Who Recommendation On Vaginal Preparation With Antiseptic Agents For Women Undergoing Caesarean Section
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Who Recommendation On Vaginal Preparation With Antiseptic Agents For Women Undergoing Caesarean Section
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Author :
language : en
Publisher: World Health Organization
Release Date : 2021-06-18
Who Recommendation On Vaginal Preparation With Antiseptic Agents For Women Undergoing Caesarean Section written by and has been published by World Health Organization this book supported file pdf, txt, epub, kindle and other format this book has been release on 2021-06-18 with Medical categories.
While the evidence on vaginal preparation before caesarean section was largely derived from trials using povidone-iodine, benefit was demonstrated overall for any antiseptic (either povidone-iodine or chlorhexidine gluconate) versus no antiseptic. Included trials used varying concentrations of chlorhexidine gluconate (0.05% to 0.25%) or povidone-iodine (1% to 10%), and the base (aqueous or alcohol) was not described. However, the Guideline Development Group agreed that alcohol-based antiseptic solutions should not be used for vaginal preparation because of concerns around irritation of mucosa. This recommendation pertains to all women undergoing caesarean section regardless of their baseline risk of infectious morbidity following surgery (i.e. for caesarean section in women before or during labour, and women with intact or ruptured membranes). Whilst available trials were not clear on the timing of vaginal preparation relative to the caesarean section, the Guideline Development Group suggested that vaginal preparation should be performed as close to the start of caesarean section as possible (e.g. directly following preoperative urinary bladder catheterization) to minimize the woman’s discomfort.
Who Recommendation On Vaginal Preparation With Antiseptic Agents For Women Undergoing Caesarean Section
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Author : World Health Organization
language : en
Publisher:
Release Date : 2021
Who Recommendation On Vaginal Preparation With Antiseptic Agents For Women Undergoing Caesarean Section written by World Health Organization and has been published by this book supported file pdf, txt, epub, kindle and other format this book has been release on 2021 with Vaginal birth after cesarean categories.
Who Recommendations On Choice Of Antiseptic Agent And Method Of Application For Preoperative Skin Preparation For Caesarean Section
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Author :
language : en
Publisher: World Health Organization
Release Date : 2021-06-18
Who Recommendations On Choice Of Antiseptic Agent And Method Of Application For Preoperative Skin Preparation For Caesarean Section written by and has been published by World Health Organization this book supported file pdf, txt, epub, kindle and other format this book has been release on 2021-06-18 with Medical categories.
There was a lack of evidence to recommend a specific concentration of chlorhexidine gluconate; however, most trials included used 2% chlorhexidine gluconate in 70% alcohol. Maternal allergy to alcohol-based chlorhexidine gluconate must be excluded before surgery. In women with no previous history of allergy to alcohol-based chlorhexidine gluconate, it should be noted that chlorhexidine gluconate can cause skin irritation. A standard preoperative skin preparation technique that is appropriate for the intended skin incision must be followed. As alcohol is highly flammable, alcohol-based antiseptic preparations may ignite if used in the presence of diathermy, and they must be allowed to dry by evaporation. It is advisable to ensure that the drapes are not saturated with alcohol or that the alcohol-based solution has not formed a pool underneath the woman before starting surgery. Particular care should be taken at emergency caesarean section. Where chlorhexidine gluconate is not available, other antiseptic agent such as povidone-iodine can be considered a suitable antiseptic agent for preoperative skin preparation, although it is not as effective as alcohol-based chlorhexidine gluconate. The Guideline Development Group noted that the current recommendation is consistent with the 2016 WHO global guidelines on the prevention of surgical site infection, which recommends chlorhexidine gluconate alcohol-based antiseptic solutions for surgical site skin preparation in individuals undergoing surgical procedures.
Who Recommendations For Prevention And Treatment Of Maternal Peripartum Infections
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Author : World Health Organization
language : en
Publisher: World Health Organization
Release Date : 2016-02-12
Who Recommendations For Prevention And Treatment Of Maternal Peripartum Infections written by World Health Organization and has been published by World Health Organization this book supported file pdf, txt, epub, kindle and other format this book has been release on 2016-02-12 with Medical categories.
The goal of the present guideline is to consolidate guidance for effective interventions that are needed to reduce the global burden of maternal infections and its complications around the time of childbirth. This forms part of WHO's efforts towards improving the quality of care for leading causes of maternal death especially those clustered around the time of childbirth in the post-MDG era. Specifically it presents evidence-based recommendations on interventions for preventing and treating genital tract infections during labour childbirth or puerperium with the aim of improving outcomes for both mothers and newborns. The primary audience for this guideline is health professionals who are responsible for developing national and local health protocols and policies as well as managers of maternal and child health programmes and policy-makers in all settings. The guideline will also be useful to those directly providing care to pregnant women including obstetricians midwives nurses and general practitioners. The information in this guideline will be useful for developing job aids and tools for both pre- and inservice training of health workers to enhance their delivery of care to prevent and treat maternal peripartum infections.
Obstetric Evidence Based Guidelines
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Author : Vincenzo Berghella
language : en
Publisher: CRC Press
Release Date : 2022-03-30
Obstetric Evidence Based Guidelines written by Vincenzo Berghella and has been published by CRC Press this book supported file pdf, txt, epub, kindle and other format this book has been release on 2022-03-30 with Medical categories.
This new edition of an acclaimed text reviews the evidence for best practice in obstetrics to present the reader with the right information, with appropriate use of proven interventions and avoidance of ineffectual or harmful ones. The information is presented in the right format by summarizing evidence succinctly and clearly in tables and algorithms. The aim is to inform the clinician, to reduce errors, and "to make it easy to do it right." The volume can be purchased separately or together with the companion volume on Maternal-Fetal Evidence Based Guidelines (set ISBN 9780367567033). The Series in Maternal-Fetal Medicine is published in conjunction with the Journal of Maternal-Fetal and Neonatal Medicine. From reviews of previous editions: Obstetric Evidence Based Guidelines is a text that will prove useful to residents and fellows as well as to practicing obstetric clinicians. Furthermore, it can be used as a source for the development of hospital policies for the management of these obstetric problems ... The major advantage of this text is that it provides guidelines for the management of commonly encountered obstetric issues in a single book. —JAMA This is a welcome addition to a physician’s library. Its use of current studies and easy-to-read format allow for easy fact-checking and referencing. —Doody’s Review Service
Infections In Pregnancy
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Author : Adel Elkady
language : en
Publisher: Cambridge University Press
Release Date : 2019-10-24
Infections In Pregnancy written by Adel Elkady and has been published by Cambridge University Press this book supported file pdf, txt, epub, kindle and other format this book has been release on 2019-10-24 with Medical categories.
Provides effective diagnosis and management of infectious diseases in pregnant women in a single comprehensive available resource for busy clinicians.
Operative Obstetrics 4e
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Author : Joseph J. Apuzzio
language : en
Publisher: CRC Press
Release Date : 2017-01-06
Operative Obstetrics 4e written by Joseph J. Apuzzio and has been published by CRC Press this book supported file pdf, txt, epub, kindle and other format this book has been release on 2017-01-06 with Medical categories.
The new edition of this authoritative review of the clinical approach to diagnostic and therapeutic obstetric, maternal-fetal and perinatal procedures will be welcomed by all professionals involved in childbirth as a significant contribution to the practice of maternal-fetal medicine and surgical obstetrics.
Obstetrics Normal And Problem Pregnancies E Book
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Author : Steven G. Gabbe
language : en
Publisher: Elsevier Health Sciences
Release Date : 2016-03-18
Obstetrics Normal And Problem Pregnancies E Book written by Steven G. Gabbe and has been published by Elsevier Health Sciences this book supported file pdf, txt, epub, kindle and other format this book has been release on 2016-03-18 with Medical categories.
After 30 years, Obstetrics: Normal and Problem Pregnancies remains your go-to choice for authoritative guidance on managing today’s obstetric patient. International experts put the latest knowledge in this specialty at your fingertips, with current and relevant information on everything from fetal origins of adult disease, to improving global maternal health, to important topics in day-to-day obstetrical practice. Highly readable, well-illustrated, and easy to understand, this bestselling obstetrics reference is an ideal tool for residents and clinicians. Take advantage of the collective wisdom of global experts in the field, including two new editors— Drs. Vincenzo Berghella and William Grobman -- and nearly 30 new contributors. Gain a new perspective on a wide range of today's key issues - all evidence-based and easy to read. Sweeping updates throughout including four new chapters: ‘Vaginal Birth after Cesarean Delivery’; ‘Placenta Accreta’; ‘Obesity’; and ‘Improving Global Maternal Health: Challenges and Opportunities’ New Glossary of the most frequently used key abbreviations for easy reference Expanded use of bolded statements and key points as well as additional tables, flow diagrams, and bulleted lists facilitates and enhances the mastery of each chapter More than 100 images in the Obstetrical Ultrasound chapter provide an important resource for normal and abnormal fetal anatomy
Obesity And Obstetrics
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Author : Tahir A. Mahmood
language : en
Publisher: Elsevier
Release Date : 2020-06-06
Obesity And Obstetrics written by Tahir A. Mahmood and has been published by Elsevier this book supported file pdf, txt, epub, kindle and other format this book has been release on 2020-06-06 with Medical categories.
Obesity and Obstetrics, Second Edition, brings together experts to examine the issues and challenges of obesity and obstetrics, also discussing how obesity affects fertility, reproduction and pregnancy. Beginning with the worldwide epidemic of obesity, chapters then go on to review obesity and hyperglycemia of pregnancy, management of labor, interventions to improve care during pregnancy, and long-term impact of maternal obesity. Provides an essential reference on the significant risk of complications during pregnancy, including early pregnancy loss, recurrent miscarriage and fetal developmental abnormalities Builds foundational knowledge on how maternal obesity predisposes offspring to obesity, highlighting that the prevention of childhood obesity begins during pregnancy Assembles critically evaluated chapters focused on obesity and obstetrics to meet the practical needs of obstetricians, endocrinologists and general practitioners
Safe Abortion
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Author : Organisation mondiale de la santé
language : en
Publisher: World Health Organization
Release Date : 2003-05-13
Safe Abortion written by Organisation mondiale de la santé and has been published by World Health Organization this book supported file pdf, txt, epub, kindle and other format this book has been release on 2003-05-13 with Medical categories.
At a UN General Assembly Special Session in 1999, governments recognised unsafe abortion as a major public health concern, and pledged their commitment to reduce the need for abortion through expanded and improved family planning services, as well as ensure abortion services should be safe and accessible. This technical and policy guidance provides a comprehensive overview of the many actions that can be taken in health systems to ensure that women have access to good quality abortion services as allowed by law.