Premature delivery
Premature birth occurs between the 28th and 39th week of pregnancy. The reasons are the same as for spontaneous abortions (see). Labor is often complicated by prenatal discharge of amniotic fluid, weakness of labor (not always); High perinatal mortality.
Treatment. Keeping childbirth should be careful. When revealing the weakness of labor, one should not prescribe strong rhodostimulating drugs (oxytocin, F2alpha prostaglandin, since severe contractions may be traumatic for the premature fetus.) In the 1 st labor period, when the cervix is opened for 4-5 cm, it is advisable to prescribe antispasmodic drugs, the administration of which It is possible to repeat the prevention of intrauterine hypoxia of the fetus.Excessive labor activity, especially in the 2nd period, should be weakened by shallow ether anesthesia, and the second period of labor is best performed in the position of the woman on its side.To reduce the traumatic impact of the pelvic floor muscles on the head Premature fetus resort to an episiotomy or perineotomy.It is possible to introduce a lime in the perineum of the lidase.The removal of the fetal head should be extremely careful.
Prevention is the same as for spontaneous abortions. In case of threatening premature birth, the pregnant woman is urgently sent to the hospital, where funds are used to stop the premature labor that has arisen. To this end, use beta-adrenomimetic drugs (partusisten). Introduction partusisten begin with a dose of 0.5 mg in 250 ml isotonic sodium chloride solution IV at a rate of 20 drops per minute. Then, supportive doses of partusenene are given in tablets (1 tablet contains 5 mg of the drug): for 2 days 1 tablet after 4 hours, on the next days 1 tablet 6 hours for several days until the uterine contraction ceases completely.
- 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
- Pregnancy
- 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 umbilical cord
- Placenta previa
- Premature detachment of normally located placenta
- 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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