Maya’s contractions strengthen, but fetal heart rate drops to 90 bpm. Dr. Sen quizzes Aanya: “Differential for acute bradycardia?” She mentally runs through Majhi’s list: cord prolapse, uterine rupture, abruptio placentae. On vaginal exam, she feels pulsating loops – cord prolapse .
The book is specifically designed to bridge the gap between theoretical knowledge and bedside application. Bedside Clinics In Obstetrics By Arup Kumar Majhi Pdf
"How do you differentiate between uterine contraction pain and abdominal pain due to appendicitis in a pregnant woman?" A (from Majhi): "Palpate the maximum tenderness. In appendicitis, tenderness is at McBurney’s point (which shifts upward in pregnancy) and the patient will have guarding. Uterine contraction is generalized and periodic." Maya’s contractions strengthen, but fetal heart rate drops