Define" Labour" vs "delivery"

Define" Labour" vs "delivery"
There is a difference between these two terms "labour" and "delivery "
Labour: Term is used when strenuous process is involved in expulsion of fetus through vagina
Delivery : Term is used when the fetus is extracted from either abdominal route or vaginal route with or with out strenuous work by pregnant.
Delivery is term used in broad sense
Labour is used in certain condition.
labour term can be included in delivery but delivery term should not be included in labour in all conditions.In other words all labour process can be come under delivery but all deliveries can not be put under labour.
I hope I might be succeeded to explain minute difference between these two main terms
any comments ...welcome

Define "NORMAL DELIVERY/LABOUR"
Delivery /Labour which includes
single
live fetus
weight 2.5 kg to 4kg
delivered through vaginal route
with out any undue prolonged/short period than expected according to guidelines
with out any intervention/manipulation with drugs or instruments
with out any complications to mother or fetus
ధన్యవాదాలు
మీ
డాక్టర్ సుధాకర్ బాబు యక్కటి
మహిళా వ్యాధుల నిపుణులు
విజయవాడ
ఆంధ్ర ప్రదేశ్

Painless labour

Is it possible?

yes

so many studies has been done on this topic.

meta analysis says painless labour is quite possible in centres where anaesthetist, gynecologist, patient ,nurse ,paediatrician work as a team round the clock .

nitrous oxide plus oxygen combination -patient controlled/doctor decided dose anaesthesia

ketamine

fortwin plus phenargan

tramadol

some GA drugs

epidural top ups with bupivacaine

many options are available.

risks complications must be outweighed with advantages then only it becomes popularise.

please put your experiences here in comments about painful or pain less labour/delivery

Pregnancy - Deficiency of Vitamines & Minerals-Its Effects

Pregnancy - Deficiencies of vitamines&minerals- Effects


Becoming a pregnant is a wonderful feeling to every woman.

Woman become a creator ..as she gives new living species

But pregnancy causes many risks due to various minerals vitamines deficiency



As a child

Adolescent age

Adult

All phases all most 50-60 % percent ladies developing anemia

Pregnant mothers are suffering more than 70-80 % with anemia .either iron defiency or folic acid deficiency or B12 vitamine ( cyanocobalamine ) deficiency.



Growing fetus demands more minerals, more micro nutrients ,energy .Vit A ,Vit B complex , Vit C, Vit B12 ,Zinc , Folate, Iodine, Iron, Calcium, Niacin , riboflabin , Thamine etc



Deficiency of above all causes fetal maternal morbidity mortality.

Low birth weight babies ,Intra uterine growth restricted babies , Pre tem babies , Intra uterine death babies ,Fresh still birth babies are the real dangers of all above deficiency effects

IV fluids ,Antibiotics ,general drugs for ante natal intra natal post natal pregnancy period available in government general hospitals in andhrapradesh

Revised National Esential drugs approved & supplied to government hospitals


Revised National Essential Drug List

Approved by Government & Supplied by APHMHIDC

ANTIBIOTICS

Amikacin Inj. 100mg/2ml

Amikacin Inj. 500mg/ml

Amoxycillin 250mg Cap.

Amoxycillin 500mg Cap.

Ampicillin 250mg Cap.

Ampicillin 500mg Cap

Ampicillin Inj. 500mg

Ampicillin Syrup 125mg/5ml, 60ml

Cefalexin Cap 250mg

Cefalexin Cap 500mg

Cefotaxime Inj. 1 gm Vials (Restricted use)

Cefotaxime Inj. 250mg

Ciprofloxacin USP 250mg Tab.

Ciprofloxacin USP 500mg Tab.

Ciprofloxacin USP Inj. I.V. 100mg

Cotrimoxazole Syrup 40mg + 200mg

Cotrimoxazole Tab. 160mg + 800mg

Cotrimoxazole Tab. 80mg + 400mg

Doxycycline Tab 100mg

Erythromycin Stereate 250mg Tab. I.P.

Erythromycin Stereate 500mg Tab. I.P.

Gentamycin Inj. 80mg/Vial

Norfloxacin Tab 400mg

Pencillin Benzyl 10 lakhs

Pencillin Procaine 20 lakhs Inj. I.P.

Penicillin Benzathane 6 lakhs

Penicillin Procaine 4 lakhs Inj. I.P.

Rifamycin 150mg Cap USP (10X10)

Rifamycin 300mg Cap USP (10X10)

Rifamycin 450mg Cap


GENERAL DRUGS

Acetyl Salicilic Acid Tab. 150mg (Aspirin)

Acetyl Salicylic Acid 300mg (Aspirin)

Adrenaline Tartarate 1mg/ml I.P.

Albendazole 400mg Tab.

Aluminium Hydroxide + Magnesium Hydroxide Tab.

Aluminium Hydroxide Gel

Aminophylline Inj. 25% W/V 10 ml

Amlodipine Tab 5mg

Anti Rabies Vaccine 30ml vails

Anti Snake Venom Inj.

Ascorbic Acid Tab 500 mg IP

Atenolol Tab 50 mg BP

Atracuronium 10mg/ml (Limited supply)

Atropine Sulphate Inj. 0.5mg/ml I.P.

Atropine eye drops 1% 3ml

Atropine Eye Ointment 1% 3gm

Azathioprine Tab 50mg

Barium Sulphate for suspension 1000gm

Benzoic Acid 6% + Salicyclic Acid Cream 3%

Benzoin Compound Tincture

Benzyl Benzoate Application 25% IP

Betamethasone Eye Ointment

Betamethasone Sodium Valerate ointment 0.1% w/v 10gm

Bisacodyl Tab 5 mg IP

Bupivacaine Inj. 0.5% Hcl (Anhydrous) 20 ml Vial

Buscopan ( Hyoscine Butyl Bromide) Inj. 20mg/ml Amp

Calcium Gluconate Inj. 10ml Amp

Calcium Lactate Tab 300 mg IP

Candid Ointment, 2% w/w 15gms Tub

Carbarmazepine Tab. 100mg I.P.

Carbimazole Tab 5mg

Carbolic Acid

Cetrimide 20%

Cetrizine Tab. 10mg

Chloroquine Phosphate Inj. 5ml I.P.

Chloroquine Phosphate Syrup 50mg/5ml

Chloroquine Phosphate Tab.
Chlorpheniramine Maleate 4mg Tab
Chlorpheniramine Syrup 450ml (2.5mg/5ml)]
Chlorpromazine Tab 25mg
Chlorpromazine Tab 50mg
Cinnarazine 25mg Tab.
Ciprofloxacine Eye Ointment 0.3% w/v 5gm
Ciprofloxacine Eye/Ear Drops 0.3%
Cisplatinum 50mg Vial Inj.
Clotrimazole Vaginal Tab 100mg
Deriphylline Inj. 2ml amp
Dettol Liquid (Chlorxylenol)
Dexamethasone Inj. 4mg/m
Diazepam Inj. 5mg/ml
Diazepam Syrup 60ml
Diazepam Tab. 5mg
Diclofenac Sodium Inj. 25mg/3ml Amp
Diclofenac Sodium Tab. 50mg I.P.
Dicyclomine Tab 10 mg IP
Diethyl Carbamazine Citrate Tab 100mg
Digoxin Tab 0.25 mg
Diltiazem Tab 30mg
Diphtheria antitoxin Inj. 10000 I.U.
Dopamine Inj. 200 mg/ 5 ml
Ethambutol Tab. 400mg
Ethambutol Tab. 800mg (Aluminium Foil Pack)
Etophylline + Theophylline Tab. 77mg+23mg


Ferous Sulphate Tab. 200mg I.P.
Fluconazole 100mg Tab.
Fluconazole 150mg Tab.
Fluconazole 50mg Tab.
Fluexetine HCL 20mg cap


Folic Acid Tab. 5mg
Formalin Solution, 500ml
Formalin Tab.
Framycetin Sulphate Ointment 1%
Frusemide Inj. 10 mg/ml IP
Frusemide Tab 40 mg IP
Furazolidine Suspension 60ml
Furazolidine Tab 100 mg IP
Gama Benzene Hexa Chloride Lotion 0.1% W/V
Gentamycin Eye drops 0.3% w/v 5ml
Glibenclamide Tab 5mg
Glycerol/Glycerin oral 450gms
Glyceryl Trinitrate Tab
Griseofulvin T
Halothane I.P.
Heparin 25000 I.U. 5ml
Hydrocortisone Eye Drops
Hydrocortisone Sodium Succinate Inj. 100mg
Hydrogen Peroxide 6% 250ml

Hydroxy Progesterone Inj. 250mg/ml Amp.
Ibuprofen Tab 400mg
Imipramine Tab 25mg
Insulin Inj. Lente 40 IU/ml
Insulin Inj. Soluble 40 IU/ml

Isoniazid 100mg Ta
Isoniazid 300mg I.P. Tab
Isosorbide Dinitrate 10mg I.P.
Isosorbide Mononitrate Tab 20mg
Ketamine 10mg/ml I.P. Inj.
Ketamine 50mg/ml I.P. Inj.
Levodopa/Carbidopa Tab 100mg/10mg
Levodopa/Carbidopa Tab 250mg/25mg
Levothyroxine Tab
Lignocaine 2% Adrenaline Inj. (Dental Wing)
Lignocaine 4% Topical
Lignocaine Inj. 2% 2ml B.P.
Lignocaine Inj. 2% 30ml I.P.
Lignocaine Inj. 5% heavy 2ml amp. for spinal
Lignocaine Jelly 2% 30gms
Loperamide 2mg ta
Metformin Tab 500mg
Methylcellulose Inj.
Metronidazole Tab. 400mg (FC)
Miconazole 2% w/w I.P.
Midazolam 1mg/ml 10ml
Nefedipine Tab 10mg IP
Nefedipine Tab 5mg IP
Neostigmine Inj. IP 0.5 mg Amp
Omeprazole Cap. 20mg
Oral Rehydration Salt
Oxytocin Inj. 5 Units / ml IP
Pancuronium Inj. BP 2mg/ml ( Pavulon)
Paracetamol 500mg Tab I.P.
Paracetamol Inj. 150mg/ml
Paracetamol Syrup 60ml
Pentazocine Inj. 30mg/ml I.P.
Pethidine (HCL) 50mg Inj. Amp.
Pheneramine Maleate Inj. 22.75mg/ml 2ml Amp.
Phenobarbital 30mg Tab.
Phenobarbital Sodium 60mg Tab
Phenylephrine Eye Drops 5m
Phenytine Sodium Inj. 2ml Amp.
Phenytoin Sodium 100mg Tab. I.P.
Potassium Chloride Syrup
Povidine Iodine Solution I.P. 5% w/v 500ml
Prednisolone Tab 10m
Prednisolone Tab. 5m
Primaquine Tab. 7.5mg
Promethazine Elexir 5mg
Promethazine Inj. 25mg/ml 2ml amp
Promethazine Tab. 10mg I.P.
Propranolol Tab. 40mg I.P.
Prostagandin 250mg/ml IM
Pyrazinamide Tab 750mg
Quinine Sulphate Inj. 600mg/2ml I.P.
Quinine Sulphate Tab 300mg
Ranitidine HCL Tab 150mg
Ranitidine Inj. 50mg/2ml
Riboflavine Tab 5mg I.P.
Salbutamol Syrup 2mg / 5ml
Salbutamol Tab
Salicylic acid 5% w/v
Silver Sulphadiazine Cream 1%
Sodium Bicarbonate IV
Sodium Lothalamate Inj. 70% w/v (Iodine=420mg\ml)
Sodium Valproate Tab. 200mg I.P.
Stable Bleaching Powder Grade - I
Sterile Water for Injection 10 ml
Streptokinase 15 lakhs
Succinyl Choline Chloride Inj. Vial 50 mg/ ml
Tetanus Toxoid 0.5ml
Thiopental Sodium Inj.0.5G
Thiopental Sodium Inj.
Thyroxine 0.1mg Tab
Timolol 0.25% Eye drops 5ml B.P.
Tinidazole Tab. 300mg Film Coated
Vitamin A & D Cap
Vitamin B.Complex Tab
itamin B12 Inj.
Vitamin K Inj. B.P.
Xylocard 2% Inj.
I.V.FLUIDS
Compound Sodium Lactate Inj. 500ml I.V.
Darrows Solution
Dextrose Inj. 5% / 500 ml IVDextrose 25% 100ml infusion
Dextrose 5% + Sodium Chloride 0.9 % 500ml Iv
Electrolyte (Isolyte) P
Haemaccel Solution I V (Limited Use)
Hemodialysis Solution (Limited use)
Mannitol Inj. IP 20% w/v I.V.
Metronidazole Inj. I.P. 500mg/100ml I.V.
Peritoneal Dialysis Solution 1000ml
Sodium Chloride Inj. IP 0.9 % W/V 500 ml IV


……………………………………………………….

Swineflu


Symptoms of Swine Flu:
Fever
Muscle Aches
Lethargy
Couhing
Head Ache
Sore Throat
Runny Nose
Nausea
Vomiting
Diarrhea
Lack Of Appetite
What You Can Do To Prevent Swine Flu:
Cover your nose and mouth with a tissue when you Cough or Sneeze. Throw the tissue in the trash after you use it.
Wash your hand often soap and water,especially after you cough and sneeze. Alcohol-based hands cleaners are also effective.
Avoid touching your eyes,nose or mouth. Germs spread that way.
curtesy: Health Portal AP

Mind is the home for peace

How to get peace of mind?


Peace is always there in the mind

Mind is the home for peace

But we are searching it in temples, churches ,mosques ,parks, clubs ,restarents, movie -theatres,bars,casinos etc

Surprise thing is peace is with us ,what we are doing is just throwing it out from our soul.

Be cool.

we are simple.We came with out ANYTHING ,we leave with out anythinh then we can live with out any extra things what we are bothering for.

How to get peace of mind of pregnant woman?

How to get peace of mind? it is a problem not only pregnants but also all people.


Peace is always there in the mind

Mind is the home for peace

But we are searching it in temples, churches ,mosques ,parks, clubs ,restarents, movie -theatres,bars,casinos etc

Surprise thing is peace is with us ,what we are doing is just throwing it out from our soul.

Be cool.

we are simple.We came with out ANYTHING ,we leave with out anythinh then we can live with out any extra things what we are bothering for.

Dont worry be happy live long

……………………………………………..

Diabetes+Obesity = congenital anomalies baby

Diabetes+Obesity = congenital anomalies baby


Recent studies are showing some interesting facts

Prevalence of maternal obesity is increasing day by day.

and anomalies of fetus in utero is also increased,

maternal weight alone was not associated with an increase in congenital anomalies.

Diabetes was significantly associated with the increase in the rate of anomalies seen in our population. Identification of maternal weight as a risk factor in epidemiologic studies may be a surrogate for pregestational diabetes.



(Obstet Gynecol 2010;115:290–6)

LEVEL OF EVIDENCE: II

Vegetarian diet gives advantage in Pregnancy.. No?

Vegetarian diet gives advantage in Pregnancy..Yes ?or No?

In oldendays most of the people advice vegetarian diet for pregnant ladies

But Recent studies are mentioning pregnants should take more essential fatty acids ,essential amino acids.As vegerians get less essential aminoacids and fatty acids compared to mixed diet eaters.B12 vitamine also exclusively available in animal products.It couldnot get through pure vegetarian diet.Defiency of B12 leads to megaloblastic anemia.

Conclusion:

Mixed diet is always best during pregnancy to get all types of nutritive things.

when delivery is called normal?

When is delivery called normal?


Dear friends

Every body may get so many doubts about pregnancy and delivery.

What is normal delivery? when we call it as normal delivery?

1.Pregnancy should be full term ( 37 -42 completed weeks)

2.Spontaneous onset of labour pains

3. Fetus should be more than 2.5 kg and less than 4kg.

4.Fetus should be live, single

5.No undue interventions ,manipulations, induction ,instrumental use ,prolonged labour process

6.No complications to mother or fetus

7.Route of delivery should be through vagina

What are the routes of delivery?

Routes of deliveries are ( 1) vaginal (2) abdominal _caesarean section

Are they any types in vaginal routes?

Vaginal deliveries are again many types : with instumental aids (ventouse , forceps)