dimensions of the pelvis 1 cm or more Classification shape
narrowing : (common form)1.Obscheravnomernosuzhenny pelvis 2.Ploskie basins: - Simple flat - Obschesuzhenny flat - Ploskorahitichesky
3. Poperechnosuzhenny
Разделы презентаций
- Разное
- Английский язык
- Астрономия
- Алгебра
- Биология
- География
- Геометрия
- Детские презентации
- Информатика
- История
- Литература
- Математика
- Медицина
- Менеджмент
- Музыка
- МХК
- Немецкий язык
- ОБЖ
- Обществознание
- Окружающий мир
- Педагогика
- Русский язык
- Технология
- Физика
- Философия
- Химия
- Шаблоны, картинки для презентаций
- Экология
- Экономика
- Юриспруденция
Narrow pelvis in obstetrics. Malposition. PATELIYA BHARGAV GROUP NO.163 B
Содержание
- 1. Narrow pelvis in obstetrics. Malposition. PATELIYA BHARGAV GROUP NO.163 B
- 2. ANATOMIC narrow pelvis - This reduction
- 3. Rare forms of female pelvis Kososmeschenny kososuzhenny
- 4. Classification according to the degree of narrowing
- 5. REASONSViolations of fetal development girl violation of
- 6. Diseases of the bone (osteomalacia, etc.). osteomyelitis,
- 7. NARROW DIMENSIONS pelvic By narrowing the
- 8. Pelviometriya
- 9. index Solovyov
- 10. Simple flat pelvis 1. All direct size
- 11. Ploskorahitichesky pelvis The sacrum can be described
- 12. Ploskorahitichesky pelvis Significant expression of expansion of
- 13. Poperechnosuzhenny pelvis : 1. An
- 14. The angle of inclination of the pelvis.
- 15. Clinical signs of growth -
- 16. Слайд 16
- 17. Diamond shaped Michaelis at anatomically narrow pelvis
- 18. Слайд 18
- 19. Complications of labor with a narrow pelvis
- 20. Complications of labor with a narrow pelvis
- 21. Complications of labor with a narrow pelvis
- 22. Delivery in OUT With 1-degree of narrowing
- 23. Clinically narrow pelvis: Size mismatch pelvic
- 24. Prolonged labor. Causes clinically narrow pelvis:· The combination
- 25. CLINICALLY narrow pelvis Size mismatch HEAD size of the pelvis during childbirth
- 26. diagnostics: The diagnosis of clinically narrow
- 27. SIGNS inappropriate:Symptom Vasta Symptom Tsangemeystra Thinning of the lower uterine segment
- 28. Слайд 28
- 29. Certain symptoms Vasta
- 30. Delivery in clinically narrow pelvis: 1st
- 31. Prevention OUT In children: proper nutrition, hardening,
- 32. Prevention clinically narrow pelvis Proper balanced nutrition
- 33. Скачать презентанцию
ANATOMIC narrow pelvis - This reduction in one or more dimensions of the pelvis 1 cm or more Classification shape narrowing : (common form)
Слайды и текст этой презентации
Слайд 2
ANATOMIC narrow pelvis
- This reduction in one or more
1.Obscheravnomernosuzhenny pelvis 2.Ploskie basins: - Simple flat - Obschesuzhenny flat - Ploskorahitichesky
3. Poperechnosuzhenny
Слайд 3Rare forms of female pelvis
Kososmeschenny kososuzhenny and pelvis
infantile pelvis
Osteomalyatichesky pelvis
Android
or funnel
kyphotic
Слайд 4Classification according to the degree of narrowing of the pelvis
(By Malinowski, MS) By true conjugate 1 degree - 10 - 8cm Grade
2 - 8 - 6cm Grade 3 - 6 cm and below (absolutely narrow pelvis)
Слайд 5REASONS
Violations of fetal development girl violation of mineral metabolism
Infantilism Rickets
Severe diseases of the internal organs Bone tuberculosis, polio Early heavy child
labor Young nulliparous (13 - 19yo) Wearing tight pants ("denim pelvis")
Слайд 6Diseases of the bone (osteomalacia, etc.). osteomyelitis, bone tuberculosis. . Injury
(lesion of the hip - shortening - obliquely combined pelvis).
Слайд 7NARROW DIMENSIONS pelvic
By narrowing the shape of the pelvis
D.Spinarum D.cristarum
D. trochanterica C. externa C.diagonalis C.veraD.Spinarum D.cristarum D. trochanterica C. externa C.diagonalis C.vera Normal 25 28 31 20 13 11 pelvis. Obscheravno- 24 26 29 18 11 9 mernosuzhen- ny. Prostoy- 25 28 31 18 11 9 flat. Ploskora- Hitichesky 27 27 31 17 10 8 transversely necked 25 25 30 20 13 11
Слайд 10Simple flat pelvis 1. All direct size is reduced, due to
the fact that the sacrum is uniformly close to the
pubic articulation. 2. The iliac wings are widely deployed. 3. Sacral flattened diamond that is less than 11 cm in the vertical.
Слайд 11Ploskorahitichesky pelvis The sacrum can be described as "There are four"
(ears) :
· Flattened · Shortened Broadened · · Thinned
Слайд 12Ploskorahitichesky pelvis
Significant expression of expansion of the ilium.
Distancia spinarum =
distancia cristarum unlike simple flat pelvis.
Pubic angle large
Слайд 13Poperechnosuzhenny pelvis :
1. An elongated diamond sacral
2. Reduction
of the transverse dimensions 3. Cool standing iliac wing (or low
detailed). 4. Narrow pubic arch
Слайд 15 Clinical signs of growth - below 150 cm or above
180 cm AGE- less than 20 years
Pointed or pendulous abdomen
breech
Lateral
position of the fetus
CHANGE Michaelis rhombus
CHANGING size of the pelvis
index Solovyov
Слайд 19Complications of labor with a narrow pelvis
FIRST PERIOD
Prenatal and early
rupture of water Chorioamnionitis and infection of the fetus, uterus Uterine inertia Vypavdenie
loop cord, small parts of the fetus prolonged labor asphyxia
Слайд 20Complications of labor with a narrow pelvis
SECOND PERIOD
Prolonged standing Head
in one plane
uterine rupture
Stretching and rupture of the symphysis pubis
Third
and early postpartum
Genitourinary fistulas and rectal
Bleeding in 3 and the early postpartum period
perinatal mortality
maternal mortality
Слайд 22Delivery in OUT
With 1-degree of narrowing of the pelvis -
90% of births end vaginally - 10% - operational by When
the 2-degree of narrowing - 70% of births by surgery, 30% - vaginally When the 3-degree of narrowing - 100% surgically
Слайд 23Clinically narrow pelvis: Size mismatch pelvic size of the fetal
head Reasons: - Large fruit, anatomically narrow pelvis, Incorrect insertion of the head, running transverse
position of the fetus, hydrocephalus
Слайд 24Prolonged labor. Causes clinically narrow pelvis:
· The combination of small and
large degree of narrowing of the fetus - 60%. · Abnormal
insertion and presentation of the head - and extensor asinkliticheskie at small narrowing in the normal pelvis - 34%. · The large size of the head and a normal pelvis - 10% · Organic changes of the pelvis - 6%.
Слайд 26diagnostics: The diagnosis of clinically narrow pelvis is set to
end in 1 or 2-stage of labor during the inspection early
attempts Hyperextension of the lower uterine segment Swelling of the cervix during the inspection
Слайд 27SIGNS inappropriate:
Symptom Vasta
Symptom Tsangemeystra
Thinning of the lower uterine segment
Слайд 30Delivery in clinically narrow pelvis: 1st degree - relative disparity
- expectant management
2nd and 3rd degree - surgical delivery
Слайд 31Prevention OUT
In children: proper nutrition, hardening, prevention of rickets, prevention
of childhood infections, correct posture - In adolescence, the right food,
comfortable clothing netesnaya, injury prevention, exercise according to age
Слайд 32Prevention clinically narrow pelvis
Proper balanced nutrition during pregnancy
- Restricting carbohydrates
in the 2 half of pregnancy - Correct mode of work
and rest - Monitoring the weight gain - Clinical supervision in the clinic for the position of the fetus
