No need for UPT because there is grace period of 1 month after the next scheduled date. The beneficiary can be administered with DMPA without any barrier if she comes within 4months from the last dose.
But they given that station of the head is on - 3 cm. So mean unengaged head and mc cause of unengaged head at term in primigravida is op position and best management of op position is wait and watch.
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Risk of bowel injury
Risk of bladder injury
Need of blood transfusion
Perinatal hysterectomy
These are the options given
I marked blood transfusion
No need for UPT because there is grace period of 1 month after the next scheduled date. The beneficiary can be administered with DMPA without any barrier if she comes within 4months from the last dose.
Move the cord above the vertex was an option
39 weeks,no risk pregnancy with 3 cm dilatation.They haven't given bag of worms.
Another option is wait for spontaneous delivery
But they given that station of the head is on - 3 cm. So mean unengaged head and mc cause of unengaged head at term in primigravida is op position and best management of op position is wait and watch.
Bag of worms is given !!!
Virilizing tumor -another option is Granulosa cell tumor(Brenner cell tumor)
Patient was on DMPA for contraception n was due for her next dose
Staging laporotomy last option
Yes sir
Ocp plus antiandrogen given
3:09
Risk of perinatal hysterectomy .
PAS
L1 antigen
Gonadoblastoma
plus 9 minus 3😢