妇产科经典（Classic obstetrics and Gynecology）.docVIP

妇产科经典（Classic obstetrics and Gynecology） ## perineum Broad sense: refers to all the soft tissues that close the pelvic outlet, from the lower edge of the symphysis pubis, from the posterior to the tip of the coccyx, both sides of the pubic bone, the ascending ramus of the ramus, the tuberosity of the tuberosity and the sacral tuberosity. The narrow sense refers to the wedge soft tissue between the vagina and anus thick 3-4cm, also known as the perineal body, from the outside to the inside for the skin and subcutaneous fat fascia, part of the levator ani muscle and perineum center key. # divided into the period of fetal and neonatal period (4 weeks in children -12 years of age), puberty, sexual maturity (18-), menopausal transition (40 years old, short 1-2, long 10 years) and postmenopausal women The development characteristics of fetal ## The 8 weekend: 16: fetal heart formation in the 20 weekend weekend: hear the fetal heart sound the 32 weekend: nursing care can survive the 36 weekend: refers to (toe) a finger (toe) has reached the end, after the birth of the basic survival #13 is an early pregnancy before the weekend; the 14-27 weekend is called mid pregnancy; 28 weeks and later are referred to as late pregnancy Section 1 diagnosis of early pregnancy # early pregnancy symptoms 1, 2, 3, menopause, pregnancy reaction frequency 4, breast changes (Montessori nodules) 5, gynecological examination (vaginal, black and blue colored Gong Jingzi syndrome, uterine increased soft spherical) # premature birth: 28 weeks less than 37 weeks. Term birth: over 37 weeks, less than 42 weeks. Due date: 42 weeks and later Delivery: # decided factors of labor, birth canal, fetus, mental factors # production include: uterine contraction, abdominal muscle contraction, the muscle wall and diaphragm levator ani muscle contraction force (internal rotation) # uterine contraction characteristics of rhythm, symmetry, polarity, retraction effect # physiologic retraction ring of uterus muscle f