Sub: Obstetrics & Gynaecology
Submitted To: Submitted by MRSSEEMA SANTOSH MS.ASHWADI PILLAI LECTURER,(OBG) M.SC.PREVIOUS
INTRODUCTION- Obstetrics is largely preventive medicine , the age old concept that obstetrics is only antenatal, intranatal , and postnatal care, and is thus concerned mainly the technical skill, is now considered as a very narrow concept , and is being replace by the concept of community obstetrics which combines obstetrical concerns with concept of primary health care. India accounts for over 20% of the world’s maternal death an incredibly high MMR which is unacceptable when compared to current indices elsewhere in Asia. Reduction in MMR by three quarters between 1990 and 2015 is one of the millennium development goals of United Nation . PREVENTIVE OBSTETRICS-
* PREVENTIVE - Preventive is the term used to prevention or slowing the course of an illness or diseases. * OBSTETRICS – The branch of medicine that deals with the care of women during pregnancy, child birth and puerperium period following delivery is known as obstetrics. * PRENTIVE OBSTETRICS - Preventive obstetrics is the term for prevention of the complication that may arise during antenatal, intranatal and postnatal period. OR
Preventive obstetrics is a art and science of preventing or managing the complications of pregnancy, labor and the puerperium. AIMS –
The aim of preventive obstetrics is to ensure that through pregnancy and puerperium, the mother will have good health and that every pregnancy may culminate in a healthy mother and a healthy baby. OBJECTIVES:
* To assess the current perspective of regional obstetrician on providing preventive health care. * To provide primary care .
FOOTNOTES- GHAI O. P. GUPTA PIYUSH ,’’ TEXT TBOOK OF PREVENTIVE AND SOCIAL MEDICINE’’, CBS PUBLICATION AND DISTRIBUTON, SECOND EDITION,PG NO.-351
PREVENTIVE CARE INCLUDE-
* Antenatal care
* Intra natal care
* Postnatal care
ANTENATAL AND PRENATAL CARE-
DEFINATION -The antenatal care is defined as systematic supervision (examination and advices) of a woman during pregnancy. it include- * Careful history and examination (general and obstetrical). * Advice given to the pregnant women.
Antenatal care is the care of the women during pregnancy.
The Primary aim of antenatal care is to achieve at the end of a pregnancy a healthy mother and a healthy baby, and others are- * To screen the ‘high risk’ cases and give them special attention. * To prevent or to detect and treat at the earliest any complications. * To ensure continued medical surveillance and prophylaxis. * To educate the mother about the physiology of pregnancy and labour by demonstrations, charts and diagrams (mother craft classes) so that fear is removed and psychology is improved. * To discuss with couple about the place, time and mode of delivery, provisionally and care of the newborn. * To motivate the couple about to the need of family planning and also appropriate advice to couple seeking medical termination of pregnancy. FOOTNOTES- PARK K. TEXTBOOK OF PREVENTIVE AND SOCIAL MEDICINE, BANARASIDAS PUBLICATION , 19TH EDITION pg no.-417
The objectives of antenatal care are:
* To promote, protect and maintain the...