(精选)【医学课件课件】早产教学课件.pptVIP

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2018-03-21 发布于天津
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(精选)【医学课件课件】早产教学课件.ppt

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3. Cesarean section: Failure of induced labor; Arrested progress of labor; Fetal distress; Disposition; Large fetus; Amniotic fluid is abnormal; Pregnancy complications; Fetal compromise : breech presentation, et al. Premature Rupture of Membranes( PROM) LATER PREGNANCY COMPLICATIONS DONGMEI HU Department Gynecology Obstetrics Zhujiang Hospital South Medical University Premature delivery Prolonged pregnancy Premature Rupture of Membranes( PROM) Content PRETERM LABOR 早产 Preterm Labor: Labor occurs after 28 weeks’ but before 37 weeks’ (ie.196~258days) gestation. Infants born during these phase are premature infants. The premature infant’s weight is between 1000 and 2499g. The prognosis of the premature infant is correlated with its gestational age, weight. Definition: Premature infant Mature infant Etiology: 1.Obstetric complications 产科并发症 2.Medical complications 内科并发症 3.Surgical complications 外科并发症 4.Genital tract anomalies 生殖道畸形 1.Obstetric complications: Severe hypertensive state or pregnancy Anatomic disorder of the placenta( abruptio placentae, placenta previa) Premature rupture of membranes Polyhydramnios or oligohydramnios Multiple pregnancy Previous laceration（裂伤） of cervix or uterus 2.Medical complications: Pulmonary or systemic hypertension Renal disease Heart disease Infection: genital tract infection, urinary tract infection, pyelonephritis肾盂肾炎, acute systemic infection Heavy cigarette smoking Alcoholism or drug addiction Severe anemia 3. Accessory examination: Ultrasound examination for fetal size, position, placenta location，and cervical length. Cervical length30nm: prognosticating premature delivery. Infundibulum漏斗 length of cervical internal os25% Cervical length or Amniocentesis to ascertain fetal lung maturity, the amnio fluid羊水 be tested for lecithin卵磷脂/ sphingomyelin鞘磷脂 (L/S) ratio principle: If the fetus is alive, with no PROM 胎膜