talk on obstetric emergencies dr.pradeep
TRANSCRIPT
![Page 1: Talk on obstetric emergencies dr.pradeep](https://reader030.vdocument.in/reader030/viewer/2022013004/587ae3801a28ab542b8b6d83/html5/thumbnails/1.jpg)
IMAGING IN OBSTETRIC EMERGENCIES
BY
DR.S.PRADEEP.MD,DNB,RD.
CONSULTANT RADIOLOGISTFORTIS HOSPITAL.
BANGALORE
![Page 2: Talk on obstetric emergencies dr.pradeep](https://reader030.vdocument.in/reader030/viewer/2022013004/587ae3801a28ab542b8b6d83/html5/thumbnails/2.jpg)
ECTOPIC PREGNANCYSUBCHORIONIC HEMATOMA
PLACENTAL ABRUPTIONVASA PREVIA
SUCCENTURIATE PLACENTAUTERINE RUPTURE
FIBROID DEGENERATIONCERVICAL INCOMPETENCE
![Page 3: Talk on obstetric emergencies dr.pradeep](https://reader030.vdocument.in/reader030/viewer/2022013004/587ae3801a28ab542b8b6d83/html5/thumbnails/3.jpg)
ECTOPIC PREGNANACY
![Page 4: Talk on obstetric emergencies dr.pradeep](https://reader030.vdocument.in/reader030/viewer/2022013004/587ae3801a28ab542b8b6d83/html5/thumbnails/4.jpg)
![Page 5: Talk on obstetric emergencies dr.pradeep](https://reader030.vdocument.in/reader030/viewer/2022013004/587ae3801a28ab542b8b6d83/html5/thumbnails/5.jpg)
![Page 6: Talk on obstetric emergencies dr.pradeep](https://reader030.vdocument.in/reader030/viewer/2022013004/587ae3801a28ab542b8b6d83/html5/thumbnails/6.jpg)
RIGHT THING IN THE
WRONG PLACE
![Page 7: Talk on obstetric emergencies dr.pradeep](https://reader030.vdocument.in/reader030/viewer/2022013004/587ae3801a28ab542b8b6d83/html5/thumbnails/7.jpg)
IGNITED HUMAN BOMB
![Page 8: Talk on obstetric emergencies dr.pradeep](https://reader030.vdocument.in/reader030/viewer/2022013004/587ae3801a28ab542b8b6d83/html5/thumbnails/8.jpg)
LOCATIONINTRAUTERINE EXTRAUTERINE
CORNUAL TUBAL-95% INTERSTITIAL-2.5% OVARIAN-0.5% CERVICAL-0.1% ABDOMINAL -.1%
HETEROTOPIC PREGNANCY 1 IN 3 00 000 (HIGHER IN IVF PREG)
![Page 9: Talk on obstetric emergencies dr.pradeep](https://reader030.vdocument.in/reader030/viewer/2022013004/587ae3801a28ab542b8b6d83/html5/thumbnails/9.jpg)
![Page 10: Talk on obstetric emergencies dr.pradeep](https://reader030.vdocument.in/reader030/viewer/2022013004/587ae3801a28ab542b8b6d83/html5/thumbnails/10.jpg)
PREGNANCT TESTING• URINE PREGNANCY TEST(ELISA)
• SERUM BETA HCG- - EXTREMELY RELIABLE - (POSITIVE WITHIN 7 DAYS OF CONCEPTION)
• LEVELS <10mIU/L MAY NOT BE DETECTED(FALSE NEGATIVE TEST)
![Page 11: Talk on obstetric emergencies dr.pradeep](https://reader030.vdocument.in/reader030/viewer/2022013004/587ae3801a28ab542b8b6d83/html5/thumbnails/11.jpg)
LIMITATION OF PREGNANCY TESTS
CANNOT DIFFERENTIATE
• ECTOPIC GESTATION• INRAUTERINE NORMAL/ABNORMAL GESTATION• SPONTANEOUS ABORTION
![Page 12: Talk on obstetric emergencies dr.pradeep](https://reader030.vdocument.in/reader030/viewer/2022013004/587ae3801a28ab542b8b6d83/html5/thumbnails/12.jpg)
SONOGRAPHY MAY SHOW
• TRUE INRAUTERINE GETATIONAL SAC - DOUBLE DECIDUAL SAC SIGN -YOLK SAC(10 MM GEST.SAC) -FOETAL POLE(16MM GEST.SAC) -CARDIAC ACTIVITY(CRL-5 MM )
• THIS RULES OUT AN ECTOPIC AS HETEROTOPIC PREGNANCY IS RARE
![Page 13: Talk on obstetric emergencies dr.pradeep](https://reader030.vdocument.in/reader030/viewer/2022013004/587ae3801a28ab542b8b6d83/html5/thumbnails/13.jpg)
![Page 14: Talk on obstetric emergencies dr.pradeep](https://reader030.vdocument.in/reader030/viewer/2022013004/587ae3801a28ab542b8b6d83/html5/thumbnails/14.jpg)
EVOLUTION OF NORMAL IU PREGNANCY
0
100
1stQtr
4thQtr
EasWesNor
![Page 15: Talk on obstetric emergencies dr.pradeep](https://reader030.vdocument.in/reader030/viewer/2022013004/587ae3801a28ab542b8b6d83/html5/thumbnails/15.jpg)
DOUBLE DECIDUAL SAC SIGN
![Page 16: Talk on obstetric emergencies dr.pradeep](https://reader030.vdocument.in/reader030/viewer/2022013004/587ae3801a28ab542b8b6d83/html5/thumbnails/16.jpg)
TRUE IU GESTATIONAL SAC
![Page 17: Talk on obstetric emergencies dr.pradeep](https://reader030.vdocument.in/reader030/viewer/2022013004/587ae3801a28ab542b8b6d83/html5/thumbnails/17.jpg)
NEGATIVE TVS• NO IU GESTATIONAL SAC• NO ADNEXAL ABNORMALITY
POSSIBLITIES ARE
• EARLY SPONTANEOUS ABORTION• EARLY IU NORMAL/ABNORMAL GESTATION• ECTOPIC GESTATION
![Page 18: Talk on obstetric emergencies dr.pradeep](https://reader030.vdocument.in/reader030/viewer/2022013004/587ae3801a28ab542b8b6d83/html5/thumbnails/18.jpg)
BETA HCG
• IU GESTATIONAL SAC SHOLD BE SEEN ON TVS WITH A BETA HCG OF 1000mIU/L
• IF NOT THE POSSIBILITY OF AN ECTOPIC IS VERY LIKELY
![Page 19: Talk on obstetric emergencies dr.pradeep](https://reader030.vdocument.in/reader030/viewer/2022013004/587ae3801a28ab542b8b6d83/html5/thumbnails/19.jpg)
BETA HCG• TIME Miu/l
• 1 week 0-50• 2 week 20-500• 3 week 500-5000• 4 week 3000-19000• 8 week 14000-16000• 12 week 16000-160000
![Page 20: Talk on obstetric emergencies dr.pradeep](https://reader030.vdocument.in/reader030/viewer/2022013004/587ae3801a28ab542b8b6d83/html5/thumbnails/20.jpg)
![Page 21: Talk on obstetric emergencies dr.pradeep](https://reader030.vdocument.in/reader030/viewer/2022013004/587ae3801a28ab542b8b6d83/html5/thumbnails/21.jpg)
SERIAL BETA HCG AT 48 HRS
VALUE DECREASES - SPONTANEOUS ABORTION
VALUE DOUBLES - IN 85% OF NORMAL IU GEST(4-6 WKS) - IN 13% OF ECTOPICS
VALUE INCREASES SUBNORMALLY(<66%) - IN 80% OF ECTOPIC GESTATION - IN 15% OF IU GEST
VALUE INCRESES OR DECREASES - ABNORMAL IU GESTATION (MOLE / BLIGHTED OVUM)
![Page 22: Talk on obstetric emergencies dr.pradeep](https://reader030.vdocument.in/reader030/viewer/2022013004/587ae3801a28ab542b8b6d83/html5/thumbnails/22.jpg)
REPEAT TVS• IU DDSS/FOETAL POLE
• BLIGHTED OVUM/MOLAR PREG
• ADNEXAL MASS/FREE FLUID-ECTOPIC
• NO ABNORMAL FINDINGS-HIGHLY SUSPICIOUS FOR AN ECTOPIC-LAPROSCOPY
![Page 23: Talk on obstetric emergencies dr.pradeep](https://reader030.vdocument.in/reader030/viewer/2022013004/587ae3801a28ab542b8b6d83/html5/thumbnails/23.jpg)
TVS FINDINGS IN ECTOPIC GESTATION
• PSEUDO INTRAUTERINE SAC• ADNEXAL SAC• ADNEXAL SAC WITH YOLK SAC• ADNEXAL SAC WITH FOETAL POLE• ADNEXAL NODULE• ADNEXAL MASS• ADNEXAL MASS WITH TURBID FLUID
![Page 24: Talk on obstetric emergencies dr.pradeep](https://reader030.vdocument.in/reader030/viewer/2022013004/587ae3801a28ab542b8b6d83/html5/thumbnails/24.jpg)
PSEUDOGESTATIONAL SAC10% 0F ECTOPICS
![Page 25: Talk on obstetric emergencies dr.pradeep](https://reader030.vdocument.in/reader030/viewer/2022013004/587ae3801a28ab542b8b6d83/html5/thumbnails/25.jpg)
CLASSICAL TUBAL ECTOPIC
![Page 26: Talk on obstetric emergencies dr.pradeep](https://reader030.vdocument.in/reader030/viewer/2022013004/587ae3801a28ab542b8b6d83/html5/thumbnails/26.jpg)
T2 WI OF ECTOPIC SAC
![Page 27: Talk on obstetric emergencies dr.pradeep](https://reader030.vdocument.in/reader030/viewer/2022013004/587ae3801a28ab542b8b6d83/html5/thumbnails/27.jpg)
ECTOPIC SAC WITHOUT YS
![Page 28: Talk on obstetric emergencies dr.pradeep](https://reader030.vdocument.in/reader030/viewer/2022013004/587ae3801a28ab542b8b6d83/html5/thumbnails/28.jpg)
ECTOPIC SAC WITH YOLK SAC
![Page 29: Talk on obstetric emergencies dr.pradeep](https://reader030.vdocument.in/reader030/viewer/2022013004/587ae3801a28ab542b8b6d83/html5/thumbnails/29.jpg)
INCREASE IN SIZE OF ECTOPIC TWO DAYS LATER
![Page 30: Talk on obstetric emergencies dr.pradeep](https://reader030.vdocument.in/reader030/viewer/2022013004/587ae3801a28ab542b8b6d83/html5/thumbnails/30.jpg)
POST MTP ECTOPIC
![Page 31: Talk on obstetric emergencies dr.pradeep](https://reader030.vdocument.in/reader030/viewer/2022013004/587ae3801a28ab542b8b6d83/html5/thumbnails/31.jpg)
FOURTH ECTOPIC
![Page 32: Talk on obstetric emergencies dr.pradeep](https://reader030.vdocument.in/reader030/viewer/2022013004/587ae3801a28ab542b8b6d83/html5/thumbnails/32.jpg)
DEAD EMBRYO IN ECTOPIC SAC
![Page 33: Talk on obstetric emergencies dr.pradeep](https://reader030.vdocument.in/reader030/viewer/2022013004/587ae3801a28ab542b8b6d83/html5/thumbnails/33.jpg)
POST MTP CHRONIC DEAD ECTOPIC
![Page 34: Talk on obstetric emergencies dr.pradeep](https://reader030.vdocument.in/reader030/viewer/2022013004/587ae3801a28ab542b8b6d83/html5/thumbnails/34.jpg)
POST MTP LIVE ECTOPIC
![Page 35: Talk on obstetric emergencies dr.pradeep](https://reader030.vdocument.in/reader030/viewer/2022013004/587ae3801a28ab542b8b6d83/html5/thumbnails/35.jpg)
CARDIAC ACTIVITY IN LIVE ECTOPIC
![Page 36: Talk on obstetric emergencies dr.pradeep](https://reader030.vdocument.in/reader030/viewer/2022013004/587ae3801a28ab542b8b6d83/html5/thumbnails/36.jpg)
INVITRO SCAN OF UNRUPTURED SAC MILKED OUT
FROM TUBE
![Page 37: Talk on obstetric emergencies dr.pradeep](https://reader030.vdocument.in/reader030/viewer/2022013004/587ae3801a28ab542b8b6d83/html5/thumbnails/37.jpg)
TUBAL HEMATOCELE
![Page 38: Talk on obstetric emergencies dr.pradeep](https://reader030.vdocument.in/reader030/viewer/2022013004/587ae3801a28ab542b8b6d83/html5/thumbnails/38.jpg)
RT TUBAL HEMATOCELE
![Page 39: Talk on obstetric emergencies dr.pradeep](https://reader030.vdocument.in/reader030/viewer/2022013004/587ae3801a28ab542b8b6d83/html5/thumbnails/39.jpg)
UNRUPTURED TUBAL HEMATOCELE
![Page 40: Talk on obstetric emergencies dr.pradeep](https://reader030.vdocument.in/reader030/viewer/2022013004/587ae3801a28ab542b8b6d83/html5/thumbnails/40.jpg)
TUBAL HEMATOCELE
![Page 41: Talk on obstetric emergencies dr.pradeep](https://reader030.vdocument.in/reader030/viewer/2022013004/587ae3801a28ab542b8b6d83/html5/thumbnails/41.jpg)
LARGE TUBAL HEMATOCELE
![Page 42: Talk on obstetric emergencies dr.pradeep](https://reader030.vdocument.in/reader030/viewer/2022013004/587ae3801a28ab542b8b6d83/html5/thumbnails/42.jpg)
T2WI OF TUBAL HEMATOCELE
![Page 43: Talk on obstetric emergencies dr.pradeep](https://reader030.vdocument.in/reader030/viewer/2022013004/587ae3801a28ab542b8b6d83/html5/thumbnails/43.jpg)
RUPTURED TUBE
![Page 44: Talk on obstetric emergencies dr.pradeep](https://reader030.vdocument.in/reader030/viewer/2022013004/587ae3801a28ab542b8b6d83/html5/thumbnails/44.jpg)
RUPTURED TUBE
![Page 45: Talk on obstetric emergencies dr.pradeep](https://reader030.vdocument.in/reader030/viewer/2022013004/587ae3801a28ab542b8b6d83/html5/thumbnails/45.jpg)
ECTOPIC WITH PERI TUBAL HEMOPERITONEUM
![Page 46: Talk on obstetric emergencies dr.pradeep](https://reader030.vdocument.in/reader030/viewer/2022013004/587ae3801a28ab542b8b6d83/html5/thumbnails/46.jpg)
RUPTURED ECTOPIC WITH HEMOPERITONEUM
![Page 47: Talk on obstetric emergencies dr.pradeep](https://reader030.vdocument.in/reader030/viewer/2022013004/587ae3801a28ab542b8b6d83/html5/thumbnails/47.jpg)
RUPTURED ECTOPIC
![Page 48: Talk on obstetric emergencies dr.pradeep](https://reader030.vdocument.in/reader030/viewer/2022013004/587ae3801a28ab542b8b6d83/html5/thumbnails/48.jpg)
RUPTURED CHRONIC ECTOPIC
![Page 49: Talk on obstetric emergencies dr.pradeep](https://reader030.vdocument.in/reader030/viewer/2022013004/587ae3801a28ab542b8b6d83/html5/thumbnails/49.jpg)
CHRONIC RUPTURED ECTOPIC
![Page 50: Talk on obstetric emergencies dr.pradeep](https://reader030.vdocument.in/reader030/viewer/2022013004/587ae3801a28ab542b8b6d83/html5/thumbnails/50.jpg)
TUBAL ABORTION
![Page 51: Talk on obstetric emergencies dr.pradeep](https://reader030.vdocument.in/reader030/viewer/2022013004/587ae3801a28ab542b8b6d83/html5/thumbnails/51.jpg)
RIGHT CORNUAL ECTOPIC
![Page 52: Talk on obstetric emergencies dr.pradeep](https://reader030.vdocument.in/reader030/viewer/2022013004/587ae3801a28ab542b8b6d83/html5/thumbnails/52.jpg)
T2WI IN RT CORNUAL ECTOPIC
![Page 53: Talk on obstetric emergencies dr.pradeep](https://reader030.vdocument.in/reader030/viewer/2022013004/587ae3801a28ab542b8b6d83/html5/thumbnails/53.jpg)
OVARIAN ECTOPIC
![Page 54: Talk on obstetric emergencies dr.pradeep](https://reader030.vdocument.in/reader030/viewer/2022013004/587ae3801a28ab542b8b6d83/html5/thumbnails/54.jpg)
HETEROTOPIC PREGNANCY
![Page 55: Talk on obstetric emergencies dr.pradeep](https://reader030.vdocument.in/reader030/viewer/2022013004/587ae3801a28ab542b8b6d83/html5/thumbnails/55.jpg)
HETEROTOPIC PREGNANCY
![Page 56: Talk on obstetric emergencies dr.pradeep](https://reader030.vdocument.in/reader030/viewer/2022013004/587ae3801a28ab542b8b6d83/html5/thumbnails/56.jpg)
DOPPLER IN ECTOPIC
![Page 57: Talk on obstetric emergencies dr.pradeep](https://reader030.vdocument.in/reader030/viewer/2022013004/587ae3801a28ab542b8b6d83/html5/thumbnails/57.jpg)
1 st PREG RUPTURED ECTOPIC-HEMOPERITONEUM
![Page 58: Talk on obstetric emergencies dr.pradeep](https://reader030.vdocument.in/reader030/viewer/2022013004/587ae3801a28ab542b8b6d83/html5/thumbnails/58.jpg)
CT IN HEMOPERITONEUM
![Page 59: Talk on obstetric emergencies dr.pradeep](https://reader030.vdocument.in/reader030/viewer/2022013004/587ae3801a28ab542b8b6d83/html5/thumbnails/59.jpg)
2 nd-ECTOPIC MANAGED WITH METHOTREXATE
![Page 60: Talk on obstetric emergencies dr.pradeep](https://reader030.vdocument.in/reader030/viewer/2022013004/587ae3801a28ab542b8b6d83/html5/thumbnails/60.jpg)
CORPUS LUTEAL CYST MIMIKING ECTOPIC
![Page 61: Talk on obstetric emergencies dr.pradeep](https://reader030.vdocument.in/reader030/viewer/2022013004/587ae3801a28ab542b8b6d83/html5/thumbnails/61.jpg)
DD
![Page 62: Talk on obstetric emergencies dr.pradeep](https://reader030.vdocument.in/reader030/viewer/2022013004/587ae3801a28ab542b8b6d83/html5/thumbnails/62.jpg)
SUBSEROUS FIBROID MIMIKING ECTOPIC
![Page 63: Talk on obstetric emergencies dr.pradeep](https://reader030.vdocument.in/reader030/viewer/2022013004/587ae3801a28ab542b8b6d83/html5/thumbnails/63.jpg)
RT OVARIAN CORPUS HEMORRHAGICUM
WHERE IS THE ECTOPIC?
![Page 64: Talk on obstetric emergencies dr.pradeep](https://reader030.vdocument.in/reader030/viewer/2022013004/587ae3801a28ab542b8b6d83/html5/thumbnails/64.jpg)
TVS NEXT DAY SHOWED THE ECTOPIC
![Page 65: Talk on obstetric emergencies dr.pradeep](https://reader030.vdocument.in/reader030/viewer/2022013004/587ae3801a28ab542b8b6d83/html5/thumbnails/65.jpg)
?CORPUS LUTEAL CYST ?ECTOPIC
![Page 66: Talk on obstetric emergencies dr.pradeep](https://reader030.vdocument.in/reader030/viewer/2022013004/587ae3801a28ab542b8b6d83/html5/thumbnails/66.jpg)
ONE DAY LATER THE ECTOPIC WAS FOUND
![Page 67: Talk on obstetric emergencies dr.pradeep](https://reader030.vdocument.in/reader030/viewer/2022013004/587ae3801a28ab542b8b6d83/html5/thumbnails/67.jpg)
LOOK AT THE DIFFERENCE BETWEEN ECTOPIC AND CORPUS LUTEAL CYST
![Page 68: Talk on obstetric emergencies dr.pradeep](https://reader030.vdocument.in/reader030/viewer/2022013004/587ae3801a28ab542b8b6d83/html5/thumbnails/68.jpg)
CORPUS LUTEAL CYST
![Page 69: Talk on obstetric emergencies dr.pradeep](https://reader030.vdocument.in/reader030/viewer/2022013004/587ae3801a28ab542b8b6d83/html5/thumbnails/69.jpg)
WHAT IS IT ?
![Page 70: Talk on obstetric emergencies dr.pradeep](https://reader030.vdocument.in/reader030/viewer/2022013004/587ae3801a28ab542b8b6d83/html5/thumbnails/70.jpg)
DEVELOP A SONIC EYE
![Page 71: Talk on obstetric emergencies dr.pradeep](https://reader030.vdocument.in/reader030/viewer/2022013004/587ae3801a28ab542b8b6d83/html5/thumbnails/71.jpg)
PROTOCOL IN DIAGNOSING ECTOPIC
![Page 72: Talk on obstetric emergencies dr.pradeep](https://reader030.vdocument.in/reader030/viewer/2022013004/587ae3801a28ab542b8b6d83/html5/thumbnails/72.jpg)
![Page 73: Talk on obstetric emergencies dr.pradeep](https://reader030.vdocument.in/reader030/viewer/2022013004/587ae3801a28ab542b8b6d83/html5/thumbnails/73.jpg)
SUBCHORIONIC HEMATOMA
![Page 74: Talk on obstetric emergencies dr.pradeep](https://reader030.vdocument.in/reader030/viewer/2022013004/587ae3801a28ab542b8b6d83/html5/thumbnails/74.jpg)
PLACENTAL ABRUPTION AND RETROPLACENTAL HEMATOMA
![Page 75: Talk on obstetric emergencies dr.pradeep](https://reader030.vdocument.in/reader030/viewer/2022013004/587ae3801a28ab542b8b6d83/html5/thumbnails/75.jpg)
ECHOPATTERNS OF RETROPLACENTAL HEMATOMAS
![Page 76: Talk on obstetric emergencies dr.pradeep](https://reader030.vdocument.in/reader030/viewer/2022013004/587ae3801a28ab542b8b6d83/html5/thumbnails/76.jpg)
VASA PREVIA-VELAMENTOUS INSERTION OF
CORD
![Page 77: Talk on obstetric emergencies dr.pradeep](https://reader030.vdocument.in/reader030/viewer/2022013004/587ae3801a28ab542b8b6d83/html5/thumbnails/77.jpg)
TYPES OF VASA PREVIA
![Page 78: Talk on obstetric emergencies dr.pradeep](https://reader030.vdocument.in/reader030/viewer/2022013004/587ae3801a28ab542b8b6d83/html5/thumbnails/78.jpg)
COMPLICATIONS OF VASA PREVIA
![Page 79: Talk on obstetric emergencies dr.pradeep](https://reader030.vdocument.in/reader030/viewer/2022013004/587ae3801a28ab542b8b6d83/html5/thumbnails/79.jpg)
CORD VESSELS CLOSELY APPOSED TO THE CERVICAL INNER OS
![Page 80: Talk on obstetric emergencies dr.pradeep](https://reader030.vdocument.in/reader030/viewer/2022013004/587ae3801a28ab542b8b6d83/html5/thumbnails/80.jpg)
SUCCENTURIATE PLACENTA
![Page 81: Talk on obstetric emergencies dr.pradeep](https://reader030.vdocument.in/reader030/viewer/2022013004/587ae3801a28ab542b8b6d83/html5/thumbnails/81.jpg)
SUCCENTURIATE PLACENTA WITH BRIDGING VESSELS
![Page 82: Talk on obstetric emergencies dr.pradeep](https://reader030.vdocument.in/reader030/viewer/2022013004/587ae3801a28ab542b8b6d83/html5/thumbnails/82.jpg)
BILOBATE PLACENTA WITH CORD INSERTION INBETWEEN
![Page 83: Talk on obstetric emergencies dr.pradeep](https://reader030.vdocument.in/reader030/viewer/2022013004/587ae3801a28ab542b8b6d83/html5/thumbnails/83.jpg)
MRI IN VASA PREVIA
![Page 84: Talk on obstetric emergencies dr.pradeep](https://reader030.vdocument.in/reader030/viewer/2022013004/587ae3801a28ab542b8b6d83/html5/thumbnails/84.jpg)
BILOBED VS SUCCENTURIATEPLACENTA
![Page 85: Talk on obstetric emergencies dr.pradeep](https://reader030.vdocument.in/reader030/viewer/2022013004/587ae3801a28ab542b8b6d83/html5/thumbnails/85.jpg)
UTERINE RUPTURE
![Page 86: Talk on obstetric emergencies dr.pradeep](https://reader030.vdocument.in/reader030/viewer/2022013004/587ae3801a28ab542b8b6d83/html5/thumbnails/86.jpg)
FIBROID DEGENERATION IN PREGNANCY-
CYSTIC/RED/MYXOID TYPES
![Page 87: Talk on obstetric emergencies dr.pradeep](https://reader030.vdocument.in/reader030/viewer/2022013004/587ae3801a28ab542b8b6d83/html5/thumbnails/87.jpg)
CERVICAL INCOMPETENCETAS/TVS
![Page 88: Talk on obstetric emergencies dr.pradeep](https://reader030.vdocument.in/reader030/viewer/2022013004/587ae3801a28ab542b8b6d83/html5/thumbnails/88.jpg)
CERVICAL INCOMPETENCE
![Page 89: Talk on obstetric emergencies dr.pradeep](https://reader030.vdocument.in/reader030/viewer/2022013004/587ae3801a28ab542b8b6d83/html5/thumbnails/89.jpg)
THANK YOU
DR S PRADEEP.