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Gynaecological Emergencies that can be treated at an outpatient clinic or without hospital admission are classified as outpatient emergencies. Urinary tract infections, moderate vaginal bleeding, simple ovarian cysts, and minor episodes of pelvic inflammatory disease are a few examples.
Because of their severity or complexity, inpatient gynaecological emergencies must be hospitalised for close observation and intense management. These include ailments like ectopic pregnancy, a severe pelvic inflammatory illness that necessitates intravenous antibiotics, ruptured ovarian cysts that result in severe internal bleeding, miscarriage, and pregnancy-related problems including uterine rupture or pre-eclampsia. Closer supervision, access to cutting-edge diagnostic procedures and treatments, and interdisciplinary care coordination are all made possible by inpatient care. The severity of the ailment, the requirement for hospital services, and the type of emergency determine whether the treatment service is provided as an outpatient or inpatient care. With the best obstetrician doctors, we offer you the best Outpatient Inpatient and Emergency services in Bhubaneswar.
Access comprehensive medical care in Bhubaneswar with Manipal Hospitals. Explore our range of outpatient, inpatient, and emergency services for expert treatment and care.
The most frequent gynaecological emergency that isn't related to pregnancy is acute PID. It is the most prevalent infectious disease affecting young women (15–25 years old), and in industrialised nations, it is responsible for 94% of the morbidity related to STDs.
Acute PID stands for acute pelvic inflammatory disease.
An infection of one or more higher reproductive organs, such as the uterus, fallopian tubes, and ovaries, is known as pelvic inflammatory disease (PID). If left untreated, the reproductive system may develop scar tissue and pockets of infected fluid, or abscesses, which could result in irreversible harm. Pelvic inflammatory illness might present with subtle or mild signs and symptoms. Some women show no symptoms or indicators at all. Because of this, you might not become aware of it until you experience difficulties becoming pregnant or start experiencing chronic pelvic pain.
When pelvic inflammatory disease (PID) is present, the following are the most common signs and symptoms:
Pain in your pelvis and lower abdomen that can range in intensity from mild to severe
Unusually large or thick vaginal discharge with an unpleasant smell
Unusual vaginal bleeding, particularly during or following a sexual encounter or in between periods
Pain during intercourse
Fever and occasional chills
Painful, difficult, or frequent urination
The loss of a pregnancy before the foetus can live outside the womb is called a miscarriage, often referred to as a spontaneous abortion. This usually happens within the first 20 weeks of gestation. It frequently manifests as cramps, vaginal bleeding, and tissue passing from the uterus. Chromosome abnormalities, hormone imbalances, uterine abnormalities, and maternal health issues can all cause miscarriages. Even though they cause mental grief, up to 20% of pregnancies have them, making them relatively frequent. The majority of miscarriages happen in the first trimester and are frequently unavoidable. To address the underlying causes of recurrent miscarriages, medical assessment and intervention are necessary.
When a fertilised egg implants outside of your uterus, most usually in your fallopian tube, it results in an ectopic pregnancy. Growing embryos are not intended to be housed in the fallopian tube. Women with ectopic pregnancy may experience bleeding as a result of this condition. An ectopic pregnancy is a potentially fatal disorder that needs to be treated immediately.
An ectopic pregnancy's initial symptoms can resemble those of a regular pregnancy quite a bit. However, during an ectopic pregnancy, you might also have the following symptoms:
Vaginal bleeding
Discomfort in your pelvis, lower back, and lower abdomen
Weakness and dizziness
You can experience more symptoms if your fallopian tube bursts due to the intense pain and bleeding. These may consist of:
Loss of consciousness
Hypotension, or low blood pressure
Soreness in the shoulders
Bowel issues or rectal pressure
You might experience abrupt, severe lower abdomen discomfort if a tube ruptures. The condition is a medical emergency. You should visit the emergency room right away or get in touch with your healthcare practitioner.
During pregnancy, the soft tissue that makes up your uterus' wall expands to make room for your developing baby. Normally, the uterus enlarges to the appropriate size, gives birth, and then contracts again. The pressure of your developing baby may occasionally cause your uterus to burst. Most often, uterine rupture occurs in pregnant women who have had a caesarean section to deliver their previous child. During a caesarean section, the doctor makes an incision in the uterus to deliver the baby. The scar line from a previous caesarean delivery is where a uterine rupture is most likely to happen.
This could be because of the weakening of the uterine wall where the previous surgery was done. Having had a caesarean section in the past increases your likelihood of having one in the future. Other conditions can also result in uterine rupture. The following are the risk factors that could lead to a uterine rupture:
Uterine abnormalities that are congenital or genetic
Injury to your abdomen
Supplementary uterine surgery techniques
An excessively large or multiple babies within your uterus are usually the cause of this
Your doctor may perform an external or internal foetal version, positioning your foetus by hand to facilitate birth
Previously removed organ-related perforation
Many pregnancies cause the uterus to contract excessively, which can damage the uterus and reduce its function
Prostaglandin usage during vaginal delivery after a prior Caesarean section
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