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| 11 | ╭━━━━━━━━━━━━━━━━━━━━╮
🩺 OBG 2026 UPDATES
NEET-PG HIGH-YIELD
╰━━━━━━━━━━━━━━━━━━━━╯
🔥 PART 1 — MUST KNOW UPDATES
━━━━━━━━━━━━━━━━━━
🩸 1. POSTPARTUM HAEMORRHAGE
WHO 2025 UPDATE
🔹 PPH PREVENTION
Use ONE quality-assured uterotonic
💉 Oxytocin
→ 10 IU IM/IV
→ Recommended for all births
💉 Carbetocin
→ 100 µg IM/IV
→ Heat-stable form useful when cold-chain is unavailable
💊 Misoprostol
→ 400–600 µg PO
→ Recommended for prevention of PPH
🚫 NOT routinely recommended
• Ergometrine / Methylergometrine
• Fixed-dose Oxytocin + Ergometrine
• Injectable prostaglandins
→ Carboprost / Sulprostone
⚠️ TXA
→ NOT recommended for prevention of PPH
📌 NEW DIAGNOSTIC TRIGGER
Blood loss:
→ ≥300 mL + abnormal haemodynamic sign
OR
→ ≥500 mL
🧠 Be especially vigilant during the first 2 hours.
━━━━━━━━━━━━━━━━━━
🧬 2. GESTATIONAL TROPHOBLASTIC NEOPLASIA
FIGO 2026
📍 hCG PLATEAU
<10% rise/fall across 4 measurements
→ Days 1, 7, 14, 21
📍 hCG RISE
10% across 3 consecutive weekly measurements
→ Days 1, 7, 14
📍 GTN can also be diagnosed by histopathology:
→ Choriocarcinoma
→ PSTT
→ ETT
❌ OLD CRITERION REMOVED
“hCG remains elevated for ≥6 months”
🔥 RISK GROUPS
• 0–6 → Low risk
• 7–12 → High risk
• ≥13 → 🔴 Ultra-high risk
━━━━━━━━━━━━━━━━━━
🤰 3. HYPERTENSIVE DISORDERS IN PREGNANCY
FOGSI–GESTOSIS–ICOG 2026
📌 GESTATIONAL HYPERTENSION
BP ≥140/90 mmHg
→ On 2 occasions ≥4 h apart
→ After 20 weeks
→ Without other features of preeclampsia
📌 PREECLAMPSIA
BP ≥140/90 after 20 weeks
+
Proteinuria / end-organ dysfunction /
uteroplacental dysfunction
💊 ASPIRIN PROPHYLAXIS
• Gestosis score positive → 75 mg/day
• Multimodal screening positive → 150 mg/day
⏰ Start ideally before 16 weeks
→ Can be started up to 20 weeks with some benefit
→ Preferably at bedtime
→ Continue at least till 36 completed weeks
🧪 sFlt-1 / PlGF
→ <35 → suggests no uteroplacental dysfunction
→ >85 → high risk for complications
━━━━━━━━━━━━━━━━━━
🆕 4. PCOS → PMOS
✨ NEW NAME
Polyendocrine Metabolic Ovarian Syndrome
PMOS
Previously known as:
Polycystic Ovary Syndrome (PCOS)
🧠 WHY THE NAME CHANGED?
The new name reflects the broader:
→ Endocrine
→ Metabolic
→ Ovarian
dimensions of the condition.
🔥 NEET-PG 2026 BUZZWORD
PCOS → PMOS
━━━━━━━━━━━━━━━━━━
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