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