India's one of the leading Obstetrics centre
and No.1 Obstetrics centre in Tamilnadu.

CARE & CURE & CONFIDENCE

About INH

Indira Nursing Home(INH), the brain work of Dr.P.shankar is one of the leading proctology Centers in Tamilnadu. This hospital has a benchmark in the field of Laser Proctology, Introducing the latest Innovation and advanced Surgical Procedures for Piles, Fissure, Fistula and PNS(Pilonidal Sinus) in India.

INH Ensures the excellent treatment & the latest laser facilities in proctology. Where the new invention of laser technology has been introduced over a period of 16 Years. INH has done more than 25,000 Surgeries. And is one among the largest wide speciality centre in proctology.

MILE STONES OF obstetrics AT INDIRA NURSING HOME

STATISTICS IN OBSTETRICS

NORMAL LABOR

Labor is a physiologic process during which the products of conception (ie, the fetus, membranes, umbilical cord, and placenta) are expelled outside of the uterus.
The onset of labor is defined as regular, painful uterine contractions resulting in progressive cervical effacement and dilatation.

STAGES OF LABOR

1) FIRST STAGE
The first stage begins with regular uterine contractions and ends with complete cervical dilatation at 10 cm.

2) SECOND STAGE
From the time of full dilatation of the cervix to the time the baby is delivered

3) THIRD STAGE
Begins after delivery of the infant and ends with delivery of the placenta.

SIGNS OF LABOR

Occurrence of regular and sustained painful uterine contractions
Bloody show
Membrane rupture
Complete cervical effacement

Common complications of labor include:
Failure to progress- Failure for the cervix to dilate, Fetal distress, Perinatal asphyxia, Shoulder dystocia, Excessive bleeding, Malposition, Cephalopelvic disproportion (CPD)

Instrumental delivery includes - forceps delivery and suction cup delivery

Instrumental DELIVERY

FORCEPS DELIVERY
When there is difficulty in waiting for a normal vaginal delivery, instruments can be used to help the mother deliver the baby

SUCTION CUP DELIVERY

INDICATIONS for Instrumental delivery:
1) Maternal exhaustion
2) Inadequate maternal powers
3) Maternal disease – cardiac disease, hypertension
4) Fetal distress
5) Prolonged 2nd stage

COMPLICATIONS of Instrumental delivery:
1) Maternal complications
2) Retinal haemorrhage
3) Fetal scalp injury
4) Facial nerve palsies
5) Cephalhaematoma
6) Intracranial haemorrhage

CAESAREAN SECTION
A caesarean section — more commonly known as C-section — is the surgical delivery of a baby. It involves one incision in the mother’s abdomen and another in the uterus.

INDICATIONS:
1) Baby’s head is too big for the birth canal
2) The baby is coming out feet first (breech )
3) High blood pressure or unstable heart disease
4) Previous C-section delivery
5) Problems with the placenta, such as placental abruption or placenta previa
6) Reduced oxygen supply to the baby
7) The baby is coming out shoulder first (transverse labor)

RISK OF C-SECTION:
1) Bleeding
2) Breathing problems for the child, especially if done before 39 weeks of pregnancy
3) Infection
4) Injury to the child during surgery
5) Longer recovery time compared with vaginal birth
6) Surgical injury to other organs

ANAESTHESIA:
1) Spinal Anaesthesia
2) Epidural anaesthesia
3) General anesthesia in emergency situations