Thursday, September 3, 2009

parody on Hospital Birth

This is shown ina humourous way but its so true

Tuesday, September 1, 2009

Bilateral Ovarian mass

This is a 28 year old P2L2 sterilized woman who ca e with h/o Abdominal distension and dyspnoea since last 2 months , progressive in nature , when she was evaluated she was found to be having b/L ovarian tumour with solid and cystic areas . Working diagnosis of dermoid cyst was made and she wan taken for laparotomy . now in next 3 videos we will see the whole procedure

Sunday, August 30, 2009

velamentous cord insertion

his is a case in which the cord is being inserted in the margin of placenta r



Saturday, August 29, 2009

Face to pubes delivery

In case of persistent occipito posterior presentations there is face to pubes delivery or worse obstructed labour . This lady was referred to our hospital as obstructed labour and she was very much scared as she had been travelling from peripheral hospitals . She took some time to compose herself . It was a difficult delivery as i had difficulty in comforting the mother . The first step in delivering a baby should always be to get mother's cooperation . it might sound very strange to the western population but in india due to certain reasons the mothers are not aware of how to deal with the labour pains and sometimes it is only when they are in active labour that they are first coming to a doctor . and once someone is in pain its very difficult tp describe physiology tpo them , . nevertheless now both mom and kid are fine and happy

Friday, August 28, 2009

Sub cuticular Closure of supra pubic transverse incision

This is what i prefer to do . i use a 0 prolene to close the supra pubic incision . Please note that this is not pfennensteil . Pfennensteil would be within the hair line . This is slightly above it as practically in India in hot conditions it gives a better healing . Patient also feels better although it will not be as invisible as pfannensteil but the comfort is better . But i am still working on it .. In obese abdomen i prefer to give even a higher than this incision so that the sweat which gets collected in the crease line does not interfere with wound healing.

Anencephaly

Well obstetrics is not always happy ..

Its best to leave certain inevitable things to nature but a little bit of assistance to mother may be reassuring both psychologically and physically too . So sorry for the mother but sometimes there is nothing man can do in front of will of god . This is a primigravida married since 1 year and had an anencephaly. She had been struggling with head for around 10 min now so i decided to assit the expulsion process and ease her a little bit . As the baby is dead only she has been given some sedation but is not totally knocked out .

Thursday, August 27, 2009

vaginal birth

How to proceed with the spontaneous vaginal birth .