0 1 produced on the pregnant 40 weeks pregnant vaginal bleeding head position in labor in 1 case report.docVIP

 PAGE \* MERGEFORMAT 5 0 1 produced on the pregnant 40 weeks pregnant vaginal bleeding head position in labor in 1 case report [Keywords:] head position in labor; vagina; bleeding A medical record Patients, female, 23 years old, the Department of “pregnancy a production 0 40 weeks pregnant the first bit to be produced” in at 11:30 on June 28, 2010 closing the hospital. The last menstrual period September 28, 2009, estimated date of July 5, 2010 . Patients usually menstrual regularity, menopausal 40 days of nausea, vomiting, drowsiness and other reactions, pregnancy May inductance movements. pregnancy without vaginal bleeding sap, no history of trauma. pregnancy check-8 were not found exception. admission examination: T 36.6 ℃, P 80 times / min, R 20 times / min, BP 120/80mmHg. normal development, nutrition medium. mucosa petechia body skin, superficial lymph node swelling in the body, head and Lu Wuguan no abnormalities, cardiopulmonary not found exception. abdomen was pregnant Long type, liver and spleen palpation are not satisfied, fetal limbs touching, smelling, and fetal heart tones, anus and external genitalia were normal. specialist examination: Temple High 38cm, abdominal circumference 93cm, fetal heart sound 138 times / min, pillow right front tire position, the first outcrop, spines on the 3cm, cervical length 1.5cm, top, soft, the cervix was not open. pelvic external measurement 23-27-21-10, the measurement is normal. B-day admission 37 weeks prompted a single cephalic pregnancy, cord around the neck for 2 weeks. admitted the next day to consider the situation without a head disproportion, a vaginal delivery trial production conditions, to 0.5% of oxytocin infusion, there regular house on the same day 13:45 contraction, fetal heart rate monitoring showed NST (+), baseline 130 ~ 150bpm, contractions continued to 20 ~ 30s, interval 2 ~ 3min, fetal heart sound 136 times / min, sudden appearance of vaginal bleeding in 14:20, about 2800ml, blood p