妇产科学--Prenatal Health Care.pptVIP

fetal heart rate baseline fetal heart rate baseline Average FHR of more than 10 minuts without FM, uterine contraction。 FHR： tachycardia (FHR160bpm) bradycardia （FHR120bpm) FHR variance ： swing ：10-25bp frequency ：≥6bpm  FHR Early deceleration Early deceleration Variable deceleration Variable deceleration Late deceleration Late deceleration  1.无应激试验（Nonstress test): Normal：at least 3 times FM accompanied with FHR accelerationl5bpm，last15s Abnormal： 2. Oxytocin Challenge Test （OCT）： OCT positive：OCT negative： 3. biophysical profile scoring (BPS) 胎儿电子监测 —— 2）预测胎儿宫内储备能力 Nonstress test:   Normal：at least 3 times FM accompanied with FHR accelerationl5bpm，last15s Abnormal： Oxytocin Challenge Test （OCT）：OCT positive：OCT negative： 二、 placenta function 1.FM ：12h＞10 2.E3 3.HPL。 4.OCT 5.exfoliated cytology of vagina 6.BPS 3、 Fetal maturity 1.gestational age 2.fundal height, abdominal circumference, 3.BPD 4. if lecithin / sphingomyelin2 in amniotic fluid, indicates fetal lung maturation 。 5. amniotic creatinine 6. amniotic bilirubin 7. amniotic amylase 8. appearance rate of amniotic containing fat cells 5 Common symptoms and treatments at pregnancy digestive symptoms anemia lumbodorsal pain lower limb and vulva varicose veins lower limb muscle spasm lower limb edema hemorrhoids constipation supine hypotension Chapter 6 Prenatal Health Care Definition perinatology The perinatal period: commences at 28 completed weeks of gestation and ends seven completed days after birth.  Ⅰ pregnant woman health care 1、 pregnant woman guardianship prenatal examination schedule Begin from Confirming early pregnancy From 20 weeks begin series prenatal examination 20-36 weeks：monthly From 36 weeks：weekly （ that is having total nine times prenatal examination at 20, 24, 28, 32, 36, 37, 38, 39, 40 weeks of gestation） high risk pregnancy should increase examination frequencies First visit H