Dra. Doblas Ob-Gyne Clinic and Primary Health Care

27/04/2026

PAHIBALO!
Walay Clinic karong Bernes, Mayo 1, 2026.
Salamat!

24/04/2026

Women must read this info...

Cervicitis is a condition where the cervix (the lower part of the uterus that opens into the va**na) becomes inflamed.

What causes it?
Cervicitis can happen for several reasons:

1: INFECTIONS (MOST COMMON):
S**xually transmitted infections like Chlamydia or Gonorrhea
Herpes Simplex Virus
Trichomoniasis

2: Non-infectious causes:
Allergic reactions (e.g., to latex condoms or hygiene products)
Irritation from douching or chemical exposure
Hormonal changes
Injury to the cervix

SYMPTOMS
Sometimes there are no symptoms, but when present, they may include:
Unusual va**nal discharge (may be yellow, white, or foul-smelling)
Vaginal ble@ between periods or after s*x
Pain during in*******se
Pelvic or lower abdominal discomfort
Burning or irritation

Diagnosis
A healthcare provider may:
Perform a pelvic exam
Take swabs to test for infections
Do a Pap smear if needed

Treatment
Depends on the cause:
Bacterial infections: antibiotics
Viral infections: antiviral medications
Non-infectious causes: removing the irritant or treating underlying issues

When to seek care
You should see a doctor if you have:
Persistent discharge or odor
Bleeding not related to your period
Pain during s**x or pelvic pain

23/04/2026

Importance of Vaginal Examination during labor.

V@ginal Examination (V.E) During Labor is a routine clinical procedure used to assess how labor is progressing.

🔍 What is a V@ginal Examination?
It is when a trained healthcare provider (midwife or doctor) gently inserts gloved fingers into the va**na to check the cervix and baby’s position.

🎯 Why is it done during labor?
V.E helps to:
🥚Check cervical dilation (how open the cervix is, from 0–10 cm)
🥚Assess cervical effacement (thinning of the cervix)
🥚Determine fetal station (how far the baby has descended)
🥚Identify the presentation (head, breech, etc.)
🥚Check membrane status (if the water has broken)
🥚Assess labor progress and need for intervention

⏱️ How often is it done?
🥚Usually every 4 hours in normal labor
Can be done more frequently if:
🥚Labor is progressing slowly
🥚There are complications
🌍Before procedures (e.g., induction, pushing stage)

⚠️ Important precautions
🥚Must be done using strict sterile technique to prevent infection
🥚Avoid frequent exams, especially after membranes rupture
🥚Should only be done when medically necessary

😣 What does it feel like?
🥚May feel uncomfortable or slightly painful, especially during contractions
🥚Try to relax, breathe deeply, and follow instructions from the caregiver

🚫 When should it be limited or avoided?
In cases like placenta previa (to prevent bleeding)
If there is a high risk of infection

💡 Tips for mothers
Ask why the exam is needed
You have the right to consent or decline
Try to empty your bladder before the exam for comfort

21/04/2026

Cervical Cerclage.
Ang pagtali sa Cervix adtong mga pasyenteng may Incompetent Cervix.

INCOMPETENT CERVIX TREATMENT (What Is Cervical Cerclage?

Cervical Cerclage in Pregnancy

🔴A cervical cerclage, also known as a cervical stitch, is a surgical procedure where a strong stitch is placed around the cervix to prevent it from opening too early during pregnancy.

🔴This is often done when the cervix is weak or shortening before the baby is ready to be born.

When Is It Recommended?
Doctors may suggest this procedure if:

🥚You’ve had previous miscarriages in the second trimester
🥚The cervix is found to be shortening early in pregnancy through ultrasound
🥚There’s a history of premature birth due to cervical insufficiency
🥚You’re carrying multiples, and cervical length is a concern

Types of Cervical Cerclage

There are three main types of cervical cerclage, chosen based on medical history and the stage of pregnancy.

1. Transva**nal Cerclage
Most common type
Placed through the va**na
Usually done between 12 and 14 weeks
Removed around 36–37 weeks or during labour

2. Transabdominal Cerclage
Less common, done when va**nal cerclage is not possible
Requires abdominal surgery
May stay in place for future pregnancies
Typically done before conception or early in pregnancy.

3. Emergency or Rescue Cerclage
Performed later in pregnancy if cervix is already dilated
Considered a last resort when labour hasn’t started
Higher risk of complications

How the Procedure Is Done
Cervical cerclage is typically done as a day procedure and involves the following steps:

A spinal or general anaesthetic is used
The cervix is stitched closed using strong medical thread
The process takes about 30–60 minutes
Most women return home the same day.

You’ll be advised to rest for a day or two and may need regular follow-up scans to monitor the cervix.

THINGS NOT TO DO AFTER CERVICAL CERCLAGE
Recovery is usually smooth, but certain actions can cause stress on the cervix and should be avoided.

Activities to Avoid:
🔴Heavy lifting or physical exertion
Sexual activity (for at least 1–2 weeks or as advised)
🔴Travelling long distances, especially on bumpy roads
🔴Standing or walking for extended periods
🔴Inserting anything va**nally (including tampons)
🔴Always follow your doctor’s advice based on your specific condition.

Common Symptoms After Cerclage
After the procedure, some discomfort is normal. However, you should be aware of what is usual and what requires medical attention.

Normal symptoms:
🥚Mild cramps
🥚Light bl@ or spotting
🥚Mild back pain

Contact your doctor if you notice:
🥚Severe cramping
🥚Heavy bl@
🥚Leaking fluid from the va**na
🥚Fever or chills
🥚Strong pelvic pressure

BENEFITS OF CERVICAL CERCLAGE
Cervical cerclage can be life-saving for the baby in many cases. It helps keep the cervix closed until the baby is more developed.

Advantages include:
🛑Reduced risk of miscarriage
🛑Lower chance of premature birth
🛑Greater peace of mind during pregnancy
While not guaranteed to prevent early birth in all cases, it has shown strong results for women with a history of cervical insufficiency.

RISKS AND COMPLICATIONS
Every medical procedure has some risks, and cervical cerclage is no exception.

Possible Risks:
🥚Infection of the cervix or uterus
🥚Premature rupture of membranes
🥚Bl@
🥚Stitch failure
🥚Irritation of the cervix

In rare cases, early removal of the stitch may be needed. However, most women have positive outcomes with proper monitoring.

17/04/2026

Maybe???

17/04/2026

Importanteng "Information".
Let us read this....

𝙐𝙧𝙞𝙣𝙚 𝙡𝙚𝙖𝙠𝙖𝙜𝙚 𝙙𝙪𝙧𝙞𝙣𝙜 𝙥𝙧𝙚𝙜𝙣𝙖𝙣𝙘𝙮 is very common and is usually called 𝙨𝙩𝙧𝙚𝙨𝙨 𝙞𝙣𝙘𝙤𝙣𝙩𝙞𝙣𝙚𝙣𝙘𝙚.. As your baby grows, the uterus puts pressure on your bladder and pelvic floor muscles. At the same time, pregnancy hormones relax your muscles and tissues, making it easier for small leaks to happen—especially when you sneeze, cough, laugh, or exercise.

👉 When you might notice it
Many women first notice leakage in the second or third trimester, but it can happen earlier too. Simple everyday actions like standing up quickly, lifting something, or even a strong sneeze can trigger it. It might be just a few drops, but it can still feel uncomfortable or surprising.

👉 Is it normal?
Yes, mild leakage during pregnancy is very normal and happens to a large number of women. It doesn’t mean something is wrong—it’s simply your body adjusting to pregnancy. However, if the leakage is frequent, heavy, or accompanied by pain or burning, it’s important to talk to your doctor.

👉 What can help
There are simple ways to manage and reduce leaks. Doing pelvic floor (Kegel) exercises regularly can strengthen the muscles that control urination. Try to empty your bladder often, avoid holding urine for too long, and wear comfortable clothing. Some women also use light pads for extra confidence when going out.

👉 After pregnancy
For many women, leakage improves after childbirth as the pressure on the bladder decreases. However, pelvic floor recovery takes time, and continuing exercises can help speed up the process. If it continues postpartum, don’t hesitate to seek medical advice—support and treatment are available 🤍

16/04/2026

The benefits of delaying umbilical cord clamping.

Delayed cord clamping (DCC) is the practice of waiting between 30 seconds and several minutes before clamping and cutting the umbilical cord after birth. Traditionally, cords were clamped within 10-20 seconds, but modern medical guidelines are finally catching up with holistic practices and it is now recommended by the American College of Obstetricians and Gynecologists (ACOG) and the World Health Organization (WHO) to delay the cord clamping for a minimum of 30-60 seconds for most newborns.

For babies born at 37 weeks or later, the primary advantages focus on iron stores and early developmental support. Waiting allows for “placental transfusion” where up to one-third of the baby’s total blood volume is transferred from the placenta. This provides enough iron to significantly reduce the risk of iron-deficiency anemia for up to the first six months of life.

Higher iron levels also support healthy brain development. Some research indicates that children who had DCC show improved fine motor and social skills at age 4 compared to those who had immediate clamping. Furthermore, the additional blood flow includes a high concentration of antibodies and stem cells, which are essential for building a strong immune system and repairing tissues.

There are also CRITICAL benefits for preterm babies. Babies born before 37 weeks see the most life-saving benefits from DCC. The extra blood volume helps stabilize blood pressure and improves the transition from the womb to breathing on their own. DCC is also associated with a lower incidence of intraventricular hemorrhage (bleeding in the brain), a serious complication for preemies.

It also reduces the risk of necrotizing enterocolitis, a life-threatening intestinal condition. Because they start with a higher red blood cell count, these babies are less likely to need medical blood transfusions later.

Unfortunately, if the infant needs immediate resuscitation or if the mother is bleeding heavily (postpartum hemorrhage), immediate clamping is usually necessary to prioritize urgent medical care.

SOURCE: https://www.ncbi.nlm.nih.gov/books/NBK310514/

15/04/2026

Dagdag assessment sa prenatal check up para sa akong mga pasyente, mao ni:
VTE(Venous Thrombo Embolism)
Risk Assessment and Management.
• Lower Risk
• Intermediate Risk
• High Risk
Blood clotting is a risk. Dapat walay mamatay due to blood clotting because it is preventable!
Naa unta mo ani nga Program,
Pero para sa akong mga pasyente, ako nang gibuhat ug well explained ang mga pasyente. Kay kung wala mo ana nga program, at least mga pasyente makahibalo.

06/04/2026

When the baby can see?

Baby Vision Guide

25/03/2026

Importanteng Pahibalo:
Bisan sa ka mahal sa mga palitonon karon, tungod sa Energy Crisis, walay increase sa atong mga Services. Mao ra gihapon. Kini agi ug tabang lang gihapon sa mga katawhan.
God Bless Us All!
To God Be The Glory!

24/03/2026

PAHIBALO:
Walay Clinic sa Martes, 3/31/26, hangtud sa April 7,2026.
Clinic will resume on Wednesday, 4/8/26.