Содержание
- 2. Content: Procedures for fetal prenatal diagnosis: Ultrasound. Amniocentesis. Chorion villous sampling. Fetal blood sampling. External cephalic
- 3. Ultrasound: Types: Tran abdominal. Transvagina Guidelines for first trimester: Location of gestational sac. Gestational age by
- 4. Guide for second and third trimesters: Fetal life , number , and presentation. An estimate of
- 5. Amniocentesis: Def: it is a technique for withdrawing amniotic fluid from the uterine cavity using a
- 6. Gestation age: from 11 to term. Complications: Rupture of membranes . Fetal injury (direct ,indirect ).
- 7. Chorionic villus sampling: Dif: small samples of the placenta are taken sent for genetic analysis ,
- 8. Indications (CVS): Maternal age : 35 yo at delivery . Previous child with non- disjunctional chromosome
- 9. Fetal blood sampling (cordocentesis) Indication: Assessment and treatment of confirmed red cell or platelet alloimmunization. Analysis
- 10. Complications: (cordocentesis ) As amniocentesis. Cord hematoma. Cord vessel bleeding. Fetal – maternal hemorrhage. Fetal bradycardia.
- 11. Operative vaginal delivery: Forceps: Parts: Blade.( cephalic ,pelvic curve ) Shank. Lock. (sliding lock , English
- 12. Cont. Forceps: Classification: Outlet forceps. Low forceps. Midpelvic forceps. High forceps. Indications for forceps: Heart disease
- 13. Pre-requisites for forceps application: Head engaged. Vertex presentation. Known position. Fully dilated cx. Mb ruptured. Role
- 14. Complication of forceps: Lacerations and episiotomy. Urinary dysfunction . Rectal & anal dysfunction. Febrile morbidity. Low
- 15. Vacuum Extraction (Ventouse): Types: Metal cup vacuum. Soft cup vacuum (silastic cup ). Indications &prerequisites: as
- 16. Cont. complication of ventouse: 7. Macrosomia. 8. Recent scalp blood sampling. Vacuum extraction is reserved for
- 17. Cesarean Delivery (C/S): Indications: Labor dystosia. Fetal distress. Breech presentation. Multiple gestations. Prior c/s. Utrine segments:
- 18. Technique of c/s: Skin incision: Vertical incision. Transverse incision ( pfannenstiel incision ). Uterine incisions: Lower
- 19. Cnt. Indecation of classical c/s: 3.Some cases Placenta previa (ant.) . 4. Some cases small ,breech
- 20. Complications of cesarean section: Increase maternal mortality &morbidity : Increase maternal death. Bleeding. Infections. DVT. Adhesions.
- 21. Vaginal birth after prior cesarean: Benefit: Short stay at hospital. Less blood loss . Fewer transfusion.
- 22. Cont. VBAC: LSCS. Institute ER C/S with anest &physician immd. Available. NO contraindications for vag. Delivery.
- 23. External cephalic version : ( ECV ) Definition: It is a procedure by which an obstetrician
- 24. Cont. ECV : AGOC recommendation ECV shoud be available and offered to women with breech presentation
- 25. Cont. Contraindications ECV : 3. No reassuring CTG. 4. Hyper extended fetal head. 5. Significant fetal
- 27. Скачать презентацию