Obstetrics & Gynecology

Top 10 Needs

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1. An accurate and low skill way to detect fetal distress in women who are not in labor, used at home to avoid Intrauterine fetal death (IUFD).
2. An accessible and low skill (without a radiologist, any doctor should be able to use) way to monitor asymptomatic uterine fibroids in fertile women at primary healthcare centers to prevent infertility and the risks of hysterectomy.
3. An effective way to prevent seizures in preeclampsic/eclampsic women at secondary care centres and above to prevent the risk of brain damage and/or Magnesium toxicity.
4. A safe and low skill way to manage uterine fibroids in women at secondary care hospitals and above to prevent the risks of hysterectomy.
5. A safer (preserving tubal functionality) way to manage tubal rupture in ectopic pregnancies in women at secondary care hospitals and above to preserve the normal fertilization pathway.
6. An effective (faster, low skill, uterus sparing, and affordable – compared to embolization) way to manage post-partum haemorrhage in women at Primary Health Centres and a above to avoid hypovolemic shock and high risk of maternal death (when hysterectomy is neither possible nor desirable).
7. An affordable way to reduce the incidence of sepsis in neonates at primary care centres and above to avoid neonatal death.
8. An accurate (compared to a pap-smear) and low skill way to detect cervical cancer in women at primary healthcare centres to reduce the incidence of false negatives and late diagnosis.
9. A better way to prevent Suture Site Infections in open abdominal/pelvic surgeries at District Hospitals and Tertiary Healthcare Centres to avoid resuturing of incision and risk of sepsis.
10. An accessible and affordable way to manage placental abruptions in women when blood is unavailable, at District Hospitals and above to prevent hypovolemic shock and fetal asphyxia.