VAGINAL EXAMINATION
Hospital
: Government hospital 6 phase, Mohali
Unit
: Labour room
Name
: Mrs. Savita
Name of the Husband
: Mr. Gurdeep Kumar
Age
: 24 years
Religion
: Hindu
Address
: 32 sec Chandigarh
Date & Time of admission
: 16/3/2015
Parity
: G1 P0 A0 L0 S0
EXAMINATION FINDINGS:
I. VAGINAL EXAMINATION
1. Vulva and perineum
2. Vagina
3. Cervix
4. Presentation
5. Presenting part
6. Position of Fetus
7. Bag of membranes
8. Suture
9. Fontanelles
10. Station of fetal head
: Edematous, clean
: Leakage per vagina present
: Cervix effaced 30% & dilated 3 cm
: Vertex
: Parietal bone
: Left occipito anterior
: Ruptured & Clear
: Sagittal suture lies in left oblique diameter
: Posterior fontanel
:-1
II. PELVIC ASSESSMENT
1.
2.
3.
4.
5.
Oblique diameter
Side walls
Ischial Spines
Bispinous Diameter
Sub pubic arch
: 12 cm
: Generous
: Prominent
: 10cm
: 90
Signature of Teacher
Copper - T INSERTION
Hospital
: Government hospital 6 phase Mohali
Unit
: Labour room
Name
: Mrs.Sarika
Name of the Husband
: Mr. Rakesh
Age
: 21 years
Religion
: Hindu
Address
: 22 Sec, Mohali
Date & Time of admission
: 18/3/2015
Parity
: G2 P2 A0 L2 S0
Timing of Cu- T Insertion
Age of the last child born
: Newborn
After child birth
PRELIMINARIES FOR Cu-T INSERTION
1. History of medical surgical illness
2. General physical examination
3. Vaginal examination
a. Shape of the uterus
b. Position of the uterus
c. Size of the uterus
4. Consent for the Contraceptive Choice
5. Bladder
: She had delivered a female baby with episiotomy
: General condition is fair
: Globular in shape and well contracted
: Anteverted & anteflexed
: 13 cm
: Yes
: Emptied
STEPS OF Cu-T INSERTION: Bladder is emptied and mother placed in the lithotomy position. Uterine size
and position are ascertained. Posterior vaginal speculum is introduced and the vagina and cervix are cleaned by
antiseptic lotion. Anterior lip of the cervix is grasped by Allis forceps. Uterine sound is passed through the
cervical canal to note the position of the uterus and the length of uterine cavity. Cu T 380 A is inserted with
the device is placed inside and then introduced through the cervical canal right up to the fundus and after
positioning it by the guard inserter is withdrawn keeping the plunger in position. The excess of nylon thread
beyond 2-3 cm is left in vagina.
ADVICES TO THE WOMAN: Check for the thread in vagina every day. Report if heavy bleeding and pain
occurs. Wash the area properly after every micturition. Consult gynecologist if coitus is painful.
TIME OF Cu-T REMOVAL: Mrs. Reena is adviced to come after 3 years for the removal of Cu- t
Signature of Teacher
VAGINAL EXAMINATION
Hospital
: Government hospital 6 phase , Mohali
Unit
: Labour room
Name
: Mrs. Meena Bala
Name of the Husband
: Mr. Ajit Kumar
Age
: 23 years
Religion
: Hindu
Address
:46 B Chandigarh
Date & Time of admission
: 25/4/2015
Parity
: G1 P0 A0 L0 S0
EXAMINATION FINDINGS:
I. VAGINAL EXAMINATION
11. Vulva and perineum
12. Vagina
13. Cervix
14. Presentation
15. Presenting part
16. Position of Fetus
17. Bag of membranes
18. Suture
19. Fontanelles
20. Station of fetal head
: Edematous, clean
: Leakage per vagina present
: Cervix effaced 10% & dilated 1 cm
: Vertex
: Parietal bone
: Left occipito anterior
: Ruptured & Clear
: Sagittal suture lies in left oblique diameter
: Posterior fontanel
: -4
II. PELVIC ASSESSMENT
6. Oblique diameter
7. Side walls
8. Ischial Spines
9. Bispinous Diameter
10. Sub pubic arch
: 12 cm
: Generous
: Blunt
: 11cm
: 90
Signature of Teacher
VAGINAL EXAMINATION
Hospital
: Government hospital 6 phase, Mohali
Unit
: Labour room
Name
: Mrs. Mamta
Name of the Husband
: Mr. Munna
Age
: 22 years
Religion
: Hindu
Address
: Vill Balore Ambala
Date & Time of admission
: 28/4/2015
Parity
: G1 P0 A0 L0 S0
EXAMINATION FINDINGS:
I. VAGINAL EXAMINATION
21. Vulva and perineum
22. Vagina
23. Cervix
24. Presentation
25. Presenting part
26. Position of Fetus
27. Bag of membranes
28. Suture
29. Fontanelles
30. Station of fetal head
: Clean
: Leakage per vagina present
: Cervix uneffaced
: Vertex
: Parietal bone
: Right occipito anterior
: Ruptured
: Sagittal suture lies in left oblique diameter
: Anterior fontanel
: Head high up
II. PELVIC ASSESSMENT
11. Oblique diameter
12. Side walls
13. Ischial Spines
14. Bispinous Diameter
15. Sub pubic arch
: 12 cm
: Generous
: Prominent
: 11cm
: 90
Signature of Teacher
VAGINAL EXAMINATION
Hospital
: Government hospital 6 phase, Mohali
Unit
: Labour room
Name
: Mrs. Seelam
Name of the Husband
: Mr. Anil
Age
: 23 years
Religion
: Hindu
Address
: Baltana , Zirakpur
Date & Time of admission
: 2/4/2015
Parity
: G2 P1 A0 L1 S0
EXAMINATION FINDINGS:
I. VAGINAL EXAMINATION
31. Vulva and perineum
32. Vagina
33. Cervix
34. Presentation
35. Presenting part
36. Position of Fetus
37. Bag of membranes
38. Suture
39. Fontanelles
40. Station of fetal head
: Unhygienic
: Leakage per vagina present
: Cervix 80% effaced 8 cm dialated
: Vertex
: Parietal bone
: Right occipito anterior
: Ruptured
: Sagittal suture lies in Right oblique diameter
: Posterior fontanel
:+3
II. PELVIC ASSESSMENT
16. Oblique diameter
17. Side walls
18. Ischial Spines
19. Bispinous Diameter
20. Sub pubic arch
: 12 cm
: Generous
: Prominent
: 10cm
: 90
Signature of Teacher
VAGINAL EXAMINATION
Hospital
: Government hospital 6 phase,Mohali
Unit
: Labour room
Name
: Mrs. Seema
Name of the Husband
: Mr. Gurnam
Age
: 24 years
Religion
: Sikh
Address
: Sec 15 Chandigarh
Date & Time of admission
: 4/4/2015
Parity
: G3 P2 A0 L2 S0
EXAMINATION FINDINGS:
I. VAGINAL EXAMINATION
41. Vulva and perineum
42. Vagina
43. Cervix
44. Presentation
45. Presenting part
46. Position of Fetus
: Clean and Clear
: Leakage per vagina present
: Cervix Fully effaced 10 cm dialated
: Vertex
: Parietal bone
: Right occipito anterior
47. Bag of membranes
48. Suture
49. Fontanelles
50. Station of fetal head
: Ruptured
: Sagittal suture lies in Right oblique diameter
: Posterior fontanel
: +3
II. PELVIC ASSESSMENT
21. Oblique diameter
22. Side walls
23. Ischial Spines
24. Bispinous Diameter
25. Sub pubic arch
: 12 cm
: Generous
: Prominent
: 11cm
: 90
Signature of Teacher
Copper - T INSERTION
Hospital
: Government hospital 6 Phase, Mohali
Unit
: Labour room
Name
: Mrs. Kamal
Name of the Husband
: Mr. Suresh Kumar
Age
: 24 years
Religion
: Hindu
Address
: 32 Sec, Chandigarh
Date & Time of admission
: 11/4/2015
Parity
: G2 P2 A0 L2 S0
Timing of Cu- T Insertion
Age of the last child born
: Newborn
After child birth
PRELIMINARIES FOR Cu-T INSERTION
6. History of medical surgical illness
7. General physical examination
8. Vaginal examination
d. Shape of the uterus
e. Position of the uterus
f. Size of the uterus
9. Consent for the Contraceptive Choice
10. Bladder
: She had delivered a female baby with episiotomy
: General condition is fair
: Globular in shape
: Anteverted
: 13 cm
: Yes
: Emptied
STEPS OF Cu-T INSERTION: Bladder is emptied and mother placed in the lithotomy position. Uterine size
and position are ascertained. Posterior vaginal speculum is introduced and the vagina and cervix are cleaned by
antiseptic lotion. Anterior lip of the cervix is grasped by Allis forceps. Uterine sound is passed through the
cervical canal to note the position of the uterus and the length of uterine cavity. Cu T 380 A is inserted with
the device is placed inside and then introduced through the cervical canal right up to the fundus and after
positioning it by the guard inserter is withdrawn keeping the plunger in position. The excess of nylon thread
beyond 2-3 cm is left in vagina.
ADVICES TO THE WOMAN: Check for the thread in vagina every day. Report if heavy bleeding and pain
occurs. Wash the area properly after every micturition. Consult gynecologist if coitus is painful.
TIME OF Cu-T REMOVAL: Mrs. Madhu is adviced to come after 3 years for the removal of Cu- t .
Signature of Teacher
Copper - T INSERTION
Hospital
: Government hospital 6 Phase, Mohali
Unit
: Labour room
Name
: Mrs. Pooja
Name of the Husband
: Mr. Sunil kumar
Age
: 20 years
Religion
: Hindu
Address
: Nalagarh, Himachal Pradesh
Date & Time of admission
: 28/4/2015
Parity
: G2 P2 A0 L2 S0
Timing of Cu- T Insertion
: After child birth
Age of the last child born
: Newborn
PRELIMINARIES FOR Cu-T INSERTION
11. History of medical surgical illness
12. General physical examination
13. Vaginal examination
g. Shape of the uterus
h. Position of the uterus
i. Size of the uterus
14. Consent for the Contraceptive Choice
15. Bladder
: She had delivered a male baby with episiotomy
: General condition is fair
: Globular in shape and well contracted
: Anteverted & anteflexed
: 12 cm
: Yes
: Emptied
STEPS OF Cu-T INSERTION: Bladder is emptied and mother placed in the lithotomy position. Uterine size
and position are ascertained. Posterior vaginal speculum is introduced and the vagina and cervix are cleaned by
antiseptic lotion. Anterior lip of the cervix is grasped by Allis forceps. Uterine sound is passed through the
cervical canal to note the position of the uterus and the length of uterine cavity. Cu T 380 A is inserted with
the device is placed inside and then introduced through the cervical canal right up to the fundus and after
positioning it by the guard inserter is withdrawn keeping the plunger in position. The excess of nylon thread
beyond 2-3 cm is left in vagina.
ADVICES TO THE WOMAN: Check for the thread in vagina every day. Report if heavy bleeding and pain
occurs. Wash the area properly after every micturition. Consult gynecologist if coitus is painful. Have well
balanced diet and plenty of fluids.
TIME OF Cu-T REMOVAL: Mrs. Neha is adviced to come after for the removal of Cu- t .
Signature of Teacher
Copper - T INSERTION
Hospital
: Governemnt hospital 6 Phase, Chandigarh
Unit
: Labour room
Name
: Mrs. Meera
Name of the Husband
: Mr. Sanju
Age
: 22 years
Religion
: Hindu
Address
: Sec 9, Chandigarh
Date & Time of admission
: 24/4/2015
Parity
: G2 P2 A0 L2 S0
Timing of Cu- T Insertion
: After child birth
Age of the last child born
: Newborn
PRELIMINARIES FOR Cu-T INSERTION
16. History of medical surgical illness
17. General physical examination
18. Vaginal examination
j. Shape of the uterus
k. Position of the uterus
l. Size of the uterus
19. Consent for the Contraceptive Choice
20. Bladder
: She had delivered a male baby with episiotomy
: General condition is fair
: Globular in shape and well contracted
: Anteverted & anteflexed
: 12 cm
: Yes
: Emptied
STEPS OF Cu-T INSERTION: Bladder is emptied and mother placed in the lithotomy position. Uterine size
and position are ascertained. Posterior vaginal speculum is introduced and the vagina and cervix are cleaned by
antiseptic lotion. Anterior lip of the cervix is grasped by Allis forceps. Uterine sound is passed through the
cervical canal to note the position of the uterus and the length of uterine cavity. Cu T 380 Ais inserted with the
device is placed inside and then introduced through the cervical canal right up to the fundus and after
positioning it by the guard inserter is withdrawn keeping the plunger in position. The excess of nylon thread
beyond 2-3 cm is left in vagina.
ADVICES TO THE WOMAN: Check for the thread in vagina every day. Report if heavy bleeding and pain
occurs. Wash the area properly after every micturition. Consult gynecologist if coitus is painful. Have plenty of
fluids and iron rich diet.
TIME OF Cu-T REMOVAL: Mrs. Myuri is adviced to come after3 years for the removal of Cu- t
Signature of Teacher
Copper - T INSERTION
Hospital
: Government hospital 6 phase,Mohali
Unit
: Labour room
Name
: Mrs. Maninder
Name of the Husband
: Mr. Harpal Singh
Age
: 23 years
Religion
: Hindu
Address
: Surajpur, Panchkula
Date & Time of admission
: 15/4/2015
Parity
: G4 P4 A0 L4 S0
Timing of Cu- T Insertion
: After child birth
Age of the last child born
: Newborn
PRELIMINARIES FOR Cu-T INSERTION
21. History of medical surgical illness
22. General physical examination
23. Vaginal examination
m. Shape of the uterus
n. Position of the uterus
o. Size of the uterus
24. Consent for the Contraceptive Choice
25. Bladder
: She had delivered a Female baby with episiotomy
: General condition is fair
: Globular in shape
: Anteverted
: 13 cm
: Yes
: Emptied
STEPS OF Cu-T INSERTION: Bladder is emptied and mother placed in the lithotomy position. Uterine size
and position are ascertained. Posterior vaginal speculum is introduced and the vagina and cervix are cleaned by
antiseptic lotion. Anterior lip of the cervix is grasped by Allis forceps. Uterine sound is passed through the
cervical canal to note the position of the uterus and the length of uterine cavity. Cu T 380 A is inserted with
the device is placed inside and then introduced through the cervical canal right up to the fundus and after
positioning it by the guard inserter is withdrawn keeping the plunger in position. The excess of nylon thread
beyond 2-3 cm is left in vagina.
ADVICES TO THE WOMAN: Check for the thread in vagina every day. Report if heavy bleeding and pain
occurs. Wash the area properly after every micturition. Consult gynecologist if coitus is painful. Have more
food and fluids.
TIME OF Cu-T REMOVAL: Mrs. Suman is adviced to come After 3 years for the removal of Cu- t
Signature of Teacher
PROCEDURE
DEMONSTRATION
ON
COLOSTOMY
CARE
SUBMITTED TO:
SUBMITTED BY:
Mrs.KAWALPREET MAM
Ms. INDU BALA
CASE
PRESENTATION
ON MINOR
AILMENTS OF
NEWBORN
SUBMITTED TO
Mrs. P. VADIVUKKARASI RAMANADIN
ASSO. PROFESSOR, DEPT. OF OBG
M.S.K.C.O.N, BALONGI, MOHALI
BALONGI, MOHALI
SUBMITTED BY
Ms. INDU BALA
DEPT. OF OBG
M.S.K.C.O.N,
