⬆️ 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

Need further reading on the topic?

Download Ampang HO guide for FREE here; https://t.me/nota_perubatan/164

Just graduated?

Already choose your hosp via E-HO?

Finishing your current posting & will transfer out to new department soon?


But unsure what to #expect & prepare for the next posting, or HOship as general?


Enroll for free to #Departmental Welcoming session NOW at Medicorp’s Teachable school; https://medicorp-class.teachable.com

You will learn;

✅ HO role in each posting,

✅ must-know #diseases for each posting; the common cases & #emergencies

✅ few case discussions as kickstart #revision for each posting!

Attention to all HOs included in HO Intake Bil 4/2026, if you wish to;

👉 get access to senior HOs WA #group of your hosp

👉 join FREE online Mentorship revision with Dr Iliana,
.

Join live Mentorship revision #briefing this Tuesday, 21st June at 9 PM to 10 PM 😇
.

Register for 🆓 for the revision here;
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#Partogram - labour progress; cervical dilation & head descent

Let's learn & practice V/E, amniotomy & lots more compulsory #procedures for HO at Medicorp Clinical Skills workshop 👍🏻

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

What's wrong with this patient?

What can we do to prevent this in the future? 🤔

Attention to all HOs included in HO Intake Bil 5/2026, if you wish to;

👉 get access to senior HOs WA #group of your hosp

👉 join FREE online Mentorship revision with Dr Iliana,
.

Kindly register for live Mentorship revision #briefing this Thursday, 27th August at 9 PM to 10 PM 😇
.

Register for 🆓 for the revision briefing here;
https://medicorp.onpay.my/order/form/mentorshiprevision0826

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Shared from Malaysian Health Technology Assessment Section (MaHTAS) https://www.facebook.com/share/p/19JB9qxR56/

t.me/nota_perubatan

What's the difference between GSH & GXM? 🤔

What does 'run for blood 🩸' means?
.

Leave a comment if you find this video helpful ✅

“Dr saya nak tanya apa tugas HO dalam #OT (operation theatre)? 😷

Contohnya, apa yg HO boleh buat waktu assist #LSCS?” 🤔
.

Learn what you need to know in this FREE online course;

https://medicorp-class.teachable.com/courses/ho-role-in-ot-0822

👉🏻 HO role in assisting #surgery; what to do before, during & after surgery?

👉🏻 common #mistakes to avoid while assisting operation

👉🏻 Modified ISBAR formula to #book_case for operation from anaest team (with practice)

All the best 💪🏻

10 general clinical #procedures for all posting;

These are part of your #offtag requirement & assessment for almost all major posting 😇
.

Let's practice all these 17 #procedures at Medicorp's Clinical Skills Workshop;

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

Wondering what to revise before starting HOship soon? 🤔

Download Ampang HO guide for FREE here; https://t.me/nota_perubatan/164

Download HO #logbooks here,

& get to know all the compulsory topics & procedures for HO in each posting;

https://t.me/+zt4DsADauzdhZjE1

Alternatively, you can ease your revision before HOship with Medicorp's physical HO #logbook compilations;
.

✅ 18 in 1 HO logbooks #compilations;

Guide on HO #assessment format & compulsory procedures and topics for HOs.
.

Recommended for all med grads so you know what to #prepare before HOship ✅

Get your copy NOW;
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