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At one time, women who had delivered by cesarean section in the past would usually have another cesarean section for any future pregnancies. The rationale was that if allowed to labor, many of these women with a scar in their uterus would rupture the uterus along the weakness of the old scar. Over time, a number of observations have become apparent: Most women with a previous cesarean section can labor and deliver vaginally without rupturing their uterus. Some women who try this will, in fact, rupture their uterus. When the uterus ruptures, the rupture may have consequences ranging from near trivial to disastrous. It can be very difficult to diagnose a uterine rupture prior to observing fetal effects (eg, bradycardia). Once fetal effects are demonstrated, even a very fast reaction and nearly immediate delivery may not lead to a good outcome. The more cesarean sections the patient has, the greater the risk of subsequent rupture during labor. The greatest risk occurs following a โclassicalโ cesarean section (in which the uterine incision extends up into the fundus.) The least risk of rupture is among women who had a low cervical transverse incision. Low vertical incisions probably increase the risk of rupture some, but usually not as much as a classical incision. Many studies have found the use of oxytocin to be associated with an increased risk of rupture, either because of the oxytocin itself, or perhaps because of the clinical circumstances under which it would be contemplated. Pain medication, including epidural anesthetic, has not resulted greater adverse outcome because of the theoretical risk of decreasing the attendantโs ability to detect rupture early. The greatest risk of rupture occurs during labor, but some of the ruptures occur prior to the onset of labor. This is particularly true of the classical incisions. Overall successful vaginal delivery rates following previous cesarean section are in the neighborhood of 70 This means that about 30of women undergoing a vaginal trial of labor will end up requiring a cesarean section. Those who undergo cesarean section (failed VBAC) after a lengthy labor will frequently have a longer recovery and greater risk of infection than had they undergone a scheduled cesarean section without labor. Women whose first cesarean was for failure to progress in labor are only somewhat less likely to be succesful in their quest for a VBAC than those with presumably non-recurring reasons for cesarean section. For these reasons, women with a prior cesarean section are counseled about their options for delivery with a subsequent pregnancy: Repeat Cesarean Section, or Vaginal Trial of Labor. They are usually advised of the approximate 70successful VBAC rate (modified for individual risk factors). They are counseled about the risk of uterine rupture (approximately 1in most series), and that while the majority of those ruptures do not lead to bad outcome, some of them do, including fetal brain damage and death, and maternal loss of future childbearing. They are advised of the usual surgical risks of infection, bleeding, anesthesia complications and surgical injury to adjacent structures. After counseling, many obstetricians leave the decision for a repeat cesarean or VBAC to the patient. Both approaches have risks and benefits, but they are different risks and different benefits. Fortunately, most repeat cesarean sections and most vaginal trials of labor go well, without any serious complications. For those choosing a trial of labor, close monitoring of mother and baby, with early detection of labor abnormalities and preparation for
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Ellis demonstrates how to perform a sterile wound dressing change. It would be appropriate to perform hand hygiene between glove changes.
Our Critical Nursing Skills video tutorial series is taught by Ellis Parker MSN, RN-BC, CNE, CHS and intended to help RN and PN nursing students study for your nursing school exams, including the ATI, HESI and NCLEX.
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00:00 What to expect
00:51 Prepping for wound dressing change
1:15 Removing the old wound dressing
1:40 Assessing a wound
2:05 Setting up sterile field
2:49 Sterile gloving
4:02 Preparing equipment for wound dressing change
5:09 Cleaning a wound
6:13 Drying a wound
6:28 Packing a wound
7:19 Covering a wound
7:47 Labeling a wound dressing
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Dialysis lecture 1. Dialysis Study: EXPERT NOTES for DHA, Bonent, CHT, B.Sc in Dialysis, Diploma in Dialysis https://amzn.eu/d/35Ui1kT
2. Dialysis Study : Q & A: MCQs, Fill in the blanks, True or False https://amzn.eu/d/gGn8u73
1. Dialysis Study :EXPERT NOTES for DHA, Bonent, CHT, B.Sc in Dialysis, Diploma in Dialysis, Naseha Helal.
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2. Dialysis Study: Q & A MCQ https://play.google.com/store/....books/details?id=T_3
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Telegram
https://t.me/dialysislife PRINCIPLE OF dialysis
https://youtu.be/cfOm0aFmbe8
Dialysis machine alarms
https://youtu.be/-1A1INyDEOg
DDS dialysis disequilibrium syndrome
https://youtu.be/8AqVFiBOkIc
Peritoneal Dialysis
https://youtu.be/iHPPadGmsv0
Itching
https://youtu.be/T83Wm3HHU4M
What is CRRT
https://youtu.be/jPgFnoSEBMU
LVH
https://youtu.be/ZhFL3Z6LHeA
Sorbent dialysis
https://youtu.be/-rie5dC_FkY
RO Water
https://youtu.be/3jlEsK4Lg_I
Carbon filter RO water
https://youtu.be/mJrgtjNafQw
Hemoperfusion
https://youtu.be/UkbBm8rm9Ww
AV fistula or Dialysis fistula
https://youtu.be/uDbyfqCkCbo
Dialysis MCQ
https://youtu.be/zmOj0BL6jVY
AVF cannulation
https://youtu.be/PyqMcHA07zY
Complications of AV fistula
https://youtu.be/a_CXIvuOO_s
Blood clotting during Dialysis
https://youtu.be/9hYNepiO2o8
Muscle crapms
https://youtu.be/09s07Eiqr2k
Hepatitis C
https://youtu.be/qdNj_GhmnSE
Dialysis procedure
https://youtu.be/u1mGqXO5pzQ
Hypotension
https://youtu.be/4EVPmWTSyN8
Heparin free dialysis
https://youtu.be/rFqAn7HcWwM
Plasmapheresis
https://youtu.be/kbgsjjs9krg
Isolated ultrafiltration
https://youtu.be/xp5I5--uWb0
High flux dialyzer
https://youtu.be/gCNsErn1HHM
Urea and Creatinine
https://youtu.be/Id9AIySMQ6c
Practical RO water demo
https://youtu.be/2pXKGMDNS84
Sodium profiling
https://youtu.be/bE_DcBXNB5g
Peritoneal Dialysis
https://youtu.be/vtK6VZsi8AY
Air embolism
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Dialysate
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How to stop Bleed from fistula
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Dialysis short form
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Dialyzer reprocessing
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Dialysis catheter
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How to set KT/V
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Mircera injection
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Dialysis procedure
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Dialysis in snake bite poison
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Uf profiling
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Heparin dose
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Hyperkalemia
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Change bandages of leaking fistula
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AvF needle
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Polycystic kidney disease
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Nephrotic syndrome
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Diabetic nephropathy
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Hemodialysis permanent access
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Sex and dialysis
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Albumin and dialysis
https://youtu.be/yzG7yD45Nwg
The purpose of the organs of the male reproductive system is to perform the following functions: To produce, maintain, and transport sperm (the male reproductive cells) and protective fluid (semen) To discharge sperm within the female reproductive tract during sex To produce and secrete male sex hormones responsible for maintaining the male reproductive system
In this inspiring video, Anamika shares her incredible journey of overcoming a life-changing experience. She talks about discovering a lump in her breast, the challenges of undergoing a mastectomy, and how breast reconstruction surgery gave her a new lease on life.
Anamika discovered a tennis ball-sized lump in her breast six months ago, which led to her doctor recommending a mastectomy. She shares the emotional struggles she faced, including fears about her appearance and how to explain the situation to her daughters.
She then talks about getting to know the option of breast reconstruction surgery. The procedure, which uses fat from the tummy to rebuild the breast, not only restored her confidence but also gave her the bonus of a flatter tummy! Anamika explains how natural the results feel and how it has helped her regain her life and confidence.
Anamikaโs message is simple but powerful: if you or someone you know has had to remove a breast due to a lump or cancer, there are reconstruction options available. This surgery can help you feel like yourself again and live with confidence. Watch her story and share it with others to spread awareness about this life-changing procedure.
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About Dr. Rajat Gupta and RG Aesthetics
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Our equipment allows for every kind of liposuction there is โ especially the minimally invasive kinds. Dr. Gupta reflects RG Aestheticsโ belief of the patientโs comfort always being paramount. Procedures at RG Aesthetics, under Dr. Rajat Gupta, minimize trauma and speed up recovery time for the best results!
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This medical 3D animation exhibit shows the left brachial plexus during birth and shoulder dystocia. Anatomy: symphysis pubis, uterus, sacrum, coccyx and fetus. "McRoberts Position". An episiotomy is cut. Brachial Plexus stretch injury. Retraction of head (turtle sign). Suprapubic pressure, gentle traction. To view our medical library of exhibits,
examination of a case of inguino-scrotal swelling as in cases of oblique inguinal hernia..etc
Watch that video of a Snake bite caused girlโs leg to rot away
The best way to prepare yourself for your small group exercises is to first watch the cardiac exam video from beginning to end, then proceed through all the explanations of cardiac anatomy and physiology that follow. To go through the material in the recommended sequence, just click the "Next" button in the upper right corner of the screen. But you may also jump to any section using the menu to the left.
The term labiaplasty refers to a procedure that reduces the length of the labia minora. It is the most commonly performed female genital plastic surgery procedure and it can relieve symptoms women experience from twisting and tugging of the labia. Women opt for surgery for a variety of reasons, including pain from twisting and tugging of the labia when riding a bike or during intercourse, itching and irritation, and self-consciousness.
Dr. Nick demonstrates how to numb a toe for a patient who had a subungual hematoma โcollection of blood under the nailโ. This patient stubbed his toe and needed to have the nail removed.
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๐๐ปDr. Nick Campitelli Performs latest Minimally Invasive Bunion Surgery! Watch this video!
https://youtu.be/eRpABMsCbOU
Dr. Nick Campitelli is a podiatrist who specializes in foot and ankle surgery in the Akron and Cleveland Ohio area. He is the Residency Director of the Western Reserve Hospital / University Hospital Podiatric Medicine and Surgery Residency Program.
*** All content found on the this YouTube video including: text, images, audio, or other formats were created for informational purposes only. The Content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding a medical condition. Never disregard professional medical advice or delay in seeking it because of something you heard on this video. ***
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Insertion of a Palindrome TDC in the right internal jugular vein under ultrasound and fluoroscopic guidance at a restructured hospital in Singapore
Treatment may not be needed for an eschar if it is part of the natural healing process. However, if an eschar looks like it may have a wound infection โ symptoms can include oozing fluid such as pus or blood, your clinician will likely recommend topical treatment or debridement to help control and remove the infection.
Deep Vein Thrombosis Treatment With Trellis Procedure
Keratoderma Blennorrhagicum is a manifestation on the skin that appears in patients diagnosed with reactive arthritis (this condition was previously known as Reiter syndrome). The condition manifests itself by lesions that appear on the skin, initially on the palm of the hands and soles of the feet. The lesions have the tendency to spread, affecting other parts of the body, such as the scrotum, scalp or trunk. Because of their appearance, the lesions might be easily confused with the ones from psoriasis. Keratoderma blennorrhagicum is one of the symptoms that can be used for the clinical diagnosis of reactive arthritis.
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giant systolic pulsations, known as C-V waves, were noticeable during jugular venous examination of a 33-year-old woman who had tricuspid-valve endocarditis. In video 2, transthoracic echocardiography revealed severe tricuspid regurgitation.