MU Pleven Obstetrics & Gynaecology Society (2026)

29/01/2024

🎉 Exciting News! Join us for an exclusive online talk with DR. Noor, former president of POGS🌟

🔍 Topic: Transition from Pleven to the NHS, her incredible journey, and valuable tips!

🗓️ Date: February 3rd, 2024
⏰ Time: 6:00 PM (GMT)

👩‍⚕️ DR. Noor will share insights into her unique journey and experiences, shedding light on the transition process from Pleven to the NHS. Whether you're a medical professional, student, or simply curious about the healthcare sector, this talk is for you!

🤔 Bring your questions and engage in a lively discussion with DR. Noor! The link to join the talk will be posted on the day, so mark your calendars and set a reminder!

🚀 Don't miss out on this opportunity to gain valuable insights and connect with a seasoned professional in the field. We look forward to seeing you there! 🌐

27/12/2023

"In a world that often whispers in hushed tones about periods, let's turn up the volume on a conversation that needs amplification. 🩸 Menstrual irregularities, a topic often shrouded in silence, are more common than we might think. It's time to break the stigma and shed light on the various ways our bodies express themselves.

From missed periods to unexpected flows, our menstrual cycles can be as unique as we are. It's crucial to recognize that irregularities are not anomalies but rather a natural part of the intricate tapestry of our bodies. Hormones ebb and flow, stressors play their part, and our bodies respond in their own rhythm.

Understanding and accepting these irregularities is a journey towards self-compassion. It's about realizing that our bodies are resilient, adapting to the ebb and flow of life. It's okay to seek guidance from healthcare professionals, fostering a relationship with our bodies that goes beyond the monthly calendar.

Let's foster a community where conversations about menstrual health are met with empathy and support. By embracing the irregularities, we empower ourselves and others to navigate the diverse landscapes of our bodies. Together, let's create a space where every menstrual story is heard, celebrated, and normalized. 🌸💪 "

20/05/2022

Pelvimetry is the measurement/assessment of the pelvis which can be done via bimanual examination (two fingers inside the va**na and pressure is put on the abdomen) or imagining (CT, MRI).

1. *Bi-tuberous diameter* – distance between the ischial tuberosities
Procedure: push a closed fist against the v***a and gently apply pressure
Findings:
• If the pelvic outlet is normal (wide) the ischial tuberosities will be felt on the outside four knuckles of the fi**ed hand
• If the pelvic outlet is narrow the ischial tuberosities will be felt on the inside of the four knuckles of the fi**ed hand

2. *Diagonal conjugate*
Procedure: index and middle finger are inserted into the va**na and the middle finger palpates the sacral promontory. This method assesses the AP diameter of the pelvic inlet.
Findings:
• If the pelvic inlet is normal (wide) the sacral promontory will not be reached
• If the pelvic inlet is narrow the sacral promontory will be reached by the middle finger

3. *Sacral curvature*
Procedure: after assessing the sacral promontory, the hand is pronated 90 degrees and the curvature of the sacrum is palpated by moving the fingers inferiorly.
Findings: the anterior surface of the sacrum is either hollow or flat
4. *Midplane of pelvis*
Procedure: asses the ischial spines in 4 and 8 o'clock positions in the mid-pelvis.
Findings: the ischial spines are either prominent, average or blunt
5. *Bispinous diameter* - distance between the ischial spines
Procedure: same as above
Findings: the transverse plane of the pelvis is either normal, wide or narrow
6. *Retrop***c angle*
Procedure: palpate the posterior surface of the symphysis p***s
Findings: the angle is either wide, round, narrow or angulated
7. *Subp***c arch*
Procedure: palpate the inferior aspect of the p***c bone
Findings: the arch is either wide, normal or narrow

*Illustrations by *

18/05/2022

Hello POGS family. 😃⁣
Hope you all are having a great Wednesday! Today’s topic is all about Leopold’s Maneuvers.✨⁣
We hope you learn something from today’s post!

16/05/2022

✨MU-POGS is excited to announce our very first offline workshop of this semester.

“GYNAECOLOGICAL ULTRASOUND”
By Dr. Popovski

🗓 20.05 Friday
🕕 05:00 pm (EEST)
🔹 RSVP form: https://docs.google.com/forms/d/e/1FAIpQLSfKw4M-YCGqrZufFcB6OJmtx4zjuWBOEBDIIHEgH0hQVjgkzQ/viewform?usp=sf_link

This talk will be presented by Dr. Popovski, an Assistant professor at Medical University-pleven and an Obstetrician and Gynaecologist at Base 2.

This workshop also includes being able to perform an ultrasound on a patient under supervision.

If you want to participate, please fill out the RSVP form, the link is available in our bio!

Love, POGS✨

06/05/2022

DIAGNOSIS
Once twin pregnancy is confirmed screening US should be done every 2 weeks.

QUINTERO STAGING OF TTTS

Stage I: One baby has too much fluid (Polyhydramnios) and the other baby does not have enough fluid (Oligohydramnios).

Stage II: Donor fetus bladder not visible on US

Stage III: Abnormal blood flow through the umbilical cord or fetal vessels.

Stage IV: An abnormal fluid collection in more than one body cavity (Hydrops fetalis).

Stage V: The death of one or both babies.

Using the results of the fetal echocardiography, we also put the severity of the recipient fetus’ heart condition as mild, moderate or severe.

MANAGEMENT
In less severe cases, surgery may not be needed. Regular US and fetal echocardiography is done to monitor the fetuses.

Amnioreduction
In mild cases amnioreduction is done to drain the excess amniotic fluid from the recipient twin’s sac.

Selective Fetoscopic Laser Photocoagulation (Laser Surgery)
Recommended for severe cases. A small incision is made in the mother’s abdomen and a trocar is inserted into the uterus. The surgeon then passes a fetoscope to see all the blood vessel connections on the surface of the placenta shared by the twins.

After the abnormal blood vessel connections are found, laser is used to disconnect them permanently. This is followed by amnioreduction.

Post-operative US and fetal echocardiography are then repeated 5 days after surgery to reassess fetal condition.

PROGNOSIS
TTTS often causes premature birth. In this case, babies need care in a neonatal ICU.

Most babies who are successfully treated for TTTS live normal, healthy lives. However, some experience mild complications, like anemia. This can be easily treated. More serious problems include brain injury and heart failure.

*Illustrations by *

04/05/2022

Twin-to-Twin Transfusion Syndrome (TTTS) is a serious, progressive disorder. The twins do not have malformations, but one transfuses the other through abnormal or imbalanced blood vessel connections in the shared placenta.

*PATHOPHYSIOLOGY*
When a fetus is anemic, or doesn’t have enough blood and oxygen, it tries to use what it has most efficiently. This is accomplished by emphasizing the blood flow to the most important organs (the brain and the heart) and shutting down less vital organs, such as the kidneys. Thus, the ‘donor’ twin will make a lot less urine (oligouria - oligohydramnios). Meanwhile, the 'recipient' twin is overloaded with blood and volume, and is urinating excessively (polyuria - polyhydramnios) as a result.

Yhe recipient’s blood can become thick and difficult to pump around the body. The recipient twin, having to pump the thick extra volume of blood, can develop heart failure, generalized soft tissue swelling (hydrops fetalis), and, in some cases, fetal death.

The donor twin is at risk for developing failure of the kidneys and other organs because of inadequate blood flow. Because of the blood vessels that connect the circulations of the two fetuses across the shared placenta, if one twin dies, the other twin faces significant risk of death or damage to vital organs.

If the other twin survives, there is up to a 40% risk of some form of brain injury. Unfortunately, without treatment, approximately 70–80% of twins with TTTS will die. Survivors may have injuries to their brains, hearts and/or kidneys.

*Illustrations by *

18/04/2022

DIAGNOSIS
People experiencing symptoms of postpartum depression for more than 2 weeks within the first year of giving birth should have a postpartum depression screening. They’ll typically look out for:

•depression symptoms
•disturbances to sleep patterns
•feelings of decreased energy
•feelings of irritability

Identifying other risk factors like:

•recent stressful life events
•a history of depression
•outside stressors
•your medication history

Blood test to check for presence of thyroid disease or a nutrient deficiency that may be contributing to the depression.

MANAGEMENT
Postpartum depression is treated differently, depending on the type of symptoms and severity.

The most common type of medication for postpartum depression is Selective Serotonin Reuptake Inhibitors (SSRIs). These drugs can help relieve many of the symptoms of depression, but they take time — typically 6 to 8 weeks — to start working fully. SSRIs generally have fewer side effects than other antidepressants and include paroxetine (Paxil), fluoxetine (Prozac), and sertraline (Zoloft).

Side effects from antidepressants can include feelings of agitation or anxiety, digestive issues, and headaches, among others.

Studies have found that a specific type of therapy called cognitive behavioral therapy (CBT) can significantly improve postpartum depression symptoms. CBT involves learning and using techniques and strategies that enable you to change your thinking patterns, recognize distortions in thinking, use problem-solving skills to cope with difficult situations, and develop greater confidence in your own abilities.

PREVENTION
Some studies suggest that treatment with certain antidepressants and nutrients during and immediately after pregnancy, may reduce your risk of developing severe postpartum depression.

Additionally, participating in interpersonal therapy and CBT during and after pregnancy may reduce the risk of postpartum depression in those at an increased risk of developing it.

*Illustrations by

11/04/2022

Most new moms experience postpartum "baby blues" after childbirth, which commonly include mood swings, crying spells, anxiety and difficulty sleeping. Baby blues typically begin within the first two to three days after delivery, and may last for up to two weeks.

But some new moms experience a more severe, long-lasting form of depression known as postpartum depression.

CAUSES
There's no single cause of postpartum depression, but physical and emotional issues may play a role.

1. Physical changes - After childbirth, a dramatic drop in hormones (estrogen and progesterone) in your body may contribute to postpartum depression.
2. Emotional issues - When you're sleep deprived and overwhelmed, you may be anxious about your ability to care for a newborn. You may feel less attractive, struggle with your sense of identity or feel that you've lost control over your life.

RISK FACTORS

•You have a history of depression.
•You have bipolar disorder
•You have family members who've had depression or other mood disorders
•You've experienced stressful events during the past year, such as pregnancy complications, illness or job loss
•Your baby has health problems or other special needs
•You have twins, triplets or other multiple births
•You have difficulty breast-feeding
•You're having problems in your relationship with your spouse or significant other
•You have a weak support system
•You have financial problems
•The pregnancy was unplanned or unwanted.

SIGNS AND SYMPTOMS
•Depressed mood or severe mood swings
•Excessive crying
•Difficulty bonding with your baby
•Withdrawing from family and friends
•Loss of appetite or eating much more than usual
•Inability to sleep (insomnia) or sleeping too much
•Overwhelming fatigue or loss of energy
•Reduced interest and pleasure in activities you used to enjoy
•Intense irritability and anger
•Fear that you're not a good mother
•Hopelessness
•Feelings of worthlessness, shame, guilt or inadequacy
•Diminished ability to think clearly, concentrate or make decisions
•Restlessness
•Severe anxiety and panic attacks
•Thoughts of harming yourself or your baby
•Recurrent thoughts of death or su***de

*All illustrations by *

30/03/2022

Happy Wednesday friends! 🌸⁣
⁣
The team is super excited to announce our meet & greet which is happening offline, finally!! 😊⁣
Here’s your chance to meet the team in person & find out what’s planned for this year! 😃⁣
⁣
Come along & bring your friends! ⁣
We’re excited to see you! ☺️

28/03/2022

Hello POGS family! 😊

Here is our first case study! Comment below what you think the diagnosis is! 👀

The first person to answer correctly will receive 5 points! 🌟

Have fun! ☺️

MU Pleven Obstetrics & Gynaecology Society

29/01/2024

27/12/2023

20/05/2022

18/05/2022

16/05/2022

06/05/2022

04/05/2022

18/04/2022

11/04/2022

30/03/2022

28/03/2022

Address

Website

Alerts

Contact The Practice

Shortcuts

Share