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Obstetrics & Gynecology Revision Notes

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Quick Reference — All Topics

1. Normal Labor & Partograph

💡 Active phase begins at 6cm (new WHO guidelines). Friedman curve.

2. Preeclampsia & Eclampsia

💡 Preeclampsia = HTN + Proteinuria. Eclampsia = + Seizures. Give MgSO4.

3. APH & PPH

💡 PPH MCC = Uterine atony. APH painful = Abruption. Painless = Previa.

4. Gynae Oncology (Cervix, Ovary)

💡 Cervical cancer = HPV 16, 18. Ovarian = CA-125.

5. Contraception Methods

💡 Cu-T = non-hormonal IUD. OCP = estrogen + progesterone. Mala-N used in India.

6. Infertility & ART

💡 Day 2 FSH/LH = ovarian reserve. HSG = tubal patency. Clomiphene = first-line ovulation induction.

7. Ectopic Pregnancy & Molar

💡 MCC site = ampulla. Triad: amenorrhea + pain + bleeding. HCG very high in molar.

8. Rh Incompatibility & Hydrops

💡 Anti-D (RhoGAM) at 28 weeks and within 72 hrs delivery. Indirect Coombs in mother.

9. GDM, IUGR & High Risk Pregnancy

💡 GDM screening: 24-28 weeks OGTT. IUGR: asymmetric = placental, symmetric = chromosomal.

10. Amenorrhea & PCOS

💡 PCOS = Rotterdam criteria (2 of 3). LH:FSH > 2:1. Insulin resistance.