Dr Iliana9

What's wrong with this patient? What can we do to prevent this in the future? 🤔

Alternatively, you can ease your revision before HOship with Medicorp's physical HO #logbook compilations; . ✅ 18 in 1 HO logbooks #compilations; Guide on HO #assessment format & compulsory procedures and topics for HOs. . Recommended for all med grads so you know what to #prepare before HOship ✅ Get your copy NOW; https://medicorp.onpay.my/order/form/bookstore

Download HO #logbooks here, & get to know all the compulsory topics & procedures for HO in each posting; https://t.me/+zt4DsADauzdhZjE1

Wondering what to revise before starting HOship soon? 🤔 Download Ampang HO guide for FREE here; https://t.me/nota_perubatan/164

Let's learn & practice V/E, amniotomy & lots more compulsory #procedures for HO at Medicorp Clinical Skills workshop 👍🏻 https://medicorp.onpay.my/order/form/clinicalskillsuturing_workshop

#Partogram - labour progress; cervical dilation & head descent

Attention to all HOs included in HO Intake Bil 4/2026, if you wish to; 👉 get access to senior HOs WA #group of your hosp 👉 join FREE online Mentorship revision with Dr Iliana, . Join live Mentorship revision #briefing this Tuesday, 21st June at 9 PM to 10 PM 😇 . Register for 🆓 for the revision here; https://medicorp.onpay.my/order/form/mentorshiprevision0726

Just graduated? Already choose your hosp via E-HO? Finishing your current posting & will transfer out to new department soon? But unsure what to #expect & prepare for the next posting, or HOship as general? Enroll for free to #Departmental Welcoming session NOW at Medicorp’s Teachable school; https://medicorp-class.teachable.com You will learn; ✅ HO role in each posting, ✅ must-know #diseases for each posting; the common cases & #emergencies ✅ few case discussions as kickstart #revision for each posting!

Need further reading on the topic? Download Ampang HO guide for FREE here; https://t.me/nota_perubatan/164

🤰Intrapartum management (during 1st stage of labour) 🌟according to VenOMMS 🌟 1️⃣ Plot #partogram & T/O LR [Ventilation] [Oral intake] 🔽🔽🔽 2️⃣ Allow sips of CF (clear fluids) 3️⃣ Insert large bore branula & start IVD NS/HM/Dextrose Saline; 125cc/hour ❗️In PIH patient; only 1cc/kg/hr (risk for APO) & use only NS ‼️ ❗️In Diabetic patients; if DXT less than 7mmol/litre, use D5% solution instead of NS ‼️ [Monitoring] 🔽🔽🔽 4️⃣ V/S monitoring hourly ✔️If PIH in crisis, every 15-30 mins ✔️add on GM monitoring in GDM patients 5️⃣ CTG #monitoring (tracing on admission & post ARM), then to repeat accordingly based on risk factor 6️⃣ Time #contraction; aim good contraction (4:10 in primid, 3:10 in multipara) 7️⃣ NRVE in ? hour (according to current V/E findings) 8️⃣ 1 to 1 care (if enough LR personnel) 9️⃣ Husband/#companion to accompany during labour (not available during pandemic 😷 ) [Medication] 🔽🔽🔽 🔟 #Analgesia if strong contraction 1️⃣1️⃣ For Pitocin #augmentation 1 or 2 hour post ARM if contraction inadequate ( <4:10 in primid, <3:10 in multipara) 1️⃣2️⃣ DIK regime (for GDM patients) [Special Order] 🔽🔽🔽 1️⃣3️⃣ Amniotomy ie #ARM (if membrane intact) Source;  ❤️ Medicorp’s O&G #online course❗️local LR protocol varies

So today we'll focus on management of 1st stage of labour ie intrapartum management; All these plan are HO #responsibilities at PAC, antenatal wards & LR (labour room)

⬆️ Normal labour & #management of each stages Ref; Kedah O&G protocol

Let's start our #revision on common topics in Obstetrics 🤱 ‼️ Stages of Labour, & definition of each stages Wajib hafal ‼️

Compulsory #cases ie topics that HO need to know in O&G posting. . As medical grads waiting for HOship, focus on the 🟣 highlighted topics as your #preparation for O&G posting soon ‼️ . You can refer each topic in any of the O&G #protocols earlier 😉

More QR codes for #procedure demonstration included in Medicorp's Clinical Skills Guidebook, Get your copy here https://medicorp.onpay.my/order/form/bookstore ✅

"Dr patient collapsed, on going CPR" - HO "Ok I'm coming - please prepare for #intubation!" - MO . What to prepare for intubation? Remember MALES; M 👉🏻 mask ie BVM A 👉🏻 airway adjuncts; OPA etc L 👉🏻 laryngoscope E 👉🏻 ETT (correct size & type) S 👉🏻 stylet, syringe, stethoscope 🩺 . Learn more #procedure for HO with Medicorp's Clinical Skills Guidebook; . Or get this book for 🆓 when you register for Clinical Skills #workshop; https://medicorp.onpay.my/order/form/clinicalskillsuturing_workshop