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Delivery Video

An educational demonstration of the bimanual pelvic examination and what clinicians assess. Educational only — not medical advice.

The language is chinese mandarin(Putonghua)

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Fetal heart sounds recorded with a handheld monitor are presented in this short cardiology clip. Listening to the fetal heartbeat is a routine part of prenatal assessment, used to check the baby's rate and rhythm before birth. A brief learning clip for students. For learning purposes only — not medical advice.

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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 “classical” 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 attendant’s 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

Robotic-assisted prostatectomy

This gynecology video demonstrates the rectovaginal examination, a clinical assessment used to evaluate the pelvic structures. The recording shows how the examination is performed as part of a complete pelvic assessment in a medical setting. It is a standard component of specialist gynecological assessment.

Insertion and removal of a male urethral stent catheter is demonstrated in this clinical-skills video. Urethral stents are used to keep the urinary channel open, most often in relation to prostate enlargement. A procedure resource for urology and nursing trainees. Procedure education only — not personal medical advice.

The World Health Organization's official handwashing demonstration: the full soap-and-water technique, surface by surface. The Key Steps checklist on this page follows the WHO sequence in order. General hygiene education — follow your institution's hand-hygiene policy.

Ovulation is the release of eggs from the ovaries. In humans, this event occurs when the follicles rupture and release the secondary oocyte ovarian cells. After ovulation, during the luteal phase, the egg will be available to be fertilized by sperm

A complete head-to-toe assessment of a pediatric patient is presented in this teaching video, following the Bates visual guide format used in clinical training. It works through each body system in examination order. A study resource for students learning pediatric examination. Educational only — not medical advice.

Orchidectomy and Orchidopexy in Testicular Torsion

Autopsy of a 56 year-old obese woman was suffering from Heart failure due to excess fat intake which cause heart diseases to her followed by Death.

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Giving Birth

Injection in buttocks