38 +3 weeks of pregnancy complicated by placental abruption 1 case of perinatal nursing rescue.docVIP

 PAGE \* MERGEFORMAT 11 38 +3 weeks of pregnancy complicated by placental abruption 1 case of perinatal nursing rescue [Keywords:] delivery; abruption; first aid; Care Placental abruption is a serious obstetric complications, treatment is timely, appropriate and directly related to the mother of child outcomes. Cases that do not pay attention to recognize the typical early signs of dynamic observation and repeated examination. Early diagnosis and treatment to reduce pregnancy , maternal and perinatal harm children. now I Section 1 case report of successful salvage following placental abruption. 1 Clinical data Female patient, 25 years old, pregnant 2 production 0 38 +3 weeks of pregnancy, lower abdominal pain 2 days with complaints of vaginal hospital water 30 min. Examination: T 37.4 ℃, P 80 times / min, R 19 times / min, BP 135/80 mm Hg. Height 168 cm, pregnancy weight gain 10 kg, house high 29 cm, abdominal circumference 90 cm, irregular contractions, fetal heart sound 130 times / min, cephalic -2, semi-fixed. cervix part of the disappearance of large cervix 3 cm, the amniotic sac does not touch, a small amount of vaginal bleeding and discharge water. pelvic external measurements: diameter between the iliac spine (IS) 23 cm, diameter between the iliac crest (IC) 25 cm, sacral Shame OD (EC) 19 cm, diameter between the ischial tuberosity (IT or TO export diameter) 9 cm. normal ECG, ultrasound Tip: fetal head biparietal diameter (BPD): 9.0 cm, the largest dark area of #8203;#8203;amniotic fluid is 6.3 cm placenta at the bottom of the uterus, Ⅱ grade late, see the spot and a small amount of ring reflection. has a history of hyperthyroidism 4 years, no recent recurrence. diagnosis: pregnancy 2 production 0 38 +3 weeks pregnant and head position in labor. take the first low-hip high treatment , slow outflow of amniotic fluid, improve the relevant secondary inspection, the provisional vaginal trial production, observed progress of labor and fetal heart