ls -la /tmp/workspace/ 2>/dev/null || mkdir -p /tmp/workspace && echo "Created workspace"

mkdir -p /tmp/workspace/labor-stages-ppt && cat > /tmp/workspace/labor-stages-ppt/create_ppt.py << 'PYEOF' from pptx import Presentation from pptx.util import Inches, Pt, Emu from pptx.dml.color import RGBColor from pptx.enum.text import PP_ALIGN from pptx.util import Inches, Pt import copy prs = Presentation() prs.slide_width = Inches(13.33) prs.slide_height = Inches(7.5) # Color scheme DARK_BLUE = RGBColor(0x1A, 0x3A, 0x5C) MID_BLUE = RGBColor(0x2E, 0x75, 0xB6) LIGHT_BLUE= RGBColor(0xBD, 0xD7, 0xEE) WHITE = RGBColor(0xFF, 0xFF, 0xFF) ORANGE = RGBColor(0xED, 0x7D, 0x31) DARK_TEXT = RGBColor(0x1F, 0x27, 0x37) GRAY_BG = RGBColor(0xF2, 0xF7, 0xFD) blank_layout = prs.slide_layouts[6] # blank def add_rect(slide, l, t, w, h, fill_color=None, line_color=None, line_width=None): shape = slide.shapes.add_shape(1, Inches(l), Inches(t), Inches(w), Inches(h)) if fill_color: shape.fill.solid() shape.fill.fore_color.rgb = fill_color else: shape.fill.background() if line_color: shape.line.color.rgb = line_color if line_width: shape.line.width = Pt(line_width) else: shape.line.fill.background() return shape def add_text_box(slide, text, l, t, w, h, font_size=14, bold=False, color=DARK_TEXT, align=PP_ALIGN.LEFT, wrap=True): txBox = slide.shapes.add_textbox(Inches(l), Inches(t), Inches(w), Inches(h)) tf = txBox.text_frame tf.word_wrap = wrap p = tf.paragraphs[0] p.alignment = align run = p.add_run() run.text = text run.font.size = Pt(font_size) run.font.bold = bold run.font.color.rgb = color return txBox def add_para(tf, text, font_size=12, bold=False, color=DARK_TEXT, align=PP_ALIGN.LEFT, indent_level=0, space_before=0): p = tf.add_paragraph() p.alignment = align p.level = indent_level if space_before: p.space_before = Pt(space_before) run = p.add_run() run.text = text run.font.size = Pt(font_size) run.font.bold = bold run.font.color.rgb = color return p def make_slide_header(slide, title_text, subtitle_text=None): # Top banner add_rect(slide, 0, 0, 13.33, 1.1, fill_color=DARK_BLUE) # Accent line add_rect(slide, 0, 1.1, 13.33, 0.07, fill_color=ORANGE) # Title text add_text_box(slide, title_text, 0.3, 0.1, 12.5, 0.85, font_size=26, bold=True, color=WHITE, align=PP_ALIGN.LEFT) if subtitle_text: add_text_box(slide, subtitle_text, 0.3, 0.85, 12.5, 0.35, font_size=14, bold=False, color=LIGHT_BLUE, align=PP_ALIGN.LEFT) # Background add_rect(slide, 0, 1.17, 13.33, 6.33, fill_color=GRAY_BG) # ───────────────────────────────────────────────────── # SLIDE 1: Title Slide # ───────────────────────────────────────────────────── slide = prs.slides.add_slide(blank_layout) add_rect(slide, 0, 0, 13.33, 7.5, fill_color=DARK_BLUE) add_rect(slide, 0, 3.0, 13.33, 0.1, fill_color=ORANGE) add_rect(slide, 0, 3.1, 13.33, 4.4, fill_color=MID_BLUE) add_text_box(slide, "MANAGEMENT OF", 1.5, 1.1, 10, 0.8, font_size=22, bold=False, color=LIGHT_BLUE, align=PP_ALIGN.CENTER) add_text_box(slide, "1ST, 2ND & 3RD STAGE OF LABOR", 1.0, 1.9, 11.33, 1.0, font_size=34, bold=True, color=WHITE, align=PP_ALIGN.CENTER) add_rect(slide, 4.5, 3.2, 4.33, 0.06, fill_color=WHITE) add_text_box(slide, "Obstetrics & Gynecology", 2.0, 3.5, 9.33, 0.6, font_size=18, bold=False, color=WHITE, align=PP_ALIGN.CENTER) add_text_box(slide, "A Comprehensive Clinical Guide", 2.5, 4.2, 8.33, 0.5, font_size=14, bold=False, color=LIGHT_BLUE, align=PP_ALIGN.CENTER) # Stage badges for i, (label, x) in enumerate([("1st Stage", 1.8), ("2nd Stage", 5.16), ("3rd Stage", 8.5)]): add_rect(slide, x, 5.2, 2.5, 0.9, fill_color=ORANGE) add_text_box(slide, label, x, 5.25, 2.5, 0.8, font_size=16, bold=True, color=WHITE, align=PP_ALIGN.CENTER) # ───────────────────────────────────────────────────── # SLIDE 2: 1st Stage - Overview & General Management # ───────────────────────────────────────────────────── slide = prs.slides.add_slide(blank_layout) make_slide_header(slide, "1st Stage of Labor", "Principles & General Management") # Left column add_rect(slide, 0.3, 1.35, 6.1, 5.9, fill_color=WHITE) add_rect(slide, 0.3, 1.35, 6.1, 0.4, fill_color=MID_BLUE) add_text_box(slide, "PRINCIPLE", 0.35, 1.37, 6.0, 0.38, font_size=11, bold=True, color=WHITE) txBox = slide.shapes.add_textbox(Inches(0.35), Inches(1.8), Inches(5.95), Inches(4.9)) tf = txBox.text_frame tf.word_wrap = True p = tf.paragraphs[0] p.alignment = PP_ALIGN.LEFT run = p.add_run() run.text = "Noninterference with watchful expectancy" run.font.size = Pt(12) run.font.bold = True run.font.color.rgb = DARK_BLUE add_para(tf, "Monitor progress of labor, maternal & fetal condition", 11, color=DARK_TEXT) add_para(tf, "GENERAL MEASURES", 11, bold=True, color=MID_BLUE, space_before=8) items_left = [ "1. Antiseptic dressing", "2. Encouragement & emotional support", "3. Position: left lateral / ambulation (if membranes intact)", "4. Enema with soap and water", "5. Diet: liquid diet (water, fruit juice)", " NPO with IVF (RL) if intervention anticipated", "6. Bladder care: encourage to pass urine", ] for item in items_left: add_para(tf, item, 11, color=DARK_TEXT) # Right column add_rect(slide, 6.75, 1.35, 6.25, 5.9, fill_color=WHITE) add_rect(slide, 6.75, 1.35, 6.25, 0.4, fill_color=MID_BLUE) add_text_box(slide, "ANALGESIA (Item 7)", 6.8, 1.37, 6.15, 0.38, font_size=11, bold=True, color=WHITE) txBox2 = slide.shapes.add_textbox(Inches(6.8), Inches(1.8), Inches(6.1), Inches(4.9)) tf2 = txBox2.text_frame tf2.word_wrap = True p2 = tf2.paragraphs[0] run2 = p2.add_run() run2.text = "Inj. Pethidine 50mg IM" run2.font.size = Pt(11) run2.font.color.rgb = DARK_TEXT add_para(tf2, " → If patient is in latent phase of labor", 11, color=DARK_TEXT) add_para(tf2, "Epidural analgesia", 11, bold=True, color=DARK_TEXT) add_para(tf2, " → In active phase of labor", 11, color=DARK_TEXT) # ───────────────────────────────────────────────────── # SLIDE 3: 1st Stage - Partograph Monitoring # ───────────────────────────────────────────────────── slide = prs.slides.add_slide(blank_layout) make_slide_header(slide, "1st Stage – Partograph Monitoring", "Assessment of Progress of Labor") add_rect(slide, 0.3, 1.35, 12.73, 5.9, fill_color=WHITE) add_rect(slide, 0.3, 1.35, 12.73, 0.4, fill_color=ORANGE) add_text_box(slide, "8. ASSESSMENT OF PROGRESS OF LABOR WITH PARTOGRAPH", 0.35, 1.37, 12.6, 0.38, font_size=12, bold=True, color=WHITE) # Two sub-columns txBox = slide.shapes.add_textbox(Inches(0.4), Inches(1.85), Inches(5.9), Inches(5.3)) tf = txBox.text_frame tf.word_wrap = True p = tf.paragraphs[0] run = p.add_run() run.text = "VITAL SIGNS & FLUIDS" run.font.size = Pt(12) run.font.bold = True run.font.color.rgb = MID_BLUE vitals = [ "\u2022 Pulse rate every 30 min", "\u2022 BP every hour", "\u2022 Temperature every 2 hours", "\u2022 Urine output", "\u2022 Drugs", ] for v in vitals: add_para(tf, v, 12, color=DARK_TEXT) add_para(tf, "PER ABDOMEN", 12, bold=True, color=MID_BLUE, space_before=8) add_para(tf, "\u2022 Uterine contractions in 10 min — number & duration", 11, color=DARK_TEXT) add_para(tf, "\u2022 Pelvic grip: descent of fetal head", 11, color=DARK_TEXT) add_para(tf, "FHR MONITORING", 12, bold=True, color=MID_BLUE, space_before=8) add_para(tf, "\u2022 FHR every 30 min in 1st stage", 11, color=DARK_TEXT) add_para(tf, "\u2022 Checked immediately after uterine contraction", 11, color=DARK_TEXT) add_para(tf, "\u2022 Checked for 1 minute", 11, color=DARK_TEXT) add_para(tf, "\u2022 Normal FHR = 110–160 bpm", 11, bold=True, color=DARK_BLUE) txBox2 = slide.shapes.add_textbox(Inches(6.7), Inches(1.85), Inches(6.1), Inches(5.3)) tf2 = txBox2.text_frame tf2.word_wrap = True p2 = tf2.paragraphs[0] run2 = p2.add_run() run2.text = "VAGINAL EXAMINATION" run2.font.size = Pt(12) run2.font.bold = True run2.font.color.rgb = MID_BLUE ve_items = [ "\u2022 Dilatation of cervix", "\u2022 Position of head & degree of flexion", "\u2022 Station of head", "\u2022 Colour of liquor", "\u2022 Degree of molding of head", ] for v in ve_items: add_para(tf2, v, 12, color=DARK_TEXT) # ───────────────────────────────────────────────────── # SLIDE 4: 2nd Stage - Overview # ───────────────────────────────────────────────────── slide = prs.slides.add_slide(blank_layout) make_slide_header(slide, "2nd Stage of Labor", "Principles & Preparation") add_rect(slide, 0.3, 1.35, 12.73, 0.55, fill_color=MID_BLUE) add_text_box(slide, "PRINCIPLE: Assist natural expulsion of the fetus slowly & steadily | Prevent perineal injuries", 0.4, 1.42, 12.5, 0.4, font_size=12, bold=True, color=WHITE) # Three-column card layout col_data = [ ("POSITIONING & MONITORING", [ "1. Patient in bed, left lateral decubitus", "2. FHR every 5 min", "3. Inhalational analgesics (N2O + O2)", "4. Vaginal exam: position & station of head, rule out cord prolapse", ]), ("ASEPTIC PRECAUTIONS (5)", [ "Clean hands:", " Sterile gloves, gown, mask", "Clean surface:", " Paint external genitalia with savlon", " Sterile sheath beneath buttocks", " Sterile leggings", "Clean cutting & ligating the cord", ]), ("BLADDER & DELIVERY PREP (6 & 7)", [ "6. Empty bladder with catheter", "7. Delivery of baby:", " Maintain flexion,", " prevent early extension", ]), ] for i, (heading, items) in enumerate(col_data): x = 0.3 + i * 4.35 add_rect(slide, x, 2.0, 4.1, 5.2, fill_color=WHITE) add_rect(slide, x, 2.0, 4.1, 0.38, fill_color=DARK_BLUE) add_text_box(slide, heading, x+0.05, 2.02, 4.0, 0.35, font_size=10, bold=True, color=WHITE) txBox = slide.shapes.add_textbox(Inches(x+0.1), Inches(2.45), Inches(3.9), Inches(4.6)) tf = txBox.text_frame tf.word_wrap = True p = tf.paragraphs[0] run = p.add_run() run.text = items[0] run.font.size = Pt(11) run.font.color.rgb = DARK_TEXT for item in items[1:]: add_para(tf, item, 11, color=DARK_TEXT) # ───────────────────────────────────────────────────── # SLIDE 5: 2nd Stage - Delivery Steps # ───────────────────────────────────────────────────── slide = prs.slides.add_slide(blank_layout) make_slide_header(slide, "2nd Stage – Delivery of the Baby", "Step-by-Step Procedure") add_rect(slide, 0.3, 1.35, 12.73, 5.9, fill_color=WHITE) add_rect(slide, 0.3, 1.35, 12.73, 0.38, fill_color=MID_BLUE) add_text_box(slide, "Maintain Flexion — Prevent Early Extension", 0.4, 1.37, 12.5, 0.36, font_size=12, bold=True, color=WHITE) steps = [ ("Step 1", "Encourage to bear down during uterine contraction"), ("Step 2", "Maintain flexion by pushing the occiput downwards & backwards with thumb & index fingers of left hand"), ("Step 3", "Infiltrate the perineum with 10 ml of 1% lignocaine"), ("Step 4", "Episiotomy during crowning"), ("Step 5", "Slow delivery of head in between contractions"), ("Step 6", "Wait for restitution & external rotation"), ("Step 7", "Head grasped by both hands; gently drawn posteriorly until anterior shoulder is released under the pubis"), ("Step 8", "By drawing head upward, posterior shoulder is delivered out of perineum"), ("Step 9", "Trunk delivered gently by lateral flexion"), ] cols = [steps[:5], steps[5:]] for col_idx, col_steps in enumerate(cols): x = 0.4 + col_idx * 6.5 for row_idx, (step_num, step_text) in enumerate(col_steps): y = 1.85 + row_idx * 1.05 add_rect(slide, x, y, 1.0, 0.75, fill_color=ORANGE) add_text_box(slide, step_num, x, y+0.1, 1.0, 0.55, font_size=10, bold=True, color=WHITE, align=PP_ALIGN.CENTER) add_rect(slide, x+1.05, y, 5.15, 0.75, fill_color=GRAY_BG) add_text_box(slide, step_text, x+1.1, y+0.05, 5.05, 0.65, font_size=10, color=DARK_TEXT) # ───────────────────────────────────────────────────── # SLIDE 6: 3rd Stage - Expectant Management # ───────────────────────────────────────────────────── slide = prs.slides.add_slide(blank_layout) make_slide_header(slide, "3rd Stage of Labor – Expectant Management", "Physiological Management of Placental Delivery") add_rect(slide, 0.3, 1.35, 12.73, 0.38, fill_color=DARK_BLUE) add_text_box(slide, "1. EXPECTANT MANAGEMENT", 0.4, 1.37, 12.5, 0.35, font_size=13, bold=True, color=WHITE) # Flowchart-style steps flow_steps = [ ("Delivery of the Baby", MID_BLUE), ("Clamp, cut, ligate the cord", MID_BLUE), ("Wait & Watch:\n • Catheterize the bladder\n • Guard the fundus\n • Wait for spontaneous separation of placenta", DARK_BLUE), ("Placenta Separated", ORANGE), ("Wait for spontaneous expulsion with the aid of gravity", MID_BLUE), ("If Fails → Assisted Expulsion", ORANGE), ("Inj. oxytocin 10U IM | Examine placenta & membranes | Inspect vulva, vagina, perineum", DARK_BLUE), ] for i, (text, color) in enumerate(flow_steps): x = 0.4 y = 1.85 + i * 0.75 add_rect(slide, x, y, 12.5, 0.65, fill_color=color) add_text_box(slide, text, x+0.15, y+0.06, 12.2, 0.55, font_size=11, bold=False, color=WHITE) if i < len(flow_steps)-1: add_text_box(slide, "↓", 6.4, y+0.65, 0.5, 0.12, font_size=10, bold=True, color=DARK_BLUE) # ───────────────────────────────────────────────────── # SLIDE 7: 3rd Stage - Active Management # ───────────────────────────────────────────────────── slide = prs.slides.add_slide(blank_layout) make_slide_header(slide, "3rd Stage – Active Management (AMTSL)", "Active Management of the Third Stage of Labor") add_rect(slide, 0.3, 1.35, 12.73, 0.38, fill_color=ORANGE) add_text_box(slide, "2. ACTIVE MANAGEMENT OF 3RD STAGE", 0.4, 1.37, 12.5, 0.35, font_size=13, bold=True, color=WHITE) # Left: flowchart add_rect(slide, 0.3, 1.85, 7.5, 5.4, fill_color=WHITE) add_rect(slide, 0.3, 1.85, 7.5, 0.35, fill_color=MID_BLUE) add_text_box(slide, "PROCEDURE", 0.35, 1.87, 7.4, 0.32, font_size=11, bold=True, color=WHITE) txBox = slide.shapes.add_textbox(Inches(0.4), Inches(2.25), Inches(7.3), Inches(4.8)) tf = txBox.text_frame tf.word_wrap = True p = tf.paragraphs[0] run = p.add_run() run.text = "Inj. Oxytocin 10U IM within 1 minute of delivery" run.font.size = Pt(12); run.font.bold = True; run.font.color.rgb = DARK_BLUE active_steps = [ ("↓ Clamp, cut, ligate the cord", False), ("↓ Deliver placenta by controlled cord traction", False), (" (BRANDT-ANDREWS TECHNIQUE)", True), (" → Soon after delivery, availing first uterine contraction", False), ("If Fails → Repeat after 2-3 min", False), ("If Fails → Wait 10 min, repeat procedure", False), ("If Fails → Manual removal of placenta", True), ("Examine placenta & membranes", False), ("Inspect vulva, vagina, perineum", False), ] for text, bold in active_steps: add_para(tf, text, 11, bold=bold, color=DARK_TEXT if not bold else ORANGE) # Right: Advantages & Disadvantages add_rect(slide, 8.1, 1.85, 4.9, 5.4, fill_color=WHITE) add_rect(slide, 8.1, 1.85, 4.9, 0.35, fill_color=MID_BLUE) add_text_box(slide, "ADVANTAGES & DISADVANTAGES", 8.15, 1.87, 4.8, 0.32, font_size=10, bold=True, color=WHITE) txBox2 = slide.shapes.add_textbox(Inches(8.2), Inches(2.25), Inches(4.7), Inches(4.8)) tf2 = txBox2.text_frame tf2.word_wrap = True p2 = tf2.paragraphs[0] run2 = p2.add_run() run2.text = "ADVANTAGES" run2.font.size = Pt(12); run2.font.bold = True; run2.font.color.rgb = MID_BLUE adv = [ "\u2022 Minimize blood loss in 3rd stage", "\u2022 Shorten duration of 3rd stage to half", ] for a in adv: add_para(tf2, a, 11, color=DARK_TEXT) add_para(tf2, "DISADVANTAGES", 12, bold=True, color=ORANGE, space_before=10) disadv = [ "\u2022 Increased incidence of retained placenta (1-2%)", "\u2022 Increased incidence of manual removal of placenta", ] for d in disadv: add_para(tf2, d, 11, color=DARK_TEXT) # ───────────────────────────────────────────────────── # SLIDE 8: Brandt-Andrews Technique # ───────────────────────────────────────────────────── slide = prs.slides.add_slide(blank_layout) make_slide_header(slide, "Brandt-Andrews Method", "Controlled Cord Traction — 3 Marks") # Left: technique description add_rect(slide, 0.3, 1.35, 7.5, 5.9, fill_color=WHITE) add_rect(slide, 0.3, 1.35, 7.5, 0.38, fill_color=DARK_BLUE) add_text_box(slide, "TECHNIQUE", 0.35, 1.37, 7.4, 0.36, font_size=12, bold=True, color=WHITE) txBox = slide.shapes.add_textbox(Inches(0.4), Inches(1.82), Inches(7.3), Inches(5.2)) tf = txBox.text_frame tf.word_wrap = True steps_ba = [ ("LEFT HAND:", "Palmar surface of fingers placed above the symphysis pubis, at the junction of upper & lower uterine segment. Body of uterus is pushed upwards & backwards toward the umbilicus."), ("RIGHT HAND:", "Steady traction given in downward & backward direction holding the clamp, until the placenta comes outside the introitus."), ("IMPORTANT:", "Procedure is done ONLY when the uterus is HARD & CONTRACTED."), ] for i, (label, desc) in enumerate(steps_ba): p = tf.add_paragraph() if i > 0 else tf.paragraphs[0] p.space_before = Pt(8) if i > 0 else Pt(0) run = p.add_run() run.text = label run.font.size = Pt(13) run.font.bold = True run.font.color.rgb = ORANGE add_para(tf, desc, 12, color=DARK_TEXT) # Right: diagram placeholder (with descriptive text since we can't embed external image without download) add_rect(slide, 8.1, 1.35, 4.9, 5.9, fill_color=LIGHT_BLUE) add_rect(slide, 8.1, 1.35, 4.9, 0.38, fill_color=MID_BLUE) add_text_box(slide, "DIAGRAM", 8.15, 1.37, 4.8, 0.36, font_size=12, bold=True, color=WHITE) add_text_box(slide, "Controlled Cord Traction\n(Brandt-Andrews Maneuver)", 8.3, 2.0, 4.5, 0.7, font_size=12, bold=True, color=DARK_BLUE, align=PP_ALIGN.CENTER) add_text_box(slide, "Upper hand: pushes uterus\nupwards & backwards (counter-pressure)\n\nLower hand: steady traction\non umbilical cord clamp\ndownwards & backwards\n\nPerformed only when uterus\nis hard & contracted", 8.2, 2.8, 4.7, 3.8, font_size=11, color=DARK_TEXT, align=PP_ALIGN.CENTER) # ───────────────────────────────────────────────────── # SLIDE 9: Summary # ───────────────────────────────────────────────────── slide = prs.slides.add_slide(blank_layout) add_rect(slide, 0, 0, 13.33, 7.5, fill_color=DARK_BLUE) add_rect(slide, 0, 6.9, 13.33, 0.6, fill_color=ORANGE) add_text_box(slide, "SUMMARY", 0.5, 0.3, 12.0, 0.7, font_size=28, bold=True, color=WHITE, align=PP_ALIGN.CENTER) add_rect(slide, 4.0, 0.95, 5.33, 0.07, fill_color=ORANGE) summary_data = [ ("1st STAGE", DARK_BLUE, MID_BLUE, ["Watchful expectancy", "Monitor vitals & FHR", "Partograph assessment", "Analgesia as needed"]), ("2nd STAGE", DARK_BLUE, ORANGE, ["Assist expulsion", "Prevent perineal injury", "Step-by-step delivery", "FHR every 5 min"]), ("3rd STAGE", DARK_BLUE, RGBColor(0x70, 0xAD, 0x47), ["Expectant or active mgmt", "Inj. Oxytocin 10U IM", "Brandt-Andrews technique", "Examine placenta & perineum"]), ] for i, (title, bg, accent, points) in enumerate(summary_data): x = 0.4 + i * 4.3 add_rect(slide, x, 1.15, 4.0, 5.8, fill_color=WHITE) add_rect(slide, x, 1.15, 4.0, 0.55, fill_color=accent) add_text_box(slide, title, x+0.05, 1.18, 3.9, 0.48, font_size=16, bold=True, color=WHITE, align=PP_ALIGN.CENTER) for j, pt in enumerate(points): add_rect(slide, x+0.15, 1.85 + j*1.15, 3.7, 0.95, fill_color=GRAY_BG) add_text_box(slide, pt, x+0.25, 1.9 + j*1.15, 3.5, 0.85, font_size=12, color=DARK_TEXT) output_path = "/tmp/workspace/labor-stages-ppt/Management_of_Stages_of_Labor.pptx" prs.save(output_path) print(f"Saved: {output_path}") PYEOF python /tmp/workspace/labor-stages-ppt/create_ppt.py