Dra. Doblas Ob-Gyne Clinic and Primary Health Care

29/09/2025

Reminder to Nurses, Midwives and other healthcare workers who are doing prenatal:
Please, know how to interpret the Ultrasound Results.
Late Ultrasound is no longer reliable to date pregnancy. The best one is at first trimester.
Example:
From the last menstrual period, the EDD is Aug. 25, 2025.
By late ultrasound the EDD is Sept.6, 2025.
Do not consider Sept. 6 as the accurate EDD. While you are waiting to deliver on Sept 6, baby is already postdated by her LMP
Baby is already compromised.
If you want to wait, you should be guided by ultrasound for Biophysical Profile, and CTG.
What does it mean if the EDD is 9/6/25 by ultrasound and not Aug.24,2025? It only means, baby is small., but already mature.

29/09/2025

IVF is one of the choices for ART( Artificial Reproductive Technologies)., for Infertility.

Do you know anyone who has been helped by human in vitro fertilisation (IVF) therapy?

Robert Edwards was awarded the 2010 Nobel Prize for the development of human in vitro fertilisation (IVF) therapy. His achievements made it possible to treat infertility, a medical condition afflicting a large proportion of humanity.

As early as the 1950s, Edwards had the vision that IVF could be useful as a treatment for infertility. He worked systematically to realise his goal, discovered important principles for human fertilisation, and succeeded in accomplishing fertilisation of human egg cells in test tubes (or more precisely, cell culture dishes).

His efforts were finally crowned by success on 25 July, 1978, when the world’s first “test tube baby” was born. During the following years, Edwards and his co-workers refined IVF technology and shared it with colleagues around the world.

Read more about Edwards' life-changing achievement: https://www.nobelprize.org/prizes/medicine/2010/popular-information/

29/09/2025

Vertex is same as Cephalic.

✅ VERTEX PRESENTATION ✅

👶 Baby’s head is down in the uterus
⬇️ The most common birth position
🤰 Easiest and safest for delivery
📌 Usually occurs by the end of pregnancy
🏥 Doctors monitor to confirm before labor

28/09/2025

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Nakakatuwa si Baby!🥰

NEWBORN BABY, IPINANGANAK NA HAWAK ANG IUD! 🍼😂

Nakakaaliw na eksena ang bumida sa delivery room nang isilang si baby Matheus—hawak-hawak pa niya ang copper IUD na dapat sana’y pipigil sa kanyang pagdating / family planning.

Ayon sa doktor, sobrang bihira ng ganitong pangyayari dahil may failure rate lang na 0.6% ang IUD. Kaya naman laking gulat at tuwa ng kanyang mga magulang nang makita ang kanilang “unstoppable little trophy.”

Imbes na mabigla, natawa na lang ang pamilya at staff, habang idineklarang “victorious entrance” ang pagdating ni baby Matheus. 👶🏻💫

🤔 Ano ang IUD? Ang Intrauterine Device (IUD) ay maliit na T-shaped na device na nilalagay ng doktor sa loob ng matres ng babae. Isa ito sa pinakapopular at pinaka-epektibong paraan ng family planning.

26/09/2025

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One of my prenatal patients!
Congratulations Joannie!
Welcome to the world Baby Miles.❤️

26/09/2025

Dissecting and Analyzing Two Iatrogenic Cases. To correct the lapses so, it won't happen to the other patients.
(Unsa ang iatrogenic? Pasabot na serious or mas na problemado ang kahimtang sa pasyente tungod kay wa nahimo ang sakto nga pagahimuon!)
Yes, I agree. We are not perfect including us, doctors.
But we have to manage our patients conscientiously that we should not do further harm to their present medical condtion.
Scenario 1:
I diagnosed one patient with Blighted O**m( by Point of Care Ultrasound). Ingon ko sa pasyente, anytime ka mag abort kay abnormal na nga pregnancy. After few days nag abort sya, with severe bleeding. Gi admit sa hospital. Stayed for few days nag blood transfusion. Gi discharged ang pasyente nga walay gihimong ultrasound aron unta to ma confirm kung kompleto ba ang pagka abort.
Tuod man balik ang pasyente sa akong clinic pila ka semana gikan pag admit kay gasige pa man gihapon sya ug dugo. TVS done: naa pay nahabilin baga Incomplete Abortion. So gipa balik sa ospital para maraspahan. Tuod gi raspahan ug pasyente ni claimed sakit kaayu kay way anesthesia. Tiaw ba uroy! Unsa man na gi torture? Ug asa man inyung anesthesiologist nga naka kontrata sa inyung hospital nga pilay sweldo gani ana kada buwan?
Human sa raspa gi discharged na pod nga way ultrasound gihimo.
Ang nahitabo, gasige gihapon ug dugo dugo ang pasyente. Balik na pod diri sa Clinic. Ang TVS mao gihapon naa pay nahabilin. Wa ma kompleto ang pagka raspa. Tiaw ba ang emotional impact sa pasyente! Oi di jud lalim! Ujya kaduhaon na pod ug raspa? I prescribed her with
Evening Primerose Oil plus antibiotics, to prevent infection. Toud man ning gawas ra ang nahabilin nga wa natarong pagka kuskos.
Repeat TVS done: wala nay sulod nga "product of conception" ang matres. Intawon na relieved na jud ang pasyente. To lessen her burden: libre sa check up ug ultrasound every time nga moari sys sa Clinic....a kind of charity work. Sya ang beneficiary sa akong Clinic at that time.
So, IATROGENIC ang cause nga mas na komplikado iyang medical condition.
If given the opportunity to manage this patient in a hospital setting, mao ni ako buhaton.
1) Yes na abort. Blood transfusion kay mubo ang hemoglobin.
2) While in the hospital, gi ultrasound ang pasyente. Completion curettage(raspahan) kay naa pa man nahabilin. But under anesthesia labi na kay retroverted ang matres aron matarong pagka raspa.
When patient is awake, expect nga di matarong ang pagka raspa tungod sa sakit. Ngano nga di man anesthesiahan nga naa may naka kontrata nga anesthesiologist? Kung ako to? Paanhaon nako sya, patagaan nako ug anesthesia ang pasyente. Gi sweldohan sa buhis sa katawhan unya wa diha??
3) Kung gibuhat pa na, ka usa ra unta ma admit ang pasyente, dili na sya magdugo dugo. Dili na sya magka guol pa! Maka imagine ta sa iyang kahadlok nga gibati kay naunsa na sya!
Higher health authorities, unsaon na ninyu pagsulbad especially when it comes to Patient Safety and Satisfaction? Can you get out from your chair and evaluate your hospital activities especially sa competence sa mga staff ninyu!?
Hopeful and Sana nga!
Second Scenario to he posted later.

25/09/2025

Wishing for safe deliveries to all pregnant women.
🙏🙏🙏🙏🙏🙏

🌸 3 STAGES OF BIRTH 🌸

👶 Stage 1 – Dilation
Cervix opens 0–10 cm to prepare for delivery.

👶 Stage 2 – Expulsion
Baby moves through the birth canal and is delivered.

👶 Stage 3 – Placenta Delivery
Placenta and membranes are expelled after the baby is born.

✨ Each stage is important for a safe delivery.

25/09/2025

PAHIBALO: Walay Clinic karon adlawa, 9/26/25 tungod sa bagyo.
Mobalik ang Clinic sa Sabado 9/27/25 ala 1:00PM. Keep safe ta!

25/09/2025

Worth reading for pregnant women!❤️❤️❤️❤️

10 MISTAKES TO AVOID DURING LABOUR AND DELIVERY

Labour is not something to approach without preparation.

It is a physically and emotionally demanding process, and how well you prepare mentally, physically, and even financially can make a significant difference in your experience and outcome.

Here are common mistakes many women make during labour and why you should avoid them:

1. Going into labour hungry and dehydrated
Labour is like running a race. Your body needs fuel. If you have not eaten or taken fluids, your strength may drop, contractions can slow down, and you may feel weak. Unless your doctor advises otherwise, eat something light and sip water in early labour.

2. Pushing before you are fully dilated
You must be 10 cm dilated before it is safe to push. Doing so too early can cause your cervix to swell, delay labour, or lead to injury. Always wait for your midwife or doctor’s go-ahead.

3. Not setting money aside for emergencies
Even with a birth plan, things can change quickly. You may need medications, tests, or a transfer to another facility. Emergency funds reduce stress and delays in critical moments.

4. Refusing to move or change positions
Labour progresses better when you are mobile or upright. Staying flat can slow things down and increase pain. Simple movements like swaying or kneeling help your baby descend.

5. Ignoring early signs
Some women wait too long before seeking help, thinking it is false labour. If your water breaks, contractions become regular, or you feel unusual pain, get checked. It is safer to be sent home than to arrive too late.

6. Forgetting to pack essentials
Snacks, water, slippers, your hospital card, baby clothes, and sanitary pads can make a big difference. Pack your bag early and review it before your due date.

7. Keeping your fears and questions to yourself
Ask every question on your mind and share your fears. The more you understand what is happening, the more confident and calm you will feel.

8. Not involving your birth partner
Labour without support can feel overwhelming. Prepare your partner or support person. Let them know how to encourage, massage, remind you to breathe, or simply be present.

9. Expecting everything to go exactly as planned
It is fine to hope for a smooth natural birth, but be flexible. Labour does not always follow a script. Being open to necessary changes helps you adapt better.

10. Forgetting to breathe and screaming through contractions
Screaming drains your energy and leaves you exhausted. Holding your breath makes it worse. Controlled breathing calms your body, eases pain, and keeps oxygen flowing to your baby. You do not have to be silent, but try to breathe through the pain instead of fighting it.
Labour is intense, but knowledge and preparation make it easier. Go in informed, supported, and ready.

— Midwife Chiamaka

25/09/2025

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Kawawang mga pobre, walang quality of care lalo na sa mga government funded hospitals.
Quality Management is at "Zero" Level and even beyond!

KAILANGAN NG PONDO PARA SA HOSPITAL BEDS!

Ibinunyag ng Department of Health (DOH) na 28,153 beds lang ang available sa public hospitals, when laws provide for up to 118,528 beds nationwide. SOBRANG LAYO NG AGWAT.

Imbes na ma-ghost na naman tayo sa flood control, mas mabuting ibigay na lang sa DOH ang pondo para mapaliit ang bed capacity gap.

Kailangang mag-materialize itong 90,000 hospital beds—kumpleto sa equipment at health workers.

18/09/2025

PAHIBALO:
Way Clinic karon Sabado, 9/20/25.
Mo resume ang Clinic sa Martes 9/23/25.