Branching process models for surveillance of infectious by Farrington C.P., Kanaan M.N.

By Farrington C.P., Kanaan M.N.

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What are the different methods that can help to estimate the gestational age and predict the expected date of confinement? Ans. Gestational age is about 280 days calculated from the first day of LMP. i. Naegele’s formula — adding 9 calendar months and 7 days to the first day of last normal menstrual period (LMP). Obstetric Case Discussions Fig. 9: Auscultation of the FHS (using a stethoscope) over the right spinoumbilical line ii. Date of fruitful coitus — if this date can be remembered, 266 days are to be added to this date.

She had spontaneous vaginal delivery with (right) mediolateral episiotomy. On general physical examination there was no pallor. She was afebrile, normotensive and breasts were normal. Systemic examination (cardiovascular and respiratory system) did not reveal any abnormality. Height of the uterine fundus measured 13 cm above the symphysis pubis with an empty bladder. On perineal examination, lochial discharge (Lochia rubra) was normal. She had changed 3 pads. Episiotomy wound was clean and healthy.

F. Doppler USG study: To detect venous thrombosis. Q. What are the conditions when lactation needs to be suppressed? Ans. Conditions are: Cases with—(a) Stillbirth, (b) neonatal death and (c) situations where breastfeeding is contraindicated: (i) maternal acute puerperal illness, (ii) puerperal psychosis, and (iii) mother on high doses of antiepileptic, antithyroid drugs. Q. How is lactation suppressed? Methods commonly used are: (a) to stop breastfeeding, (b) ice packs to prevent breast engorgement (c) analgesics to relieve pain, and (d) to use breast support.

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