Medium-term threatened abortion analysis of 16 cases of uterine rupture.doc

 PAGE \* MERGEFORMAT 5 Medium-term threatened abortion analysis of 16 cases of uterine rupture [Keywords:] Interim Clinical analysis of uterine rupture threatened abortion Rivanol clinical intra-amniotic injection is the most commonly used medium-term abortion method, the paper in our hospital from January 2004 to December 2009 between the use of intra-amniotic injection of Rivanol threatened uterine rupture occurred mid-term abortion patients 16 cases on its causes and preventive measures discussed. 1 Clinical data 1.1 General Information Our hospital from January 2004 to December 2009 between using amniotic injection of Rivanol 1 683 mid-abortion person (includes stillbirths), the occurrence of threatened uterine rupture 16 patients, the incidence of 0.95% .16 cases were of maternal health , of which 7 were unwanted pregnancies, 3 cases of uterine scar, aged 16 to 31 years of age, gestational age 14 + to 28 + weeks. 1.2 induction method Amniotic injection of 16 cases were rivanol 100 mg. 1.3 obstetric cases 16 patients were in labor, prenatal diagnosis of uterine rupture when threatened law of contraction 8 ~ 12 h, found within the cervix can not be scheduled clinic expansion, opening a significant 0.5 ~ 3 cm, with a narrow cervix ring, protruding in the lower uterine segment After the vault, and the patients were agitated, crying, refused to press the lower abdomen, gross hematuria .5 catheterization shows a small gestational age was no pathological cases because of reduced re-ring. 1.4 Treatment 16 cases were discovered, once inhibited contraction, after 100 mg intramuscular pethidine [a], three cases of gestational age lt;16 weeks, cervix large 3 cm, in the intravenous anesthesia clamp curettage, giving the remaining 13 cases infusion, with blood, into the operating room line of continuous epidural anesthesia, in which 10 cases of artificial cervical dilatation, fetal head or stretching of fetal expulsion of fetal limb, 3 p