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10 cases of stillbirth in clinical thinking
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10 cases of stillbirth in clinical thinking
At present the majority of pregnant women, urban and rural areas of perinatal health care has become a multi-level, systematic management, and made great achievements, hospital delivery rate and quality of obstetric and technology continues to improve, stillbirth and neonatal mortality rates decreased, so that the stillbirth perinatal mortality in the proportion of relatively higher. But there are some pregnant women in rural areas that prenatal care is optional, a small part caused by the tragedy of stillbirth at term.
Since January 2007 -2009 in November, our hospital were treated 10 cases of fetal death after 36 weeks, is reported as follows: 1 General Information The group of 10 patients, aged 23-34 years, mean age 25.8 years. Primipara 6 cases, the mother in 4 cases. Pregnancy with 3 cases of hypertensive disorders, fetal death of twin in 1 case of a placental factor 1 case, the umbilical cord factor in 3 cases, 1 case of diabetes during pregnancy, 1 case of unknown causes.
2 Clinical manifestations 2.1 and early fetal movement decreased fetal movement after the disappearance of disappearance to the fetal heart can last for several days. 2.2 to stop fetal movement, fetal heart disappeared, the uterus does not continue to increase. The end of the uterus and abdominal circumference shrink 2.3, breast swelling disappeared, shrinking.
2.4 times the elderly fetal death, can be generalized fatigue, loss of appetite, abdominal straining, postpartum hemorrhage or disseminated intravascular coagulation induced (DIC).
3 causes 10 cases of fetal death in this group, consider the following reasons: 3.1 fetal hypoxia to reverse the umbilical cord, umbilical cord prolapse. 3.2 The factors of fetal malformation itself, intrauterine growth retardation, infection and other multiple births. 3.3 overdue pregnancy maternal disease, pregnancy hypertension,
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