntenatal care Anatomical and physiological changes Anatomical and physiological changes
during pregnancyduring pregnancy Risk pregnancyRisk pregnancy Normal labourNormal labour Episiotomy Episiotomy PuerperiumPuerperium Cesarean sectionCesarean section
Course ContentCourse Content Stress urinary incontinenceStress urinary incontinence Displacements of the uterusDisplacements of the uterus Retroversion and retroflexion of the uterusRetroversion and retroflexion of the uterus HysterectomyHysterectomy dysmenorrhoea dysmenorrhoea Menopause Menopause Poly cystic ovarian syndromePoly cystic ovarian syndrome Pelvic inflammatory diseasePelvic inflammatory disease
ReferencesReferences:- :-
1- Woman's health text book for 1- Woman's health text book for physiotherapistsphysiotherapists
2- Physiotherapy for Obstetrics and 2- Physiotherapy for Obstetrics and GynecologyGynecology
3- Essential of Obstetrics and Gynecology 3- Essential of Obstetrics and Gynecology
History History Personal historyPersonal history
• Name Name • Age Age • AddressAddress• Occupation Occupation • Special habitsSpecial habits• Marital stateMarital state• Parity Parity
HistoryHistory DiagnosisDiagnosis : : NVD C.S., ………NVD C.S., ……… Chief complainChief complain Present historyPresent history
• Complain :- onset – course – duration Complain :- onset – course – duration • Date of admissionDate of admission• Date of delivery or operationDate of delivery or operation• Date of 1Date of 1stst PT session taken PT session taken
HistoryHistory
Past historyPast history• Diseases – General - specificDiseases – General - specific• Obstetric or Gynecological operationsObstetric or Gynecological operations• Trauma related to the abdomen or backTrauma related to the abdomen or back• X-Ray therapy or hormonal therapyX-Ray therapy or hormonal therapy
HistoryHistory
Family historyFamily history• Certain diseasesCertain diseases• History of twinsHistory of twins
HistoryHistory
Obstetric history ( Obstetric history ( 00000000 ) )• 11stst 0→N. of previous full term pregnancy (37- 0→N. of previous full term pregnancy (37-
41 W)41 W)• 22ndnd 0→ N. of previous premature pregnancy 0→ N. of previous premature pregnancy
(28- end 36 W) (28- end 36 W) • 33rdrd 0→ N. of previous abortion (↓ 28 W) 0→ N. of previous abortion (↓ 28 W)• 4th 4th 0→ N. of previous living children 0→ N. of previous living children
• Gravidity - Parity - abortion Gravidity - Parity - abortion • Calculation of date of onset of labourCalculation of date of onset of labour
HistoryHistory
Menstrual historyMenstrual history• Menarche Menarche • Frequency Frequency • Duration Duration • Average amount Average amount • Regularity Regularity • Pain associated Pain associated
Examination Examination
By InspectionBy Inspection Face Face
• Expression Expression • Color Color • Edema of eye lids Edema of eye lids • Pigmentation ( cloasma )Pigmentation ( cloasma )NeckNeck• Thyroid enlargement Thyroid enlargement • Pulsating neck veinsPulsating neck veins
Examination Examination
Breast Breast • Size Size • Slight elevation of skin temp.Slight elevation of skin temp.• Hyper pigmentation of primary areolaHyper pigmentation of primary areola• Appearance of secondary areolaAppearance of secondary areola
Examination Examination
Lower limbsLower limbs• Deformity Deformity • Varicose veinsVaricose veins• Oedema Oedema
Examination Examination
Abdomen Abdomen • Linea nigra Linea nigra • Striae gravidarumStriae gravidarum• Scar on abdomenScar on abdomen• Umbilical herniaUmbilical hernia
Examination Examination
By palpation By palpation in NVDin NVD
Funds level test Funds level test
Rectus diastasis testRectus diastasis test
Edema testEdema test
Thank you
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