Prasava Vigyana - Labour

Syllabus – subtopics

1. aSutikagara and Labour Room setup, Labour Room Protocol according to contemporary National Health Guidelines
2. bDrugs commonly used during Labour (Uterotonics, Tocolytics, Analgesics, Ergot Alkaloids and Anesthetics) - Guidelines for use with Pharmacotherapeutics
3. cPrasava Paribhasha, Prasava Hetu, Prasava Kala
4. dCauses of onset, Physiology and Diagnosis of Labour
5. eAnatomy of Fetal Skull and Clinical Pelvimetry
6. fPrajayini, Upasthita Prasava and Asanna Prasava
7. gStages of Labour and Mechanism of Labour
8. hAvi, Grahishoola, Prasuti maruta and Garbha Sthiti Parivartana during Prasava Kala
9. iPrasava Paricharya - Monitoring with Partograph and management of Labour
10. jEpisiotomy
11. kIntrapartum Fetal Monitoring techniques, Non Stress Test, Fetal Distress
12. lJatamatra Paricharya (Immediate care & Resuscitation of Newborn)

Learning objectives

At the end of this topic the student should be able to… (NCISM Table 3)

• Describe Sutikagara nirmana and sangrahaneeya dravya.
• Explain chemical composition, indication, contraindication, mode of action, dosage, shelf life, and complications of drugs commonly used during labour. Explain guidelines for use with pharmacotherapeutics.
• Visualize and Demonstrate Labour room set-up and labour room protocol according to National health Guidelines.
• Define Prasava, explain Prasavahetu and Prasava kala.
• Describe causes of onset of Labour & narrate Physiology of Labour.
• Diagnose Labour - Identify true and false labour pain.
• Describe anatomy of fetal skull with diameters, fontanelle, and importance in labour.
• Demonstrate anatomy of fetal skull with diameters, fontanelle, and their obstetric importance.
• Define and explain the Avasthas - Prajayini, Upastitha Prasava, Asanna Prasava.
• Assess adequacy of pelvis.
• Define Avi Shoola and Grahi Shoola. Explain Prasuti Maruta and Garbhastithi Parivartana during Prasavakala.
• Describe Stages of Labour.
• Demonstrate events in each stage of labour.
• Explain the Mechanism of labour.
• Demonstrate Mechanism of Labour
• Describe Prasava Paricharya. Explain monitoring and
• Explain the Importance of Partograph.
• Monitor labour
• Monitor progress and manage stages of labour.
• Plot Partograph.
• Demonstrate and practice Episiotomy on model and simulation.
• Demonstrate applications of Intrapartum fetal monitoring techniques.
• Perform Jatamatra Paricharya

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