1 case of congenital fistula of rectal genital Nursing.docVIP

 PAGE \* MERGEFORMAT 3 1 case of congenital fistula of rectal genital Nursing [Keywords:] premature rupture of membranes, threatened uterine rupture, congenital, rectal genital fistula Our hospital in January 2009 admitted one case of congenital fistula of the maternal genital rectal, now nursing experience, described below. 1 Case information Pregnant women, to “9 months pregnant, vaginal water 30 min” chief complaint at 1 月 12 日 3:00 am admitted. Admission irregular contractions, fetal head is located on the spine 5 cm, the cervix was not open .9:00 am on the spine when 4 cm, cervix 3 cm, cervical soft, cervical has faded, fetal heart rate normal, regular contractions, sustained 30 s, interval 4 ~ 5 min.10: 10 am due to weak contractions, sustained 20 s, interval 5 ~ 6 min, use of oxytocin 2.5 u add 5% GS 500 ml infusion .10:20 am when the level of pregnant women seems to be a pathological umbilical re-shrink ring, pull out the liquid, replace the blank hydrostatic drops. preoperative diagnosis of threatened uterine rupture, surgery 10:30 am to be in the cervix .11:00 am 10 cm, the fetal head in the spine under 3 cm, the normal fetal heart rate, vaginal delivery line, nerve block anesthesia in the perineum episiotomy technique. at 11:25 am 3 500 g was delivered of a baby girl, 1 week around the navel, fetal membranes from the delivery complete, two-finger fundus below the umbilicus. symptoms: (1 premature rupture of membranes: suddenly felt more Discharge from the vagina, and then a small amount of intermittent discharge. rupture of membranes 12 h after the application of antibiotics. (2 threatened uterine rupture: maternal irritability, call, private prosecution lower abdominal pain, fetal movement often have complex pathology shrink ring, gourd-like, the need for timely surgery. (3 rectal fistula vulva: vulva can be seen more, mouth, congenital. episiotomy no tube-like structures after. careful observation, an extension of the incision of a fist