|
Introduction
| 1st Edition |
Women's Health Care |
Purpose of the Manual |
| Military Medicine |
Women in the Military |
|
Medical Support
of Women in Field Environments
| Pre-deployment
Planning |
Menstruation Issues |
Host Nation Issues |
| AMAL Supplementation |
Bathing |
Pregnancy |
| Pregnancy Policy |
Quarters |
STD's and Safe Sex |
| Pre-deployment
Screening |
Clothing |
Aerospace Medicine |
| Pre-deployment
Briefing |
Liberty Risks |
Gravitational Forces |
| Urination Issues |
Leadership |
Decompression
Sickness |
|
|
Pregnancy and
Aviation |
The Prisoner of War Experience
| Prisoner of War |
Pre-deployment Planning |
Stresses of Captivity |
| Sexual Abuse |
The Typical Repatriated Soldier |
Recovery |
| The Total Soldier |
|
|
Routine Care
| Annual Exam |
Weight |
Pap Smear |
| Chief Complaint |
Blood Pressure |
Cultures |
| Medical History |
Face and Eyes |
Rectal |
| Medications |
Ears |
Urine |
| Menstrual History |
Thyroid |
Wet Mount |
| Pregnancy History |
Lungs |
Mammogram |
| Contraception |
Heart |
Breast Self Exam |
| Nutrition |
Breasts |
Immunization |
| Exercise |
Abdomen |
Counseling |
| Physical Exam |
Pelvic Exam |
Plan |
Pap
Smears
| The Cervix |
Atrophic Vaginitis |
HPV |
| Pap Smear |
(ASCUS) Atypical Squamous Cells |
Inadequate Smear |
| Dysplasia |
Candida (Yeast) |
Inconclusive Smear |
| Mild Dysplasia |
Chlamydia |
Inflammation |
| Moderate Dysplasia |
CIN |
IUD Changes |
| Severe Dysplasia |
Coccoid Bacteria |
Koilocytosis |
| Carcinoma-in-Situ |
Condyloma |
Leptothrix |
| Invasive Cancer |
Drying Artifact |
Nuclear Atypia |
| Adenocarcinoma |
Endocervical Cells |
Reactive Changes |
| Visible Lesions |
Endometrial Cells |
SIL |
| Colposcopy |
Estrogen Effect |
Squamous Metaplasia |
| Actinomycosis |
Gardnerella |
Trichomonas |
|
Herpes |
|
Obtaining a Pap
Smear
| Position the Patient |
Warm the Speculum |
Sample the SQJ |
| Field Expedient Exam Table |
Insert the Speculum |
Make a Thin Smear |
Pad the Stirrups |
Field Expedient Speculum |
Spray Immediately |
| Inspect the Vulva |
The Spatula |
The Brush |
|
Rotate the Spatula |
Rotate the Brush |
Human Papilloma Virus
| Clinical Warts |
Persistence of Virus |
Relation to Cervical Cancer |
| Subclinical Warts |
Transmission of Virus |
Evaluation |
| Treatment |
Relation to Cervical Dysplasia |
|
Contraception
| Birth Control Pills |
Condom |
Vaginal Suppositories |
| Emergency Contraception |
Female Condom |
Rhythm |
| DEPO-PROVERA |
Diaphragm |
Withdrawal |
| Norplant |
Foam |
Tubal Ligation |
| Intrauterine Device (IUD) |
Film |
Vasectomy |
|
Gel |
|
Birth Control Pills
| Benefits |
The particular pill she's using
is not available. |
Painful menstrual cramps |
| Risks |
Postponing a period with BCPs |
Continuous Birth Control Pills |
| Which pill to start |
Side-effects |
No period |
| Starting the pills |
Breast tenderness |
Very light period |
| When are the pills effective? |
Nausea |
Spotting between periods |
| Skipped a pill |
Weight gain |
Periods at the wrong time |
| Migraine headache history |
Headaches |
Antibiotics |
| High blood pressure |
Moodiness or depression |
Thinks she may be pregnant |
| Diabetes |
Vaginal dryness |
Emergency Contraception |
| Blood clot history |
Decreased sex-drive (libido) |
Overdose |
Vulvar Disease
| General |
Inclusion Cyst |
Secondary Syphilis |
| Bartholin Cyst |
Itching |
Skene's Gland |
| Chancroid |
Labial Abscess |
Tinea Cruris |
| Condyloma Lata |
Lichen Sclerosis |
VIN |
| Contact Dermatitis |
Lymphogranuloma Venereum |
Vulvar Cancer |
| Crabs (Lice) |
Melanosis |
Vulvar Dystrophy |
| Epithelial Polyp |
Molluscum Contagiosum |
Vulvar Hematoma |
| Granuloma Inguinale |
Paget's Disease |
Vulvar Vestibulitis |
| Herpes |
Primary Syphilis |
Warts (Condyloma, HPV) |
| Hypertrophic Vulvar Dystrophy |
Runner's Rash |
Yeast (Monilia, Candida) |
|
Scabies |
|
Vaginal Discharge
| Overview |
Cervical Ectropion |
Gonorrhea |
| History |
Cervicitis |
Infected IUD |
| Physical |
Chlamydia |
PID: Mild |
| Laboratory |
Foreign Body |
PID: Moderate to Severe |
| Treatment |
Gardnerella |
Trichomonas |
|
|
Yeast |
Abnormal Bleeding
| Normal Bleeding |
Hormonal Problems |
Late for a Period |
| Abnormal Bleeding |
Malignancy |
Irregular Periods |
| Overview |
What to do about it |
Too Frequent Periods |
| Pregnancy Problems |
Heavy Periods |
Constant Bleeding |
| Mechanical Problems |
Light Periods |
Hemorrhage |
Menstrual Problems
| Normal Menstrual Flows |
Fluid Retention |
Late for a Period |
| Cramps |
Bloating |
Irregular Periods |
| Breast Pain |
Depression, Irritability |
Too Frequent Periods |
| Midcycle Pain |
Heavy Periods |
Constant Bleeding |
| Acne |
Light Periods |
Hemorrhage |
| Headaches |
|
|
Abdominal Pain
| Uncertainty of Diagnosis |
IUD Problems |
PID |
| Pain and Bedrest |
Ovarian Cyst |
Mild PID |
| Pain and Fever |
Ruptured Ovarian Cyst |
Moderate to Severe PID |
| Chronic Pain |
Unruptured Ovarian Cyst |
Endometriosis |
| Pregnancy Test |
Twisted Ovarian Cyst |
Appendicitis |
| Pain with BCPs |
Painful Menstrual Flows |
Bowel Obstruction |
| Pregnancy and Bleeding |
Mittelschmerz |
Degenerating Fibroid |
| Threatened Abortion |
Functional Bowel Syndrome |
Infected or Rejected IUD |
| Ectopic Pregnancy |
Gastroenteritis |
Cystitis |
| Placental Abruption |
Diverticular Disease |
Pyelonephritis |
| Placenta Previa |
|
|
Urination Problems
| Painful Urination |
Hematuria |
Irritable Bladder |
| Gonorrheal Urethritis |
Bad Odor |
Urethral Diverticulum |
| Nongonorrheal Urethritis |
Cannot Urinate |
Unpredictable Urine Loss |
| Herpes |
Bladder Training |
Urgency |
| Yeast |
Incontinence |
Pyelonephritis |
| Urinary Frequency |
Stress Incontinence |
Kidney Stones |
| |
|
How to Insert a Foley Catheter |
Breast Problems
| Breast Development |
Supernumerary Nipples |
Non-cyclic Breast Pain |
| Breast Exam |
Inverted Nipples |
Nipple Discharge |
| Self Breast Exam |
Adolescent Breast Problems |
Fat Necrosis |
| Mammography |
Pregnancy Changes |
Paget's Disease |
| Ultrasound |
Puerperal Mastitis |
Breast Mass |
| Breast Biopsy |
Nipple Laceration |
Breast Cyst |
| Supernumerary Breasts |
Cyclic Breast Pain |
Fibroadenoma |
|
|
Breast Cancer |
Sexual Assault
| Outline |
Requisitions |
Change of Clothing |
| Staff Assignment |
History |
Tests |
| Serious Injuries |
Clothing |
Antibiotics |
| Notification |
Photographs |
Contraception |
| Consent |
Combings |
Follow-up |
| Gather Supplies |
Mouth Exam |
Evidence Disposition |
| Labels |
Hands |
Patient Instructions |
|
|
Children |
Normal Pregnancy
| Diagnosis of Pregnancy |
Disability |
Thermal Stress |
| Pregnancy Tests |
Maternal Skin Changes |
Noise |
| Prenatal Care |
Nausea |
Vibration |
| Nutrition |
Heartburn |
Solvents |
| Prenatal Vitamins |
Sciatica |
Heavy Metals |
| Laboratory Tests |
Carpal Tunnel Syndrome |
X-rays |
| Ultrasound Scans |
URI |
Radiation |
| Estimating Gestational Age |
Antibiotics |
CRT Exposure |
| Fetal Heart Beat |
Other Drugs |
Diving |
| Exercise |
Immunizations |
Hyperbaric Therapy |
|
|
Aircrew Status |
Abnormal
Pregnancy
| Miscarriage |
Septic Abortion |
Placental Abruption |
| Abortion |
Unruptured Ectopic Pregnancy |
Placenta Previa |
| Threatened Abortion |
Ruptured Ectopic Pregnancy |
Toxemia |
Complete Abortion |
Blood Transfusion |
Pre-eclampsia |
Incomplete
Abortion |
Trauma During the 1st Trimester |
Eclampsia |
| Inevitable Abortion |
2nd and 3rd Trimester Trauma |
HELLP Syndrome |
Normal Labor and
Delivery
| Labor |
Contractions |
Electronic Fetal Monitors |
| Latent Phase Labor |
Fetal Heart Rate |
Pain Relief |
Active Phase
Labor |
Urine |
Second Stage Labor |
| Progress of Labor |
Estimated Fetal Weight |
Preparing for Delivery |
| Delivery of the Baby |
Dilatation and Effacement |
Managing the Delivery |
| Delivery of the Placenta |
Fetal Orientation |
Episiotomy |
| Managing Labor and Delivery |
Leopold's Maneuvers |
Anesthesia |
| Initial Evaluation |
Fetal Membranes |
Clamp the Cord |
| History |
Blood Count |
The Placenta |
| Risk Factors |
Early Labor |
Uterine Massage |
| Vital Signs |
Monitor the Fetal Heart |
Post Partum Care |
Problems During
Labor and Delivery
| Preterm Labor |
Shoulder Dystocia |
Post Partum Hemorrhage |
| Premature Rupture of Membranes |
Breech Delivery |
Placental Abruption |
| Abnormal Presentation |
Twin Delivery |
Placenta Previa |
| Prolonged Latent Phase |
Prolapsed Umbilical Cord |
Group B Streptococcus |
| Arrest of Active Labor |
Cord Around the Neck |
Chorioamnionitis |
|
Retained Placenta |
Post Partum Fever |
Care of the Newborn
| Dry the Baby |
Evaluate the Baby |
Assign Apgar Score |
| Replace Wet Towels |
Color |
Breast-Feeding |
| Position the Baby |
Ventilate if Necessary |
Field Expedient Bottle |
| Suction the Airway |
Check the Heartbeat |
Vernix |
|
Keep the Baby Warm |
Meconium |
Menopause
| Definition |
Benefits of Estrogen |
Birth Control Pills |
| Symptoms |
Risks of Estrogen |
Risk of Pregnancy |
| Associated Problems |
Alternatives to Estrogen |
Libido |
| Clinical Presentation |
Standard Treatment |
Follow-up |
| Philosophy of Management |
|
|
Home
· Introduction ·
Medical Support of Women in Field
Environments · The Prisoner of War
Experience · Routine
Care ·
Pap Smears ·
Human Papilloma Virus ·
Contraception ·
Birth Control Pills ·
Vulvar Disease ·
Vaginal Discharge ·
Abnormal Bleeding ·
Menstrual Problems ·
Abdominal Pain ·
Urination Problems ·
Menopause ·
Breast Problems ·
Sexual Assault ·
Normal Pregnancy ·
Abnormal Pregnancy ·
Normal Labor and Delivery ·
Problems During Labor and Delivery
· Care of the Newborn
|
Bureau of Medicine
and Surgery
Department of the Navy
2300 E Street NW
Washington, D.C
20372-5300 |
Operational
Obstetrics & Gynecology - 2nd Edition
The Health Care of Women in Military Settings
CAPT Michael John Hughey, MC, USNR
NAVMEDPUB 6300-2C
January 1, 2000 |
This
web version of Operational Obstetrics & Gynecology is provided by
The Brookside Associates
Medical Education Division. It contains original contents from the
official US Navy NAVMEDPUB 6300-2C, but has been reformatted for web access and
includes advertising and links that were not present in the original version.
This web version has not been approved by the Department of the Navy or the
Department of Defense. The presence of any advertising on these pages does not
constitute an endorsement of that product or service by either the Department of
Defense or the Brookside Associates. The Brookside Associates is a private
organization, not affiliated with the United States Department of Defense. All
material in this version is unclassified.
This formatting © 2006
Medical Education Division,
Brookside Associates, Ltd.
All rights reserved
| 