Transcript Невынашивание и перенашивание беременности

Miscarriage and pregnancy
perenashivanie
k.m.n. Nigmatova G.M.
statistics
 The frequency of miscarriage is 10 to 25%
of the number of pregnancies and has no
tendency to decrease
 Preterm birth is 6-8% of all births
 The share of premature infants account for
65% of early neonatal mortality and 70% of
infant mortality
Terms of abortion with
miscarriage
 According to the Helsinki Convention,
considered premature birth at term of 22 to
37 weeks of pregnancy, childbirth body
weight from 500 to 2500g. In length from 25
to 45 cm, with signs of immaturity
Причины прерывания
беременности
 hormonal
 Infectious diseases of mother - TORCH-
infections
 intrauterine infection
 Anomalies of genital organs
 genital infantilism
 extragenital diseases
Reasons for termination of
pregnancy (continued)
 Complications of pregnancy
 Istmikotservikalnaya failure
 Premature rupture of membranes
 hysteromyoma
 Harmful occupational factors
 environmental impacts
Clinical classification of preterm
birth
 threatening
 starting
 begun
Clinical management of preterm
birth
 At the beginning or threatening birth:
 Acute tocolysis (magnesium, beta-
mimetics, prostaglandin inhibitor indomethacin)
 bed rest
 Prevention of distress in the newborn
(dexamethasone)
Signs of preterm infants
 Weight less than 2500g, height less than
45 cm
 skin syrovidnaya plentiful greasing
 subcutaneous tissue is underdeveloped
 the whole body is covered with fuzz
 Otic and nasal cartilage, soft
 nails do not extend beyond the fingertips
 umbilical ring is low
Carry a pregnancy
 Pregnancy is called post-term if its
duration is 42 or more weeks' gestation,
and the child born with such a pregnancy
has signs of "ripeness"
 Perenashivanie frequency averages about
11.5%.
What are the dangers
perenashivanie
 Complications of the mother:
 large fruit, clinically narrow pelvis
 operative delivery
 hypotonic bleeding
 postpartum septic diseases
 genital tract injuries (fractures, fistulas)
neonatal complications
 Increased risk of morbidity and mortality in
newborn
 development of asphyxia
 aspiration of amniotic fluid
 birth trauma with a large mass
signs of over-ripeness
 The dark green color of the skin
 staining of membranes, umbilical cord
green
 maceration of the skin (bath feet and
hands)
 scanty syrovidnaya lubrication
 reduction in skin turgor, senile
appearance of the child
signs of over-ripeness
The large size of the child
 long finger nails
 poorly expressed configuration head
 dense bones of the skull
 narrow joints and springs

Reasons postterm
 Experienced in childhood infectious
diseases
 Extragenital diseases, endocrine diseases
 infantilism
 psychological trauma
 Malposition and insertion head
 Violation of the mechanism of birth
Diagnosis postterm
 The correct calculation of the duration of
pregnancy
 Ultrasound in the early stages
 US signs of postterm
Tactics doctor at postterm
 The use of prostaglandins for the
"maturation" of the cervix
 When mature the cervix - the use of
prostaglandins and oxytocin
 With large fruit timely resolve the question
of operative delivery