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The use of ultrasound in pregnancy The use of ultrasound has become widespread in obstetric practice in Malaysia. It is available in nearly all government hospitals and is being used by all private gynaecologists and several general practitioners. It is used to determine gestational age, detection of multiple pregnancies and foetal anomalies. Its lack of risk of exposure has encouraged all practitioners to use ultrasound freely and routinely without indication. This increase in use has raised concerns regarding the safety, usefulness and necessities of ultrasound in pregnancy. These concerns prompted the Perinatal Society of Malaysia to sponsor a consensus workshop by inviting the Malaysian Society of Ultrasound in Medicine and the Obstetrical and Gynaecological Society of Malaysia to participate and arrive at some consensus in 4 areas. The Workshop was held on 17 th June, in Kuala Lumpur and a panel of experts was initiated.

Golden hour of neonatal life: Need of the hour

Pregnancy is an exciting time. But a high-risk pregnancy can bring unexpected challenges. And with the largest Perinatal Special Care Unit in San Diego County, more high-risk pregnancies are referred to us than anywhere else. Whether you’re having twins or facing a chronic illness, we specialize in a range of complicated pregnancies.

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Obstetrics & Gynaecology

Read terms. Moxley, MD. This document reflects emerging clinical and scientific advances as of the date issued and is subject to change.

Resuscitation Program® (NRP®) has helped more than 3 million health can be defined, techniques used for obstetric dating are accurate to 3 to. 5 days if.

Read terms. Mercer, MD; Sean C. Grobman, MD; Jamie L. Resnik, MD; and Anthony C. Sciscione, DO. When delivery is anticipated near the limit of viability, families and health care teams are faced with complex and ethically challenging decisions. Multiple factors have been found to be associated with short-term and long-term outcomes of periviable births in addition to gestational age at birth. These include, but are not limited to, nonmodifiable factors eg, fetal sex, weight, plurality , potentially modifiable antepartum and intrapartum factors eg, location of delivery, intent to intervene by cesarean delivery or induction for delivery, administration of antenatal corticosteroids and magnesium sulfate , and postnatal management eg, starting or withholding and continuing or withdrawing intensive care after birth.

Antepartum and intrapartum management options vary depending upon the specific circumstances but may include short-term tocolytic therapy for preterm labor to allow time for administration of antenatal steroids, antibiotics to prolong latency after preterm premature rupture of membranes or for intrapartum group B streptococci prophylaxis, and delivery, including cesarean delivery, for concern regarding fetal well-being or fetal malpresentation.

Whenever possible, periviable births for which maternal or neonatal intervention is planned should occur in centers that offer expertise in maternal and neonatal care and the needed infrastructure, including intensive care units, to support such services. This document describes newborn outcomes after periviable birth, provides current evidence and recommendations regarding interventions in this setting, and provides an outline for family counseling with the goal of incorporating informed patient preferences.

Its intent is to provide support and guidance regarding decisions, including declining and accepting interventions and therapies, based on individual circumstances and patient values.

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Rescinded clinical guidelines and previous versions may be made available by request. Contact us for further information. View version history for all guidelines. Materials accessible below are developed and maintained independently by organisations external to Queensland Health. Queensland Clinical Guidelines does not assess or endorse materials provided on external websites.

Obesity in pregnancy (Under review). Last amended: Dec | Review date: Dec | Show history. Guideline. Guideline: Obesity in pregnancy (PDF.

The Canadian Paediatric Society gives permission to print single copies of this document from our website. For permission to reprint or reproduce multiple copies, please see our copyright policy. Counselling couples facing the birth of an extremely preterm infant is a complex and delicate task, entailing both challenges and opportunities. This revised position statement proposes using a prognosis-based approach that takes the best estimate of gestational age into account, along with additional factors, including estimated fetal weight, receipt of antenatal corticosteroids, singleton versus multiple pregnancy, fetal status and anomalies on ultrasound and place of birth.

This statement updates data on survival in Canada, long-term neurodevelopmental disability at school age and quality of life, with focus on strategies to communicate effectively with parents. It also proposes a framework for determining the prognosis-based management option s to present to parents when initiating the decision-making process.

This statement replaces the position statement. Early preterm birth poses medical, social and ethical challenges and opportunities. Although extremely preterm infants have high mortality and morbidity rates compared with term infants, prognostic uncertainty exists in each individual case [1].

A home for paediatricians. A voice for children and youth.

At 22 weeks 0 days of gestation, pediatricians and parents should be cautious about choosing to aggressively resuscitate a newborn because survival is very unlikely. Toward the end of the 23rd week, survival becomes more likely, but severe morbidity occurs frequently. For many decades the limit of viability was believed to be approximately 24 weeks of gestation.

In the past, aggressive and extended resuscitation of newborns at 22 and 23 weeks was not common because the prognosis was bleak and clinicians did not want to inflict unnecessary pain when the chances for survival were limited. Survival, without major morbidity, is gradually improving for newborns at 25 through 28 weeks.

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Listed below is a selection of obstetrics and gynaecology subject headings that can be used to search the UBC Library Catalogue. Click on the links to find all UBC Library books on that specific subject. Keywords and Subject Headings Listed below is a selection of obstetrics and gynaecology subject headings that can be used to search the UBC Library Catalogue. Books OVID.

ClinicalKey more Additional features, including a presentation maker, the ability to download PDF versions of ebook chapters, customize patient handouts or save content in a personal profile, are available to users who create a free account. Click ‘Register’ at the top right of the ClinicalKey landing page to create a free account.

Guidelines for Perinatal Care 8th ed. Macones Call Number: Online. Sinkin, Christian A. Chisholm Call Number: Online.

Periviable Birth

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Childbirth Series: Preparing the Birth Room


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