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Diseases in Pregnancy

Diagnosis of the narrow pelvis

In clinical terms, the diagnosis of a narrow pelvis should consist of a carefully collected history, general examination of the pregnant or parturient child and internal research. The most important data the doctor receives when collecting anamnesis - finding out the age, the general and infectious diseases

Clinically narrow pelvis

At present, the concept of an anatomically and clinically narrow pelvis was clearly defined and the predominance of the latter was revealed. A clinically narrow pelvis means a mismatch between the head of the fetus and the pelvis of a woman, regardless of the size of the latter.

Caesarean section with preterm pregnancy

As is known, at present the problem of "birth trauma" in medicine is given great importance. Therefore, despite extensive knowledge in this field, the individual risk of spontaneous delivery in preterm pregnancy is often underestimated only because it is difficult and unusual to consider this complex process based on the category of "trauma."

Preventing and treating the threat of termination of pregnancy

Started generic activity is diagnosed by cramping pains in the lower abdomen, provided that contractions occur more often than after 10 minutes, and their duration is more than 30 seconds. The cervix is sharply truncated or smoothened, opening of the uterine pharynx is 1 cm or more.

Narrow Pelvis

Currently, in obstetrics it is advisable to use a classification that allows to take into account such anatomical structures of the female pelvis as the shape of the entrance and the wide part of the cavity, the diameter of the pelvis, the shape and size of the anterior and posterior segments of the pelvis, the degree of curvature and incidence of the sacrum, and etc.

Prevention and treatment of premature rupture of amniotic fluid and loss of umbilical cord loops

From the moment of receipt of the pregnant woman or the mother in childbirth, a bed regimen and an elevated position of the woman's pelvis are prescribed in the hospital. Relatively often with the first contractions, and often before their onset, there is an outflow of water and the prolapse of the umbilical cord loops.

Indications for cesarean section with pelvic presentation

The planned cesarean section for pelvic presentation of the fetus should be performed in the presence of the following indications: narrowing of the pelvis of the I-II degree with a fetus weight exceeding 3500 g; primiparous over 35 years;

Management of the II period in breech presentation

In the II stage of labor, intravenous administration of oxytocin should be done by dropping, starting at 8 drops / min, increasing every 12 to 16 drops, but not exceeding 40 drops per minute.

Anesthesia at birth in the pelvic presentation

The use of anesthetics should begin with the establishment of regular labor and the opening of the uterine throat 3-4 cm. In a number of foreign clinics, epidural analgesia is widely used.

Conducting pregnancy with pelvic presentation of the fetus

Pregnancy and childbirth with pelvic presentation of the fetus should be considered pathological. Births with pelvic presentation of the fetus represent a certain danger for both the woman and especially for the fetus.

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