"HO kena tahu conduct delivery ke?"

Iya, nak offtag di O&G patutnya kena tahu;

✅ Clerk patients & pink 🩷 book (include CTG interpretation, plot #partogram, blood taking, branula insertion)
.

✅ #Present ie discuss new cases from PAC with MO

✅ Do transfer in #review when patient arrive to LR, update LR board,

Then subsequently do NRVE as needed - update partogram & inform MO if ada issues or EMLSCS is indicated


✅ Present cases to #specialist during LR review
.

✅ Assist & conduct deliveries, including performing #episiotomy & the repair as indicated
.

✅ Review & assess post partum mother, do new born examination - include #referral to Paeds team when necessary
.

Yg expecting HO intake soon, dah ready nak buat semua ni waktu #tagging nanti? 🤔

🔼 A concise video on conducting SVD (spontaneous vaginal delivery) - how we do it in Malaysian hospital setting😇
.

Must know for all HOs,
sebab klu nak OFFTAG in O&G kena conduct at least 5 SVD ⚠️
.

Let's practice together at Clinical Skills #workshop Medicorp;

https://medicorp.onpay.my/order/form/clinicalskillsuturing_workshop

More session available for those expecting 1st HO intake in 2025;

✅ E-HO opening 20th January,
✅ PTM 3-7th March

(Next session will be in April for those expecting 2nd HO intake)

But we recommend you to join #early after graduation, as you can join again FOC later as facilitator just before you start #tagging 😇

Why just join & practice once,
If you can attend twice & FREE for the second time? 😎

Kedah O&G protocol

Sabah O&G protocol

🔼 few O&G #protocols you can download for FREE 🆓

Kalau dah start HOs, boleh download/ask from seniors HOs your own state/dept punya O&G protocol.

Kalau masih menunggu HO posting, saya recommend focus baca Kedah state protocol (sbb very concise & HO friendly).

Siap ada color2 & very neat, so boleh print & baca semua common topics according to O&G HO logbooks sementara tgg masuk HO ni ❤️

InsyaAllah minggu ni kita akan revise important #topics in Obstetrics that HO need to know ✅

Stay tuned & turn on #notifications for this channel now ‼️

Compulsory #procedures for HOs in O&G posting - based on KKM logbook‼️
.

We will practice most of the compulsory performed procedures (highlighted 🟣) at Clinical Skills #workshop by Medicorp.

Register here for the workshop ✅

Get HO #logbook_compilations here to get to know #compulsory procedures & topics for other postings as HO;

https://medicorp.onpay.my/order/form/bookstore

https://t.me/driliana9/6552

Compulsory #cases ie topics that HO need to know in O&G posting.
.

As medical grads waiting for HOship, focus on the 🟣 highlighted topics as your #preparation for O&G posting soon ‼️
.

You can refer each topic in any of the O&G #protocols earlier 😉

Let's start our #revision on common topics in Obstetrics 🤱

‼️ Stages of Labour,
& definition of each stages

Wajib hafal ‼️

⬆️ Normal labour & #management of each stages

Ref; Kedah O&G protocol

So today we'll focus on management of 1st stage of labour ie intrapartum management;

All these plan are HO #responsibilities at PAC, antenatal wards & LR (labour room)

🤰Intrapartum management
(during 1st stage of labour)

🌟according to VenOMMS 🌟


1️⃣ Plot #partogram & T/O LR

[Ventilation]


[Oral intake] 🔽🔽🔽

2️⃣ Allow sips of CF (clear fluids)

3️⃣ Insert large bore branula & start IVD NS/HM/Dextrose Saline; 125cc/hour

❗️In PIH patient; only 1cc/kg/hr (risk for APO) & use only NS ‼️

❗️In Diabetic patients; if DXT less than 7mmol/litre, use D5% solution instead of NS ‼️


[Monitoring] 🔽🔽🔽

4️⃣ V/S monitoring hourly

✔️If PIH in crisis, every 15-30 mins
✔️add on GM monitoring in GDM patients


5️⃣ CTG #monitoring (tracing on admission & post ARM), then to repeat accordingly based on risk factor

6️⃣ Time #contraction; aim good contraction (4:10 in primid, 3:10 in multipara)

7️⃣ NRVE in ? hour (according to current V/E findings)

8️⃣ 1 to 1 care (if enough LR personnel)

9️⃣ Husband/#companion to accompany during labour (not available during pandemic 😷 )


[Medication] 🔽🔽🔽

🔟 #Analgesia if strong contraction

1️⃣1️⃣ For Pitocin #augmentation 1 or 2 hour post ARM if contraction inadequate ( <4:10 in primid, <3:10 in multipara)

1️⃣2️⃣ DIK regime (for GDM patients)


[Special Order] 🔽🔽🔽

1️⃣3️⃣ Amniotomy ie #ARM (if membrane intact)

Source;  ❤️ Medicorp’s O&G #online course❗️local LR protocol varies