Pregnancy
Pregnancy shifted. Continuation of pregnancy more than 41-42 weeks. There are true perenashivanie (pathological state) and imaginary pererashivanie. In midwifery practice, the greatest importance is true peresashivanie, whose frequency is 10%. Reasons for overstraining are not well understood. These include functional changes in the central nervous system, endocrine disorders, decreased excitability of the uterus, pathological changes in the fetus.
Symptoms, course. The delayed pregnancy is characterized by the absence of labor after the expiration of the anticipated term of childbirth, the absence of a rise in the body weight of the pregnant woman, a decrease in the circumference of the abdomen by 5-10 cm due to resorption of amniotic fluid, large fetal dimensions, dense bones of the skull, changes in the cardiac activity of the fetus (chronic hypoxia, ECG). In amnioscoli, an admixture of meconium is found in the amniotic fluid. In the study of amniotic fluid obtained by amniocentesis, a decrease in the glucose concentration to 0.1 g / l and less (at a rate of 0.2-0.5 g / l) is observed. The content in the urine of estriol is reduced. In the cytological examination of the vaginal smear, a large number of intermediate cells and the absence of keratinizing cells are determined. The fetus is in an endangered state during perenashivanii (often intrauterine hypoxia and fetal death are observed). In childbirth there is a danger of intracranial hemorrhages and asphyxia.
Treatment consists in excitation of patrimonial activity by medicamentous means after preliminary creation of a glucose-calcium-hormonal background. To this end, administer oxytocin IV droplet 5 units in 500 ml of 5% glucose solution, starting with 6-8 drops and bringing up to 40 drops per minute, or 5 mg of prostaglandin F2alpha in 500 ml of isotonic sodium chloride solution, or 2, 5 mg of prostaglandin F2alpha and 2.5 units of oxytocin in the same solution. The rate of administration is from 6 to 20-30 drops per minute. A pregnant pregnancy combined with other complications (elderly age of the primipara, narrow pelvis, pelvic presentation of the fetus, etc.) can serve as an indication for the caesarean section.
- Obstetrics
- Abortion is infected
- Abortion not taken place
- Abortion spontaneous
- Abortion threatening
- Anomalies of labor
- Pregnancy ectopic
- Pregnancy uterine (definition of the term)
- Pregnancy is prolific
- Hypogalactia
- Discoordinated labor activity
- Milk stasis
- Bleeding (obstetric)
- Lactational mastitis
- Polyhydramnios
- Anesthesia of childbirth
- Newborn umbilical cord treatment
- Postpartum Ulcer
- Postnatal parametritis
- Postpartum period is normal
- Postpartum period abnormal
- Postpartum salpingo-oophoritis
- Postpartum sepsis
- Postpartum pelvic peritonitis (pelvioperitonitis)
- Postpartum thrombophlebitis
- Postpartum endomyometritis
- Preposition and prolapse of the umbilical cord
- Placenta previa
- Premature detachment of the normally located placenta
- Premature delivery
- Bubble skidding
- Rupture of the uterus
- Genital Tears
- Pulmonary ruptures
- Tears of the cervix
- Weakness of labor
- Toxicosis of pregnant women
- Cracked nipples
- Narrow Pelvis
- Excessive labor activity
- Ambolia with amniotic fluid
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