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    VAGINAL EXAMINATION

    Hospital : Government hospital 6 phase, Mohali

    Unit : Labour room

    Name :Mrs. Savita

    Name of the Husband : Mr. Gurdeep Kumar

    Age : 24 years

    eligion : Hindu

    Add!ess : 32 se !handi"arh

    "ate # Time of admission : #6$3$2%#&

    $a!it% : G#'%(%L%S%

    EXAMINATION &IN"ING':

    I( VAGINAL EXAMINATION

    #. )ulva and perineum : *dematous, lean

    2. )a"ina : Lea+a"e per va"ina present

    3. !ervi : !ervi e--aed 3% / dilated 3 m4. 'resentation : )erte

    &. 'resentin" part : 'arietal bone

    6. 'osition o- 0etus : Le-t oipito anterior1. a" o- membranes : uptured / !lear

    . Suture : Sa"ittal suture lies in le-t obli5ue diameter

    . 0ontanelles : 'osterior -ontanel

    #%. Station o- -etal head : 7 #

    II( $ELVI) A''E''MENT

    #. 8bli5ue diameter : #2 m2. Side 9alls : Generous

    3. shial Spines : 'rominent

    4. ispinous ;iameter : #%m&. Sub pubi arh : %e

    and position are asertained. 'osterior va"inal speulum is introdued and the va"ina and ervi are leaned by

    antisepti lotion. (nterior lip o- the ervi is "rasped by (llis -oreps. @terine sound is passed throu"h the

    ervial anal to note the position o- the uterus and the len"th o- uterine avity. !u A B 3% ( is inserted 9iththe devie is plaed inside and then introdued throu"h the ervial anal ri"ht up to the -undus and a-ter

    positionin" it by the "uard inserter is 9ithdra9n +eepin" the plun"er in position. Bhe eess o- nylon thread

    beyond 273 m is le-t in va"ina.

    A"VI)E' TO THE .OMAN: !he+ -or the thread in va"ina every day. eport i- heavy bleedin" and pain

    ours. Cash the area properly a-ter every miturition. !onsult "yneolo"ist i- oitus is pain-ul.

    TIME O& )u+T EMOVAL: Mrs. eena is advied to ome a-ter 3 years -or the removal o- !u7 t

    'ignatu!e of Tea*he!

    VAGINAL EXAMINATION

    Hospital : Government hospital 6 phase , Mohali

    Unit : Labour room

    Name :Mrs. Meena ala

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    Name of the Husband : Mr. (Dit Kumar

    Age : 23 years

    eligion : Hindu

    Add!ess :46 !handi"arh

    "ate # Time of admission : 2&$4$2%#&

    $a!it% : G#'%(%L%S%

    EXAMINATION &IN"ING':

    I( VAGINAL EXAMINATION

    ##. )ulva and perineum : *dematous, lean

    #2. )a"ina : Lea+a"e per va"ina present

    #3. !ervi : !ervi e--aed #% / dilated # m#4. 'resentation : )erte

    #&. 'resentin" part : 'arietal bone#6. 'osition o- 0etus : Le-t oipito anterior#1. a" o- membranes : uptured / !lear

    #. Suture : Sa"ittal suture lies in le-t obli5ue diameter

    #. 0ontanelles : 'osterior -ontanel2%. Station o- -etal head : 74

    II( $ELVI) A''E''MENT

    6. 8bli5ue diameter : #2 m

    1. Side 9alls : Generous

    . shial Spines : lunt. ispinous ;iameter : ##m#%. Sub pubi arh : %e o- the uterus : #3m

    . !onsent -or the !ontraeptive !hoie : ?es

    #%. ladder : *mptied

    'TE$' O& )u+T IN'ETION: ladder is emptied and mother plaed in the lithotomy position. @terine si>e

    and position are asertained. 'osterior va"inal speulum is introdued and the va"ina and ervi are leaned by

    antisepti lotion. (nterior lip o- the ervi is "rasped by (llis -oreps. @terine sound is passed throu"h the

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    ervial anal to note the position o- the uterus and the len"th o- uterine avity. !u A B 3% ( is inserted 9ith

    the devie is plaed inside and then introdued throu"h the ervial anal ri"ht up to the -undus and a-ter

    positionin" it by the "uard inserter is 9ithdra9n +eepin" the plun"er in position. Bhe eess o- nylon thread

    beyond 273 m is le-t in va"ina.

    A"VI)E' TO THE .OMAN: !he+ -or the thread in va"ina every day. eport i- heavy bleedin" and pain

    ours. Cash the area properly a-ter every miturition. !onsult "yneolo"ist i- oitus is pain-ul.

    TIME O& )u+T EMOVAL: Mrs. Madhu is advied to ome a-ter 3 years -or the removal o- !u7 t .

    'ignatu!e of Tea*he!

    )oppe! + T IN'ETION

    Hospital : Government hospital 6 'hase, Mohali

    Unit : Labour room

    Name : Mrs. 'ooDa

    Name of the Husband : Mr. Sunil +umar

    Age : 2% years

    eligion : Hindu

    Add!ess :=ala"arh, Himahal 'radesh

    "ate # Time of admission : 2$4$2%#&

    $a!it% : G2'2(%L2S%

    Timing of )u+ T Inse!tion : (-ter hild birth

    Age of the last *hild bo!n : =e9born

    $ELIMINAIE' &O )u+T IN'ETION

    ##. History o- medial sur"ial illness : She had delivered a male baby 9ith episiotomy

    #2. General physial eamination : General ondition is -air

    0,( Vaginal e-amination

    ". Shape o- the uterus : Globular in shape and 9ell ontrated

    h. 'osition o- the uterus : (nteverted / ante-leedi( Si>e o- the uterus : #2m

    #4. !onsent -or the !ontraeptive !hoie : ?es

    #&. ladder : *mptied

    'TE$' O& )u+T IN'ETION: ladder is emptied and mother plaed in the lithotomy position. @terine si>e

    and position are asertained. 'osterior va"inal speulum is introdued and the va"ina and ervi are leaned by

    antisepti lotion. (nterior lip o- the ervi is "rasped by (llis -oreps. @terine sound is passed throu"h the

    ervial anal to note the position o- the uterus and the len"th o- uterine avity. !u A B 3% ( is inserted 9ith

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    the devie is plaed inside and then introdued throu"h the ervial anal ri"ht up to the -undus and a-ter

    positionin" it by the "uard inserter is 9ithdra9n +eepin" the plun"er in position. Bhe eess o- nylon thread

    beyond 273 m is le-t in va"ina.

    A"VI)E' TO THE .OMAN: !he+ -or the thread in va"ina every day. eport i- heavy bleedin" and pain

    ours. Cash the area properly a-ter every miturition. !onsult "yneolo"ist i- oitus is pain-ul. Have 9ell

    balaned diet and plenty o- -luids.TIME O& )u+T EMOVAL: Mrs. =eha is advied to ome a-ter -or the removal o- !u7 t .

    'ignatu!e of Tea*he!

    )oppe! + T IN'ETION

    Hospital : Governemnt hospital 6 'hase, !handi"arh

    Unit : Labour room

    Name : Mrs. Meera

    Name of the Husband : Mr. SanDu

    Age : 22 years

    eligion : Hindu

    Add!ess : Se , !handi"arh

    "ate # Time of admission : 24$4$2%#&

    $a!it% : G2'2(%L2S%

    Timing of )u+ T Inse!tion : (-ter hild birth

    Age of the last *hild bo!n : =e9born

    $ELIMINAIE' &O )u+T IN'ETION

    #6. History o- medial sur"ial illness : She had delivered a male baby 9ith episiotomy

    #1. General physial eamination : General ondition is -air

    0/( Vaginal e-amination

    D. Shape o- the uterus : Globular in shape and 9ell ontrated

    +. 'osition o- the uterus : (nteverted / ante-leed

    l( Si>e o- the uterus : #2m#. !onsent -or the !ontraeptive !hoie : ?es

    2%. ladder : *mptied

    'TE$' O& )u+T IN'ETION: ladder is emptied and mother plaed in the lithotomy position. @terine si>e

    and position are asertained. 'osterior va"inal speulum is introdued and the va"ina and ervi are leaned by

    antisepti lotion. (nterior lip o- the ervi is "rasped by (llis -oreps. @terine sound is passed throu"h the

    ervial anal to note the position o- the uterus and the len"th o- uterine avity. !u A B 3% (is inserted 9ith the

    devie is plaed inside and then introdued throu"h the ervial anal ri"ht up to the -undus and a-ter

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    positionin" it by the "uard inserter is 9ithdra9n +eepin" the plun"er in position. Bhe eess o- nylon thread

    beyond 273 m is le-t in va"ina.

    A"VI)E' TO THE .OMAN: !he+ -or the thread in va"ina every day. eport i- heavy bleedin" and pain

    ours. Cash the area properly a-ter every miturition. !onsult "yneolo"ist i- oitus is pain-ul. Have plenty o-

    -luids and iron rih diet.

    TIME O& )u+T EMOVAL: Mrs. Myuri is advied to ome a-ter3 years -or the removal o- !u7 t

    'ignatu!e of Tea*he!

    )oppe! + T IN'ETION

    Hospital : Government hospital 6 phase,Mohali

    Unit : Labour room

    Name : Mrs. Maninder

    Name of the Husband : Mr. Harpal Sin"h

    Age : 23 years

    eligion : Hindu

    Add!ess : SuraDpur, 'anh+ula

    "ate # Time of admission : #&$4$2%#&

    $a!it% : G4'4(%L4S%

    Timing of )u+ T Inse!tion : (-ter hild birth

    Age of the last *hild bo!n : =e9born

    $ELIMINAIE' &O )u+T IN'ETION

    2#. History o- medial sur"ial illness : She had delivered a 0emale baby 9ith episiotomy22. General physial eamination : General ondition is -air

    1,( Vaginal e-amination

    m. Shape o- the uterus : Globular in shape

    n. 'osition o- the uterus : (nteverted

    o( Si>e o- the uterus : #3m

    24. !onsent -or the !ontraeptive !hoie : ?es2&. ladder : *mptied

    'TE$' O& )u+T IN'ETION: ladder is emptied and mother plaed in the lithotomy position. @terine si>e

    and position are asertained. 'osterior va"inal speulum is introdued and the va"ina and ervi are leaned by

    antisepti lotion. (nterior lip o- the ervi is "rasped by (llis -oreps. @terine sound is passed throu"h the

    ervial anal to note the position o- the uterus and the len"th o- uterine avity. !u A B 3% ( is inserted 9ith

    the devie is plaed inside and then introdued throu"h the ervial anal ri"ht up to the -undus and a-ter

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    positionin" it by the "uard inserter is 9ithdra9n +eepin" the plun"er in position. Bhe eess o- nylon thread

    beyond 273 m is le-t in va"ina.

    A"VI)E' TO THE .OMAN: !he+ -or the thread in va"ina every day. eport i- heavy bleedin" and pain

    ours. Cash the area properly a-ter every miturition. !onsult "yneolo"ist i- oitus is pain-ul. Have more

    -ood and -luids.

    TIME O& )u+T EMOVAL: Mrs. Suman is advied to ome (-ter 3 years -or the removal o- !u7 t

    'ignatu!e of Tea*he!

    ROCEDURE

    DEMONSTRATION

    ON

    COLOSTOMY

    CARE

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    SUBMITTED TO:

    SUBMITTED BY:

    Mrs.KAWALPREET MAM

    Ms. INDU BALA

    CASE

    RESENTATION

    ON MINOR

    AILMENTS OF

    NEWBORN

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    SUBMITTED TO SUBMITTED BY

    Mrs. P. VADIVUKKARASI RAMANADIN Ms. INDU BALA

    ASSO. PROFESSOR, DEPT. OF OBG DEPT. OF OBG

    M.S.K.C.O.N, BALONGI, MOHALI M.S.K.C.O.N,BALONGI, MOHALI