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╭━━━━━━━━━━━━━━━━━━━━╮ 🩺 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 ━━━━━━━━━━━━━━━━━━ 📚 SAVE • SHARE • REVISE https://whatsapp.com/channel/0029VbCcF2iFCCoTeLTQts0h

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