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asbryobvrz · Wysłany: Sob 13:57, 05 Mar 2011

Analysis of 160 cases of prolonged pregnancy

Indications for surgery: the first bit errors in 14 cases, oligohydramnios, great child of the 8 cases of fetal distress, breech, other factors of 5 cases. 1.3 The case was delivered newborns 161 cases of mother to child (twins = 1), male 74 cases, 87 cases of female infanticide; 6 cases of neonatal asphyxia with mild and severe asphyxia in 2 cases, no perinatal child death. There were no postpartum maternal complications, was discharged. 2 2.1 expired pregnancy on maternal and child to discuss the impact of prolonged pregnancy increases the psychological burden of pregnancy, perinatal complications and cesarean section rate of children increased significantly. ... Cesarean section rate in this group 28.1%, 5.6% vaginal delivery rate, and cesarean delivery rate over the same period hospital 16.8% (316/1886),[link widoczny dla zalogowanych], 1.8% vaginal delivery rate (34 / 1886). After 36 weeks of pregnancy the placenta matures, the placental function is rapidly increasing, 41 weeks of pregnancy the placenta stopped growing, began to degenerative disease, reduce the supply of oxygen and nutrients, the placenta tends to increase unit pathological features, amniotic fluid volume reduction opportunities meconium increase in fetal distress and perinatal child mortality, such as the attenuation of the placental function is not a huge children were significantly increased. 2.2.1 Diagnosis and treatment of 2.2 to enhance care delivery process: After 38 weeks of pregnancy should be intensive care, pregnant women may be from a few movements, 50% reduction in fetal movement or fetal movement every 12 hours less than 2O times, suggesting the case of fetal distress . As the fetus in prolonged pregnancy often leads to excessive fetal head strong, malleable poor fetal head, resulting in childbirth,[link widoczny dla zalogowanych], pregnancy 41 weeks should be reviewed every 3 days for B-1 to monitor the fetal biparietal diameter, femur length and amniotic fluid volume: can also be used Fetal monitor the no-stress test (NST) to monitor fetal condition, pay attention to the progress of labor and fetal heart rate changes. Appropriate to relax the indications of cesarean section 2.2.2: In order to ensure maternal and child health, where the pregnancy ≥ 41 weeks, and there are signs of prolonged pregnancy, B-ultrasound oligohydramnios,[link widoczny dla zalogowanych], meconium-stained amniotic fluid, placental aging, NST was not reactive , abnormal fetal heart rate changes and fetal movement should be based on degree of cervical ripening Bishop score in time-line induction technique, timely termination of pregnancy; of prolonged pregnancy with pregnancy induced hypertension, cephalopelvic disproportion,[link widoczny dla zalogowanych], fetal head position but there is meconium,[link widoczny dla zalogowanych], a huge children and other indications for cesarean delivery should be relaxed.