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Diseases in Pregnancy

Diagnosis of a narrow pelvis

In the clinical aspect, the diagnosis of a narrow pelvis should consist of a carefully collected anamnesis, a general examination of the pregnant woman or woman in labor, and an internal examination. The doctor receives the most significant data when collecting anamnesis - finding out the age, previous general and infectious diseases

Clinically narrow pelvis

At present, the concept of an anatomically and clinically narrow pelvis has been clearly defined, and the predominance of the latter has been revealed. Clinically, a narrow pelvis means a discrepancy between the fetus's head and the woman's pelvis, regardless of the size of the latter.

Caesarean section for premature pregnancy

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

Prevention and treatment of threatened abortion

The onset of labor is diagnosed by cramping pains in the lower abdomen, provided that the contractions occur more often than every 10 minutes and last more than 30 seconds. The cervix is sharply shortened or smoothed out, the opening of the cervix is 1 cm or more.

Narrow pelvis

At present, in obstetrics it is advisable to use a classification that allows taking into account such anatomical structures of the female pelvis as the shape of the entrance and the wide part of the cavity, the size of the pelvic diameters, the shape and size of the anterior and posterior segments of the pelvis, the degree of curvature and slope of the sacrum, the shape and size of the pubic arch, etc.

Prevention and treatment of premature amniotic fluid shedding and prolapse of umbilical cord loops

From the moment a pregnant woman or a woman in labor is admitted to hospital, bed rest and an elevated position of the woman's pelvis are prescribed. Relatively often, already with the first contractions, and often before their onset, the waters break and the umbilical cord loops fall out.

Indications for cesarean section for breech presentation

A planned caesarean section for breech presentation of the fetus must be performed if the following indications are present: pelvic stenosis of I-II degree with a fetal weight over 3500 g; primiparous women over 35 years of age;

Management of the II period in breech presentation

In the second stage of labor, it is necessary to administer oxytocin intravenously by drip, starting with 8 drops/min, increasing every 5-10 minutes to 12-16 drops, but not more than 40 drops per minute.

Anesthesia for breech births

The use of painkillers should begin when regular labor activity is established and the cervical os is dilated to 3-4 cm. Epidural analgesia is widely used in a number of foreign clinics.

Management of pregnancy with breech presentation of the fetus

Pregnancy and childbirth with a breech presentation of the fetus should be considered pathological. Childbirth with a breech presentation of the fetus poses a certain danger both for the woman and especially for the fetus.

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