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1683

Diabetes Mellitus in Pregnancy

Overview of Gestational Diabetes Mellitus & Pre-Gestational Diabetes, management and complications to both mother and infant.  
Izyan Mohammad
over 6 years ago
0
27
1132

Confidence Building During Medical Training

My fellow medical students, interns, residents and attendings: I am not a medical student but an emeritus professor of Obstetrics and Gynecology at the University of Miami Miller School of Medicine, and also a voluntary faculty member at the Florida International University Herbert Wertheim College of Medicine. I have a great deal of contact with medical students and residents. During training (as student or resident), gaining confidence in one's own abilities is a very important part of becoming a practitioner. This aspect of training does not always receive the necessary attention and emphasis. Below I describe one of the events of confidence building that has had an important and lasting influence on my career as an academic physician. I graduated from medical school in Belgium many years ago. I came to the US to do my internship in a small hospital in up state NY. I was as green as any intern could be, as medical school in Belgium at that time had very little hands on practice, as opposed to the US medical graduates. I had a lot of "book knowledge" but very little practical confidence in myself. The US graduates were way ahead of me. My fellow interns, residents and attendings were really understanding and did their best to build my confidence and never made me feel inferior. One such confidence-building episodes I remember vividly. Sometime in the middle part of the one-year internship, I was on call in the emergency room and was called to see a woman who was obviously in active labor. She was in her thirties and had already delivered several babies before. The problem was that she had had no prenatal care at all and there was no record of her in the hospital. I began by asking her some standard questions, like when her last menstrual period had been and when she thought her due date was. I did not get far with my questioning as she had one contraction after another and she was not interested in answering. Soon the bag of waters broke and she said that she had to push. The only obvious action for me at that point was to get ready for a delivery in the emergency room. There was no time to transport the woman to the labor and delivery room. There was an emergency delivery “pack” in the ER, which the nurses opened for me while I quickly washed my hands and put on gloves. Soon after, a healthy, screaming, but rather small baby was delivered and handed to the pediatric resident who had been called. At that point it became obvious that there was one more baby inside the uterus. Realizing that I was dealing with a twin pregnancy, I panicked, as in my limited experience during my obstetrical rotation some months earlier I had never performed or even seen a twin delivery. I asked the nurses to summon the chief resident, who promptly arrived to my great relief. I immediately started peeling off my gloves to make room for the resident to take my place and deliver this twin baby. However, after verifying that this baby was also a "vertex" without any obvious problem, he calmly stood by, and over my objections, bluntly told me “you can do it”, even though I kept telling him that this was a first for me. I delivered this healthy, screaming twin baby in front of a large number of nurses and doctors crowding the room, only to realize that this was not the end of it and that indeed there was a third baby. Now I was really ready to step aside and let the chief resident take over. However he remained calm and again, stood by and assured me that I could handle this situation. I am not even sure how many triplets he had delivered himself as they are not too common. Baby number three appeared quickly and also was healthy and vigorous. What a boost to my self-confidence that was! I only delivered one other set of triplets later in my career and that was by C-Section. All three babies came head first. If one of them had been a breech the situation might have been quite different. What I will never forget is the implied lesson in confidence building the chief resident gave me. I have always remembered that. In fact I have put this approach in practice numerous times when the roles were reversed later in my career as teacher. Often in a somewhat difficult situation at the bedside or in the operating room, a student or more junior doctor would refer to me to take over and finish a procedure he or she did not feel qualified to do. Many times I would reassure and encourage that person to continue while I talked him or her through it. Many of these junior doctors have told me afterwards how they appreciated this confidence building. Of course one has to be careful to balance this approach with patient safety and I have never delegated responsibility in critical situations and have often taken over when a junior doctor was having trouble. Those interested, can read more about my experiences in the US and a number of other countries, in a free e book, entitled "Crosscultural Doctoring. On and Off the Beaten Path" can be downloaded at this link. Enjoy!  
DR William LeMaire
over 3 years ago
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21
1661

Obstetrics in Flow Charts: Revision Summary for Finals

This slide show should be an easy way to cover almost all of the obstetric information you will need for your final exams. It covers pregnancy, emergencies, infections, miscarriages & still births, TOP, induction, c-sections, normal labour, antenatal care and post natal care.  
speakerdeck.com
over 2 years ago
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13
762

Osce revision in obstetrics and gynecology

OSCE revision in obstetrics and gynecology 2015. Prepared by Dr Manal Behery, Professor of OB&Gyne.  
slideshare.net
almost 2 years ago
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12
369

Obstetric Emergencies

Notes on Obstetric Emergencies made while studying obstetrics.  
Mariechen Puchert
almost 7 years ago
938edde3e2380cf6529bb49959ea2d57723e962f7028903033725203
11
425

Ectopic pregnancy and miscarriage

Zoom on on the app or click on the website to see a bigger version! Hope it helps ! CF: clinical features TVS- transvaginal ultrasound scan  
Katerina Efstathiou
over 2 years ago
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10
308

Preeclampsia Pathophysiology

What happens in the pregnant woman with preeclampsia  
youtube.com
over 2 years ago
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8
85

Gestational Diabetities Overview

Gestational Diabetes A transient, self-limiting, hyperglycaemia, which occurs during pregnancy due to maternal endocrine changes. Glucose Control Insulin cause…  
Sarah Wagstaffe
over 7 years ago
2
8
270

Pre-eclampsia and Eclampsia

Topics This afternoon, I’l be discussing the obstetrical problems of pre-eclampsia and eclampsia. Hypertensive Issues During Pregnancy… View Text Here Free Links: OBGYN-10 OBGYN-101 Gray Haired Note Pre-eclampsia and Eclampsia, in the Global Library of Women’s Medicin Chronic Hypertension in Pregnancy, in the Global Library of Women’s Medicin Brookside Associates Medical Education Division  
Mike Hughey, MD
over 7 years ago
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7
302

Hypertension in pregnancy & Pre-eclampsia

A comprehensive summary on the effects of elevated blood pressure during pregnancy and pre-eclampsia.  
Hannah Oliver
over 5 years ago
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6
502

Final year.clinical OSCE-Obstetrics & Gynaecology.for medical undergr…

Obstetrics and Gynaecology Yapa Wijeratne Faculty of Medicine University of Peradeniya  
slideshare.net
over 2 years ago
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7
313

Ectopic Pregnancy

case study of a woman presenting with acute abdo pain  
Nick Harper
about 7 years ago
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7
260

Pre-eclampsia. Effect of pre-eclampsia during pregnancy. | Patient

Pre-eclampsia is a complication of pregnancy. Women with pre-eclampsia have high blood pressure, protein in their urine, and may develop other symptoms...  
patient.info
over 2 years ago
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7
69

Volume 3, Chapter 58. Fetal Circulation

Julian T. Parer, MD, PhD Professor, Department of Obstetrics, Gynecology, and Reproductive Sciences, University of California, San Francisco, School of Medicine; Associate Staff, Cardiovascular Research Institute, San Francisco, California (Vol 3, Chap 58)  
glowm.com
over 3 years ago
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5
224

Pre-Eclampsia and Hypertensive Disease in Pregnancy

Based on presentation I gave as a medical student doing Obstetrics and Gynaecology in 2009. More details pertaining to each slide are in the Notes sections.  
Tariq Shafi
over 4 years ago
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5
187

A Guide to Preeclampsia: Hand-drawn Tutorial

All credit for this video goes to professor May. If there is anything on it that sounds inspirational, it most likely came from her.  
YouTube
almost 3 years ago
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5
92

Pre-Eclampsia Management

 
thewomens.r.worldssl.net
over 2 years ago
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4
112

Gestational Diabetes and Diabetes in Pregnancy

Resistance to insulin is a normal physiological response in pregnancy, thought to be induced by maternal hormones.  However, in some women, this is severe enough to result in gestational diabetes. In these women, there is reduced ability of the pancreas to produce enough insulin to overcome the insulin resistance.   Gestation diabetes is defined as - Any hyperglycaemia with first onset or presentation during pregnancy    
almostadoctor.com - free medical student revision notes
over 3 years ago
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4
123

Development of Male vs. Female Genitalia (USMLE Tutorial)

http://www.usmlesuccess.net A look at the way by which males and females develop their genitalia while in utero - very high-yield USMLE material. Grab your F...  
YouTube
over 3 years ago