IUD
Protocols
Clinical Features:
- H/O pregnancy ......weeks
- H/O no fetal movement..........times/days
Investigation:
- CBC
- BLOOD grouping & Rh typing
- USG of Pregnancy profile
- RBS
- HbsAg
Rx: ( indoor )
- Diet : liquid
- Bed rest
- Ready FHB ( if needed)
- monitor vital sign
1. Inf. Hartsol (2L)
- 30 drop/min
2. Inj.Oricef (ceftriaxone) (1gm)
- 1 vial I/V ....stat & BD
3. Inj. Viset (Tiemonium)(5mg)
- 2 vial I/V stat & TDS
4. Inj.Esonix (esomeprazole) (40mg)
- 1 vial I/V stat& BD
Obstretics Mx:
if NVD contra-indicated : LUCS
if NVD not contra-indicared: NVD trail
- Tab. cytomis (200mg)
- 1/2 tab pervaginally (post fornix) ....4 hourly
- maintain cytomis chart
if cervix is dialation then start drip
- inj.Hartsol (1L ) plus inj.Linda-DS (1ampl)
- I/V stat @ 10-15 d/min
After expulsion of baby / Dischage :
1. Tab. Ciprocin(ciprofloxacin) (500mg)
- 1+0+1.................7 days
2. Tab.Filmet (Metronidazole) (400mg)
- 1+1+1.............5 days
3. Cap.Esonix (esomeprazole)(20mg)
- 1+0+1..........10 days (30 mon before meal)
4. Tab. Rolac(ketorolac) (10mg)
- 1+0+1.............3 days (if pain after meal)
6. Tab. Calcin-O
- 1+0+0...................2 months
7. Zif (iron+folic acid)
- 0+0+1.................2 months
Advice :
- Avoid heavy work for 2 months
- avoid coitus for 1 months