Starting from Day 8, blastocyst progressively invades into the endometrial stroma and there is formation of: 2 layers in Trophoblast: 1. Inner mononulcear Cytotrophoblast (Cellular) Mitotic figures are found in the cytotrophoblast – hence generate primary chorionic villi into the syncytiotrophoblast. 2. Outer multinucleated Syncytiotrophoblast (Syncytium – cells have fused) Mitotic…
Tag: ObGyn
PGMEE, MRCS, USMLE, MBBS, MD/MS
Embryology Week 1: Cleavage to Implantation
Following events occur in the zygote formed in the week zero of development: Cleavage Approximately 24 hours after fertilization the zygote begins with the first cleavage division. Series of mitotic divisions of the zygote (occurs in fallopian tube) to form small daughter cells called blastomeres. Characteristics of cleavage in humans:…
PGMEE, MRCS, USMLE, MBBS, MD/MS
Embryology Week 0: Gametogenesis, Ovulation and Fertilization
Gametogenesis – formation of gametes from primitive germ cells Spermatogenesis, begins at puberty and occurs in seminiferous tubules (spermiogenesis occurs in sertoli cells). One spermatogenesis takes an average of 74 days to complete. Oogenesis Stages Spermatogenesis Migrate at 6th week of development 1. Primordial Germ Cells / PGCs (46, 2n) – epiblast…
Case Reports
Postpartum Eclampsia : Case Discussion
History 23yrs/F non-diabetic, non-hypertensive, non-smoker, non-alcoholic primigravida was admitted to Obstetric ward on with the chief complaints of: Cessation of menstruation X 9 months Decreased fetal movement X 6 hours LMP 2072/04/12 EDD 2073/01/19 GA 41 WOG Examination
PGMEE, MRCS, USMLE, MBBS, MD/MS
Management of Puerperium
Normal puerperium has been already discussed earlier here. A) Immediately after labor within 1 hour Blood pressure and heart rate atleast every 15 minutes Monitor amount of vaginal bleeding Palpate fundus to ensure amount adequate contractions (if relaxed – massage uterus to enhance oxytocin release) B) 1st several hours 1….
PGMEE, MRCS, USMLE, MBBS, MD/MS
Normal Puerperium Made Simple
Definition of Puerperium: Period following childbirth during which the body tissues, specially the pelvic organs involute i.e. revert back approximately to the pre-pregnant state both anatomically and physiologically – and lasts 6 weeks or 42 days. Immediate: Within 24 hours of childbirth Early: Within 7 days of childbirth Remote: Within…
Clinical Skills and Approaches
Approach to hypertension in pregnancy
Hypertension in pregnancy is one of the major cause of maternal, fetal and neonatal mortality and morbidity in both the developing and developed nations. About 10-15% of pregnancies are accompanied by hypertension and if these are detected early and effective interventions are performed, the prognosis is good. A. HISTORY FOR…
PGMEE, MRCS, USMLE, MBBS, MD/MS
Hypertensive Disorders in Pregnancy – Basics
Hypertensive disorders in pregnancy is a term that encompass wide range of blood pressure related disorders during pregnancy like gestational hypertension, pre-eclampsia, eclampsia, etc. Blood pressure in Normal Pregnancy: During middle trimester, due to the reduction in Systemic Vascular Resistance (SVR) and Arterio-venous (AV) shunting within the uterus and intervillous…