Survey
* Your assessment is very important for improving the workof artificial intelligence, which forms the content of this project
* Your assessment is very important for improving the workof artificial intelligence, which forms the content of this project
Miscarriage and pregnancy perenashivanie k.m.n. Nigmatova G.M. statistics The frequency of miscarriage is 10 to 25% of the number of pregnancies and has no tendency to decrease Preterm birth is 6-8% of all births The share of premature infants account for 65% of early neonatal mortality and 70% of infant mortality Terms of abortion with miscarriage According to the Helsinki Convention, considered premature birth at term of 22 to 37 weeks of pregnancy, childbirth body weight from 500 to 2500g. In length from 25 to 45 cm, with signs of immaturity Причины прерывания беременности hormonal Infectious diseases of mother - TORCH- infections intrauterine infection Anomalies of genital organs genital infantilism extragenital diseases Reasons for termination of pregnancy (continued) Complications of pregnancy Istmikotservikalnaya failure Premature rupture of membranes hysteromyoma Harmful occupational factors environmental impacts Clinical classification of preterm birth threatening starting begun Clinical management of preterm birth At the beginning or threatening birth: Acute tocolysis (magnesium, beta- mimetics, prostaglandin inhibitor indomethacin) bed rest Prevention of distress in the newborn (dexamethasone) Signs of preterm infants Weight less than 2500g, height less than 45 cm skin syrovidnaya plentiful greasing subcutaneous tissue is underdeveloped the whole body is covered with fuzz Otic and nasal cartilage, soft nails do not extend beyond the fingertips umbilical ring is low Carry a pregnancy Pregnancy is called post-term if its duration is 42 or more weeks' gestation, and the child born with such a pregnancy has signs of "ripeness" Perenashivanie frequency averages about 11.5%. What are the dangers perenashivanie Complications of the mother: large fruit, clinically narrow pelvis operative delivery hypotonic bleeding postpartum septic diseases genital tract injuries (fractures, fistulas) neonatal complications Increased risk of morbidity and mortality in newborn development of asphyxia aspiration of amniotic fluid birth trauma with a large mass signs of over-ripeness The dark green color of the skin staining of membranes, umbilical cord green maceration of the skin (bath feet and hands) scanty syrovidnaya lubrication reduction in skin turgor, senile appearance of the child signs of over-ripeness The large size of the child long finger nails poorly expressed configuration head dense bones of the skull narrow joints and springs Reasons postterm Experienced in childhood infectious diseases Extragenital diseases, endocrine diseases infantilism psychological trauma Malposition and insertion head Violation of the mechanism of birth Diagnosis postterm The correct calculation of the duration of pregnancy Ultrasound in the early stages US signs of postterm Tactics doctor at postterm The use of prostaglandins for the "maturation" of the cervix When mature the cervix - the use of prostaglandins and oxytocin With large fruit timely resolve the question of operative delivery