agape: PRACTICAL DAY

...group 13...

WOW what can i say bout today's class....hmmm....
I always find obstetric class very interesting...really.........super fun and relaxing.. (it's not because the subject is easy...its tough btw...just that it depends on how you handle it and which hospital you're in...wanna know why its super fun and relaxing....)

LET me show you what we did...
Our teacher is ELENA...She's nice and a very friendly teacher..
Even though we know little bout obs when she questioned us...she never scold us but indeed she teaches us...cuz we forgotten all the last sem topics ad....i guess all of us needs GINKO....

At first we were brought into a gynecologist practical room cuz the other rooms are occupied by the russian students...

Elena refreshed us with labour topic...
How to deliver babies in cephalic presentation which is divided into the occipital,anterior(vertex),brow(frontal),and face(mentum) presentations depending whether the occiput,the vertex,brow or face is presenting...
If it's occiput the occipital anterior this are the steps:
1)internal flexion of the baby(sagital suture -transverse pelvic diameter) 2)internal rotation(sagital suture is aligned with anteroposterior pelvic diameter)
3)external extension
4)external rotation(shoulder)

Then we learned all the gynecology instrument: curetter,speculum,intrauterine contraceptive,dilatator of cervix used in abortion process,uterus stick measurement...etc...

Then we sempat posing while teacher was away to answer phone calls....
After that we learned how Leopold manoeuvres: theres four manoeuvre....(check in the book la)
This palpation of abdomen is to identify seperate parts of foetus,position is the uterus(the presenting part,foetus position with respect to the pelvic planes...)

Next we learn how to identify the occipital presentation of the foetus through vagina examination...fontanel posterior...we have to feel with our two fingers stuck into the vagina...haha..hey it's not easy ....you have to really concentrate and feel it properly... btw fontanel posterior is with the three angles...and the fontanel anterior is with four angles...

After that we learned how to deliver breech presentation foetus...
Here let me show you a short video i recorded...

But my teacher advised that it should be delivered by Ceserean due to several complication...its DANGEROUS...!!

Then we learned how to check cervix dilatation...measuring the lenghth ofthe cervix neck... With two fingers and instrumental...(speculum,or retractor...)

When teacher went out a while..we started playing with the boobies...haha....its a moulage of breast cancer ...with different location and sizes of the cancerous cell...it might be differentiated into cysts(benign) and malignant... (joanne was pinching the boobies...)