Bangladesh-Focused Guideline on Laparoscopic Entry
1. Scope & Purpose To reduce morbidity/mortality from bowel, urological, and major vascular injuries that occur during initial abdominal access (Veress needle, trocar/trocar cannula insertion, or optical trocar), and to ensure prompt recognition and management when injuries occur. (Adapted from RCOG Green-top No.49 and SAGES guidance.) 2. Pre-Operative Steps (Risk Stratification & Consent) 3. Choice […]
Thromboprophylaxis in Gynaecology
Prepared By : DR. Tasrina AkterScope (Target audience): Clinicians, GynaecologistsReview date: October 2005Patient group to which it applies: This guideline should be applied to all gynaecological patients admitted for surgery, and to all early pregnancy inpatient patients.NICE guidance reference: N/ASummary of evidence base: This guidance has been created from TOG article Volume 25, Issue 1 […]
Cervical Cancer Screening
Introduction Cervical cancer is the 4th most common cancer in women worldwide and the 2nd in incidence and mortality in developing countries.Over 300,000 women died from cervical cancer globally in 2018; more than 90% of deaths were in low- and middle-income countries.It is caused primarily by persistent infection with high-risk HPV. It is largely preventable […]
Protocol for Maternal Collapse in Pregnancy and Puerperium
(Based on RCOG, ACOG, WHO and Bangladesh National Guidelines) Definition Maternal collapse is the acute loss of consciousness with absence of effective circulation in pregnancy or within 6 weeks postpartum, requiring immediate resuscitation. Common Causes Remember the 4Hs & 4Ts Initial Response (First Responder) A–E approach with maternal–fetal considerations Cardiac Arrest in Pregnancy Perimortem Cesarean […]
Placenta Praevia & Placenta Accreta Spectrum (PAS): Consolidated Guideline
1) Scope & Definitions 2) Risk Stratification (Book at 1st Scan; Update at Anomaly Scan) 3) Imaging & Surveillance Modality Schedule Key PAS Sonographic Signs (Document Explicitly) 4) Antepartum Management (Praevia ± PAS) General Transfer & Place of Care 5) Timing & Mode of Delivery Placenta Praevia / Persistent Low-Lying PAS (Suspected/Confirmed) 6) Pre-Operative Checklist […]
Surgical Safety Checklist
DefinitionA Surgical Safety Checklist is a tool that helps a surgical team ensure patient safety by confirming identity, site, procedure, and consent before, during, and after surgery. The checklist is used by the entire surgical team—including surgeons, anesthesiologists, and nurses—at three critical junctures of an operation. Key benefits of the Checklist The Three Phases 1. […]
Bangladesh focused guideline — Ectopic Pregnancy (adapted from RCOG & NICE; includes CSP, cervical pregnancy)
1. Scope and purpose Covers diagnosis and initial & definitive management of ectopic pregnancy up to early gestation (includes tubal, cervical, cesarean-scar, interstitial/cornual, ovarian, abdominal and heterotopic). Aims to provide a safe, fertility-preserving, context-adapted pathway for Bangladesh hospitals and community services. 2. Key principles (summary) 3. Presentation & triage A. Immediate red flags — urgent […]
Basic Investigations of Infertile Couple
Introduction Causes of infertility are equality distributed between the sexes. So, combined factors need to evaluate. Clinical definition (WHO): Prevalence: (Gender distribution) Multinational study by WHO: ARSM 2022: When a couple need to start investigations: ASRM initiation:years. Common identifiable factors: (WHO 2022) History & physical examination: Female and male infertility risk factors: Both genders Female […]
Prenatal Genetic Screening
Genetic screening Used when number of particular population are offered a test for a condition or carrier status when there is no prior evidence of its presence in an individual. Genetic testing Is the analysis of DNA, RNA, Chromosome, protein or metabolites in order to detect alteration related to heritable disorders. Definition of Congenital anomaly […]
Gestational trophoblastic Disease
Introduction Purpose: To provide standardized, evidence-based guidance for diagnosis and management of Gestational Trophoblastic Disease across BangladeshScope: Applicable to all healthcare facilitiesAlignment: Adapted from international guidelines (Practical Guidelines for the Treatment of Gestational Trophoblastic Disease: Collaboration of the European Organization for the Treatment of Trophoblastic Disease (EOTTD)–European Society of Gynaecologic Oncology (ESGO)–Gynecologic Cancer Intergroup (GCIG) […]