产科并发症英文.pptxVIP

产科并发症英文第1页/共45页 Premature deliveryProlonged pregnancyPremature Rupture of Membranes( PROM)Content第2页/共45页 PRETERM LABOR早 产第3页/共45页 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: 第4页/共45页 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 生殖道畸形第5页/共45页 1.Obstetric complications: Severe hypertensive state or pregnancyAnatomic disorder of the placenta( abruptio placentae, placenta previa)Premature rupture of membranes Polyhydramnios or oligohydramniosMultiple pregnancyPrevious laceration（裂伤） of cervix or uterus第6页/共45页 2.Medical complications:Pulmonary or systemic hypertensionRenal diseaseHeart diseaseInfection: genital tract infection, urinary tract infection, pyelonephritis肾盂肾炎, acute systemic infectionHeavy cigarette smokingAlcoholism or drug addictionSevere anemia第7页/共45页 3.Surgical complications:Conization of cervix宫颈锥切术Previous incision in uterus or cervix ( cesarean delivery剖宫产术)4.Genital tract anomaliesBicornuate双角, subseptate纵隔, or unicormuate单角 uterusCongenital cervical incompetency先天性宫颈闭合不全第8页/共45页 Clinical Finding Diagnosis1.Symptom and SignUterine contractions—more than 2 in one-half hour;Vaginal bleeding-bloody mucous vaginal discharge or “bloody show”;Dilatation扩张 and effacement消退 of cervix-change in dilatation or effacement of at least 1cm or a cervix that is well effaced and dilatated (at least 2 cm);第9页/共45页 2. Laboratory StudiesCompletely blood count with differentialCervix discharge cultures ：should be sent for gonorrhea淋病 and chlamydia衣原体. Fetal fibronectin纤连蛋白（Ffn): negative test is effective at ruling out imminent delivery(within 2 weeks)；