Best Varicose Veins Treatment in Jaipur
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Varicose veins are enlarged veins near the skin’s surface, often found in the legs due to increased pressure from standing and walking. For Best Varicose Veins Treatment in Jaipur, Dr. Manish Rajput provides advanced, personalized care using modern techniques to help you achieve healthier, smoother legs and a better quality of life.
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gush of fluid
oligohydramnios
DIAGNOSTIC EVALUATION
History collection (steady loss of small amount of fluid from vagina)
Sterile speculum examination: A sterile speculum examination involves using a sterile speculum, a medical instrument, to gently open the vagina for a visual examination of the cervix and vaginal walls, ensuring the speculum is sterilized before use, to prevent infection.
Pooling test: During a speculum examination, healthcare providers look for amniotic fluid accumulating in the posterior vaginal fornix (the area at the back of the vagina).
This pooling of fluid suggests that the amniotic sac has ruptured, allowing fluid to leak into the vagina.
Nitrazine test: The nitrazine test, using nitrazine paper (phenaphthazine), is a method to determine vaginal pH and detect potential amniotic fluid leakage, which can indicate a ruptured amniotic membrane, by observing a color change from yellow to blue.
Fern test: The fern test involves collecting a vaginal fluid sample, allowing it to dry on a glass slide, and then examining the dried sample under a microscope.
When amniotic fluid is present, the sodium chloride in it crystallizes, forming a characteristic fern-like pattern.
MANAGEMENT
If the patient is term > 37 weeks : Approximately 90% of patient will go into spontaneous labor within 24 hours. labor should be induced either at the time of presentation or the patient can be expected managed.
Induction of labor reduces the time of delivery and the rates of chorioamnionitis and endometritis and admission to the neonatal intensive care unit.
If the patient does not go into spontaneous labor on her own then labor induction should be performed with oxytocin. So, use oxytocin or prostaglandins as indicated Otherwise, perform cesarean delivery.
COMPLICATIONS
IF FETUS REMAIN IN UTERO
Neonatal conditions
Infection and sepsis
Deformations
Umbilical cord compression
Pulmonary hypoplasia
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✅ Bonus learning tips for quick recall and exam preparation
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