—Yny cology / Or. Zabyean Liokerkliky, —Gase of cng Met axaroie —_ Ege «. Vistesey ¢- _» Personal WX ', name age vesident occupation , Seauida — Para ,abaction micaunge Ge aie ob J ia lel pls gravida _pyiei Laly dhochen Loacll ome > sestabioal age, dle of admission iment cin gmdate in Wx ok Cresent illness UR shold Salk ox start Son Ane Lime, When She Pregnancy, Atagnosed Hil the Present a Complain asking aloo uk _A~ Ashen Sve. Paeqnanery Ax and ee ~ (Aine loo ut) > 9. Does she ‘nas ywe_inkal antenatal Quw vist ornsf. — Cholood groups Bhy Mb) Guile , Patimenie, WSS), a Phare ib veqular or nob 2 oP 5 Vere is.any com@icakion in the Ast oe (Pain, loleeding ctischacue }_or- any Cometicakion _ inthe. Lad Keimester if she _ceadht. shoes she — acne boa We tind Te GUIS for 2ewk - Pov elekeetion of fetal ancnly > "slSo_for-clovn oleechin : tuk jk is vot available ining”) 2 A ak ahen we reach othe Presert illness _We askin deals eae le Lhe Presenremon ha Javeshigahan done cd Soom amigo ® =(nl —— ee —shoulel be in oletalis about each Pregnancy > Weshoulcl Fg Us ask about => Sectahinal age at oliliery o Hx efmaleenal shi Complications cluring each Preswarey. (Do, HT, oleug, trance) ‘yy any Stal complicahion. Camrniotic fluicl, Plecental, “(9 if i fetel_acbivity) .. ushen the baby cleliveres! lees it of \ —Hormal or IF Gngnitel anomaly) , mode of di'lvecy inte andl wether it sfoakenous er- taelucesl.. a es + Past meohical Hx alles aie Ua) al4iio SP Gs. Past sucgical SS Myectic ublyelo Ses + Soctal_, family » obrugy YX ale sMimiieeracnceleminmnge > PY ~ Miscommge mean loss of intalihine Pregnancy \olf the2y _ Mil shone) og ChE Le OK Ayo gh) ot igakion — (olf invest. 3B xaminalion a Byxs * —adleseat of fetal movement, posers Py oo SB —Syptoms Chausea , drowsness, breast “dee s > Frequency of Urination) m: a = bymenamination g -- abel = SEH < destabonal 2g y wh é tid a = PIV 3 Clases! Ceryicle os = by Tneshgahong i ce Febal react ’ - amigo SS fiL el ho fap = Complete miter di edo leis Si) Zils Le pall a aiips. a rz + - CSE NG EI ecsling A ~ 1 aed Nee aad Managinent @Uihen the OL AX as enisced Misccaage by WS, ue Shoulcbiit give any Ak_wess thee ts Con irene ey by another US alt lo hays. Prom the 4st are,..(eu) #i@ ibis waisceal. by Dal UK Yrere. vail bene ethdance of Vailalatiy ond death signs appear (SPalding Signy Wevegularity of the sac and it cletenal clown wordk Aectoluctl eaotion in tre endomalsiun =—MiScanrage in Progress Ossie, cull, alin x Part of baby Pascal => incomplete: misc- if CanPvemedl \ ule have 3 options at 3 E = Wait for Luk , by AL Protas teron levee QugNines cl Sac_SPoabinous!y | Ee a mesoPrestol y AQ offering the NX cPion for any Pregnancy los rhe nev step is 46 Krow what's the Cause so aulel co awovkiwe for oly of the Causes» —p* i} } Sa SS a ARs mCauses olugs @ Feta cause / Shuctucal anomaly ( bhich mean it Lx iatautrine Whitle the. congnitel Ax ale cekivery) o- | Chearnasomal alonoomality (phenotypically, nocma\ Ly. a —Karyotyee ) QlDlacsntalineause./ Placenta) abnephion » Placental Glssificakion Placental dhieace € APS. thak cause. —clissemnaled Coagulation inside the, Plaventa, Cheuhakion \ a aa . ‘ fm Managment of repeated Pregnancy loses houlol Geom the 2nd iscarrage if the. Pt. De Pitmeste los¢ anol fom the, Astomisc. Pei Nia Bind trimester loss... : aaa Peegnancy less 8 @ Aotiphasphaificl syndrome’ most common Case /Aequireal. __ theombephilia 5 Hero! itary Thrombophelia 5% of Cases ( _Activaheol Protin.c resistance , Prokin ¢.5 , Ath inombin & @Fndecrinological 3 Dem. if uncoatelleel. .tnyroid dis coe Ae oO. (ene abeaealthes. « Congnitad Septal: /bicorenbe —— Uders_. ar coquicedl unigue Presentation 3 excessive — Palometion of the time af Pregnancy mete Capcity sp yy Si le BEG eld 1 41 « Yn. dle GS US pias AMIGO @ee = 2 _/ the Unique Precentalien is And a . ee Preise ty Seankeous welue x wane, or Painless Contice dilation a heeds deliveresl vainble and fren die ble knot — ——_ FullEilling the Crikerta ov Parameters of Suclival due te lune / brain ientnabuits a a oS sh ge = SL plein SL ley MNS) Ti (eas anomie Soil was Ua. = aso pS! ofening \ seth cou, oy mantis She pan OD chvecwsanal_absanmalty / When the Rover's have balancesh tanslucation chromosome) alouowmoi ty — 3) the neverc Given bicth to anormal, baby Ack Cho Bholieioh_ chee ela, an ace palion of —cintiphesplaligd arkibedies 2 Aolver mesbical or obstetical events — oT medical Corneiicakis 5 >> Nascullarc Hheowleesis [shrek OMT E jel consecutive, miscanaa4e bif lok. a MMiSG~— ically rnovina feds. ee a eer Brotersa labor if 24 tak of tlio ‘Lie bo Placental olisease a ee ee Antipas ¢haiioich alos g——— aical_} x een a7 . ' mas aT & ~OJupus anlicoagulant 1 together I Platelet neutralizahion © Hest clotting Ve pap Excel cl, amGlakwab awed 4 ® anhkicareliolipin— obese @_anti-po al cop keel i eee stor ox of APs 4 ib is mantdatony to brave. tio & te fest for either of ‘hase -Alos at least a 12s © —2Part bo exclude si eh — Abs like infechion or G-T. disease. _ Managemen! aaa the Ph Should reffered bo Physicin ‘ Be oS ZIES L342) dts asic) tale Medica) thrombosis J) 2oale Pregnancy, the. Pf. Shoulch Heel & wt ee asl esl el es | el2 ei J at Failure to conceive af regilide selual aaah Un ane For ene or two yrs_in the absence of any, — Ye Precluckive Porshology a. tous = rete infeckiy —s, in couple who have hever Goncveo OP infeAly = ee 44 Previously Psion othe recommended coibal Frequency is ah least 2-3 Hees Pere Week .. ca tarps phtekd abac eas) Lot yg Ellie Sin SNR Le chic stipes lt inkechlhy ofeckls \iB ¢ Sys wGdtly Coulel be male oc Female Cause. female quses => OUWlation, tubal sendomabriuen or LGT Proplems -.. Male aulges = as an APPreach_,.all we. eaulute a clo HX ancl _Sewsenel Fuel a aly sis * — gists ied Baylor oi ae ae FG aa af Mauage»JSoB very impoctaa. as. uk id Knouj_if he wack ab. yadbialion Center Prewio oS sae na Histon —2 Me Wy of 4 he ib puma, aya! bieyel Ee ia aoulabion problems —— ; yey ieee Past surgical _ drug Her ee ociel /snoking palicobo|_—paltect Sram fada LULU = 2 TG. beclomaecl. Nias days of no Sette ie OS ——coavse _, male UW alonarmal_semen analysis. should — hoe eFerces) So Uvciogiskore infeckiiby spealiest roel) —Becevaling +o the Causes —%—— Pos. hescoe Myaathygccidise, byncetaalina™ — BMT 294-514 eed " : ; ality and.number of 2ocytes bar © Dein 20 nouulabory cycle i eee a Veguoie oc nok 5 Compe Yoo' a pF > = oe ee A 3 oS itt > Narday Oxcclem Cacquireol.. infeelon - Surgery, chemotherasy e brags) racliokherapy s4uto a —hmutte 5 or tolispathic.) —_— if) os Ny Poganadatopic, hyPodonadism poet —FProPlem in the hypo thalnos av Pitubavy ) 4” | — — bumer, Vruieg 3s tnteption ~ tschemiq Cshilan‘t sgndrom) if ntethie hy Par nor hyregonadism WW yréyulabion ———-— a i oS Jom. a tamolifing oc relaxitine ~ hose. __dwugs ave selective cstogen neceelors modulators. they act by comAbibiveiahibtion of estreGen => ths wil|- re _\ead 45 4 FSH —> Srouth of Folie to mahue Gravion — Folli. eee f 6) induction ef ovulation b Sonaclotropins/ Syothtic ecole Be eaabinetl Wother oc nat. Avowatate invites. \etvo2ole___ rss ee ‘ norend urilize the ‘norman sooseans ple Fare] Aromars 4 Ao a0 Gd and qvouwth.~ - atu ema cs fa eo PONG SAG i oi Ld sat, teen (HCG) pesto) lati mrertute Este — a : ah tntectourte Couple SI sera Bg —— Sw we pve Pin tine Hae of injuction of thes, ——- h From ? : gy ot ak 32 Pia 5 ol Ald ioig =———e—————i eee er? @ Taba) Paplem —— +o aCauses 2 Provious infeobion that. enol W Salping itis >, ore cclussion > Previous Sucgeny => risk & Adhesion » ane, enclomehiosis ( Cheente. Relutc Pain »- Aysmmence nea, AysParren menshual distibare , MB) 4 How +0. Confirm : by Wshesalfingogmehy UT Tackio ofaque Aye, immed WE tre enol of menstruation ( 5—lo days) +o avoiol the Ovation Hime, and therefore avoiol the exPesurerto the Vadiakion Which cesubk in Congaitel ctrowaly . Peceolune. hoy injuchon of the lye into the cervix by using sfeeulum.. anol then clo_xX~ray_... —seillage of the dye inthe felvig indteake bulea), REO ae Bnet feceeltin ate of this Jealnique. is if ners, ove _a ar congnita) anovds, in the_Uberug another methed / laproscopy Wa dye, aManasment _. tf the cause. Acheson = labroscopic Frcthesinalye's — 2¢ eXtesion_amol enol. fo.encl anastmess's bub associabs, FY Failure vate... - wif Laileol = Typ3 ane, © BRROMANTe) = Prableny — Fibroicl 1 Poly, Adhecion , infection PL- i Polyey Pe] as SUalernenctaal bleecling —__ While pL to Adhesion => Amenorrhea» bic all the ann ane fibroseol ~enclemadial Problems will pian on. 1 tmelan ation of the OVUM. Oy ee c : 2 @ ysho gala aa 2 ‘Bal Ce damelth la Pore —y umtaplatneel. AN tn Bed ly —S_encourge-k lait oy SA Sige / 1 ® according tothe caus ¢ e, 2 Adhesion > Siesces a i ee nt ___ Polye - Polyeectom: a Fieord) > ae meauses + nfucion te Pera hing the seems 4. snectiua tree Wil ee tL