Morning Rounds · High-Risk Pregnancy & Obstetric Law MTP Act 2021 (Amendment) — Gestational Bands Up to 20 weeks 20–24 weeks Beyond 24 weeks Opinion of 1 Registered Medical Practitioner (RMP) Available to any woman… 

Morning Rounds · Medical Disorders in Pregnancy Antiepileptic Drugs in Pregnancy — Relative Teratogenic Risk Drug Major Malformation Risk Notable Concern Valproate Highest (~9–10%); dose-dependent NTDs + cognitive impairment Carbamazepine Intermediate (~3–4%) Spina bifida, craniofacial… 

Morning Rounds · PPH, Puerperal Sepsis & Maternal Death Audit Atonic PPH — Escalation Ladder (act at each step, do not wait passively) 1. Call for help + IV access ×2 + first uterotonic (oxytocin)… 

Morning Rounds · Labor, Partograph & Malpresentation Partograph — Alert Line vs Action Line 10cm 4cm Hours since active phase onset → Alert line Action line (alert + 4h) Plot crosses alert line — watch… 

Morning Rounds · Antepartum Hemorrhage & Emergency Consent Antepartum Hemorrhage — Quick Differentiation Feature Placenta Previa Abruptio Placentae Pain Painless Severe, tense/tender uterus Bleeding Visible loss ≈ true loss May be concealed — underestimated Uterus… 

Morning Rounds · Hypertensive Disorders of Pregnancy Preeclampsia — Any ONE Severe Feature Changes Management BP ≥160 systolic or ≥110 diastolic Platelets <100,000/mm³ Severe persistent headache / visual sx Impaired liver function / RUQ pain… 

Morning Rounds · Antenatal Care, Screening & Informed Consent Screening vs Diagnostic Testing in Pregnancy Screening (NT scan, biochem, NIPT) Diagnostic (CVS, Amniocentesis) Gives a risk/probability, not a yes/no answer Gives a definitive yes/no answer… 

Morning Rounds · Obstetrics Series ObstetricsA Guide to the Morning Rounds Series Seven high-yield rounds · 35 clinical cases · NEET-PG / INI-CET / UPSC CMS · +4 / −1 scoring Obstetrics asks a question…