妇产科学-Complications of Delivery.pptVIP

COMPLICATIONS OF DELIVERY Obs Gyn HOSPITAL OF FUDAN UNIVERSITY XUE XIAOHONG RUPTURE OF UTERUS POSTPARTUM HEMORRHAGE DISORD OF UMBILICAL CORD AMNIOTIC FLUID EMBOLISM RUPTURE OF UTERUS Uterine rupture refers to any separation in the wall of the uterus Although this may happen during any labor women who have had a previous cesarean many pregnancies RUPTURE OF UTERUS Causes prolonged descending of presentation pelvis factors fetopelvic disproportion block of reproductive tract fetal factors rupture of uterus causes history of uterus surgery myomectomy, c-s, surgery of pregnancy in uterine cornu rupture of uterus causes abuse of oxytocin abnormal dosage and usage uterus hypersensitive to oxytocin hypertonic contraction of uterus rupture of uterus causes obstetric surgery instrumental extraction vacuum breech extraction obstetrical evisceration rupture of uterus Clinical findings threatened rupture of uterus pathologic retraction ring rupture of uterus Clinical findings rupture of uterus complete rupture incomplete rupture rupture of uterus diagnosis history symptons signs B-US differential diagnosis heavy placental abruption infection in uterus rupture of uterus Treatment threatened rupture of uterus: C-S as soon as possible rupture of uterus: C-S,no matter for alive or dead fetus rupture of uterus prevention Good health system for pregnant women Women with high risk factor in hospital soon Improve the ability of medical faculty Master indication of c-s and vaginal test Master indication of oxytoxin postpartum hemorrhage Definition Excessive bleeding500ml in vaginal delivery following delivery in 24 hours The top cause of maternal deaths Incidence