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يرجي مساعدتنا فى تنظيف المنتدي وجعله افضل للابلاغ عن رابط او موضوع تالف


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قديم 08-28-2013, 03:35 AM
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افتراضي carefully check the integrity of the placenta
اذا عجيك الموضوع متنساش تدوس اعجبنى meticulously verify the integrity of your placentaImportant words risk thingsAbstract Goal to discover a postpartum hemorrhage factors,

عزيزي الزائر يتوجب عليك التسجيل للمشاهدة الرابط [ للتسجيل اضغط هنا ]

danger components and prevention actions. Approaches A retrospective evaluation on the method of delivery in the 183 cases of postpartum hemorrhage patients admitted to our hospital for your previous six many years, the result in on the bleeding and rescue steps. Triggers of bleeding in uterine inertia accounted for fifty six.28%, the placental components accounted for 25.68%, accounted for 16.94 % from the comfortable birth canal injury. The principle danger variables of postpartum hemorrhage in childbirth damage, complications of being pregnant and abortion induced labor background. Summary postpartum hemorrhage as a consequence of a range of factors along with a selection of risk factors, really should focus on the distinct cause on the comprehensive software of medicines, various conservative surgical procedure is an powerful treatment of postpartum hemorrhage. Chinese papers League ending.postpartum hemorrhage is one of the factors for obstetric among the list of frequent and really serious problems, can also be an important bring about of maternal loss of life within our ranks maternal fatalities the causes in the first [1]. The floating populace of my town, and migrant workers, the majority of whom absence well being consciousness, at property or in personal clinics, childbirth, postpartum hemorrhage occurred even hemorrhagic shock following sent towards the hospital. This article retrospectively analyzed the medical data of 183 situations of postpartum hemorrhage patients admitted to 6 many years, to explore the factors of postpartum hemorrhage, risk aspects and avoidance measures. The1 Materials and Solutionsone.1 General info from January 2000 to December 2005 in our healthcare facility maternity four,287 cases where vaginal delivery 3159 situations, 1128 cases of cesarean part, the prognosis of postpartum hemorrhage in 169 circumstances, the incidence of 3.94%, additionally to fourteen circumstances of vaginal childbirth in private clinics incidence of postpartum hemorrhage, a complete of 183 situations. Which 152 situations of vaginal supply, cesarean section 31 cases; aged 19 to 37 many years previous, with the typical of 26.three years of age; gestational age of 35 to 42 months, using an average of 39.2 months; primipara ninety five situations,nike cost-free operate two, 88 circumstances by mothers; abortion, induction of labor historical past 161 instances. Diagnostic normalone.2 postpartum hemorrhage infant is shipped inside 24h right after blood loss> 500ml [2],nike free run

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2. Hemorrhagic shock hypovolemia attributable to the fall in blood pressure, pale, clammy skin, dizziness, fast weak pulse, accompanied by extreme palpitation and various levels of consciousness, reduced urine output as well as other clinical manifestations.1.3 calculated postpartum hemorrhage mostly from the volumetric system and weighing approach. Cesarean part surgery by physicians to evaluate the level of bleeding, delivery outside the hospital by the visible system and shock index combined together with the dedication from the level of bleeding. Shock index (pulse price / SBP) 1 signifies a blood loss of 30% to 50%, from about 1500 to 2500ml [3]. Bring about uterine inertiatwo outcome2.one postpartum hemorrhage in 103 circumstances, of fifty six.28%; 47 cases of placental elements 25.68%; delicate birth canal laceration 31 cases, accounting for sixteen.94%; coagulation problems, accounting one.09%.two.2 method of delivery vaginal shipping 152 situations, such as 14 cases of childbirth in personal clinics; 31 situations of cesarean section. Various mode of shipping postpartum hemorrhage in Table 1. Postpartum hemorrhage ofTable one mode of supply (omitted) 183 circumstances ,

عزيزي الزائر يتوجب عليك التسجيل للمشاهدة الرابط [ للتسجيل اضغط هنا ]

, of your2.3 postpartum hemorrhage and induced labor abortion relationship of the information, induction of labor or abortion more than one 161 instances, accounting for 87.98%, induction of labor, abortion 22 instances, accounting for 12.02%, induction of labor, abortion and postpartum bleeding relationship shown in Desk 2.In Desk 2 induction of labor, abortion and postpartum bleeding relationship (somewhat)the two.four postpartum hemorrhage and the connection of threat components to our hospital for primary medical center, the majority of highrisk pregnancies have been transferred to higher degree hospitals refuse referral danger elements for being pregnant high blood pressure illness, anemia, polyhydramnios, twin, fetal macrosomia, placenta previa, placental abruption, uterine scar rupture of membranes, uterine fibroids. The threat things for 156 circumstances, accounting for eighty five.25%, no risk things have been 27 cases, accounting for 14.75%, which danger factors for hypertensive problems in being pregnant, followed by a uterine scar. Threat elements for postpartum hemorrhage connection proven in Table three.Desk three danger things for postpartum hemorrhage the relations (slightly)three talk about the causes of postpartum hemorrhagethree.1 (one) This data uterine inertia may be the most important reason for postpartum hemorrhage, accounting for 56.28%. May be associated to maternal overstretched labor right after a negative split, consuming less, extended labor, extreme utilization of tranquilizers when labor, cesarean section anesthesia is also deep, antispasmodic sedative as well as other highrisk variables inside the preeclampsia patients with extreme. (2) placental factors in second spot, can also be a the postpartum haemorrhage frequent purpose, accounting for twenty five.68%. There was induction of labor, abortion, endometrial varying levels of harm, intrauterine an infection possibilities vulnerable to subsequent being pregnant the fetal membranes adhesions, retained placenta, irregular position, placenta accreta, have an effect on the uterine contraction may perhaps result in postpartum hemorrhage. (3) smooth start canal damage of postpartum hemorrhage is another crucial reason, accounting for sixteen.94%. Especially within the start clinic, laceration on the cervix and vagina. Uterine incision in cesarean section tear, injuring the uterine artery and lead to severe bleeding. Vaginal shipping and delivery, the cervix is??not open the entire maternal of untimely pressure or also strong contractions, misuse of oxytocin, the progress of labor also, the baby is delivered as well swiftly, the fetus is also large, shield the perineum improper childbirth, vaginal supply surgery inappropriate are likely to lead to the injury from the soft beginning canal postpartum hemorrhage. (4), coagulation disorders postpartum hemorrhage is significantly less widespread, the team accounted for one.09%, amniotic fluid embolism, placental abruption caused by blood clotting ailment.three.two postpartum hemorrhage relationship involving mode of shipping within this team vaginal delivery than cesarean part postpartum hemorrhage price greater, which includes 14 ,

عزيزي الزائر يتوجب عليك التسجيل للمشاهدة الرابط [ للتسجيل اضغط هنا ]

, situations of deliveries outdoors the hospital. Cesarean segment, cesarean part indication and timing of surgical procedure in our medical center strictly controlled, whilst improved intraoperative surgical expertise and timely use of tocolytic agents to lessen the surgical trauma, thereby lowering the price of postpartum hemorrhage. The3.three postpartum hemorrhage prevention (1) vigorously perform well being training to enhance the price of clinic shipping, boost the quality of obstetric administration to improve midwifery skills in any respect amounts of overall health treatment staff and initial aid. (2) do an excellent job of family members planning advocacy perform for girls of childbearing age to cut down pointless abortion, induction of labor. (three) superior prenatal missionary, given psychological counseling for expecting females, the worry and anxiousness psychological conduct Doula supply and Leisure to be developed. Emphasis around the prognosis and therapy of obstetric complications, early elimination in the prospective variables that will result in postpartum hemorrhage. (4) close observation of your progress of labor, well timed detection and remedy of extended labor, obstructed labor and extended labor, contractions agent following the baby is shipped, as appropriate, timely shorten the third phase of labor, placenta right after supply, , fetal membranes. Thethree.4 postpartum hemorrhage and the rescue and remedy of hemorrhagic shock (1) energetic treatment for that trigger: speedy hemostasis, use to market uterine contraction techniques, including therapeutic massage with the uterus,north encounter jakke,

عزيزي الزائر يتوجب عليك التسجيل للمشاهدة الرابط [ للتسجيل اضغط هنا ]

cervix clamp uterotonics, uterine artery ligation, uterine cavity fill yarn, hysterectomy, and laceration suturing, coagulation flaws, corrective and DIC therapy. (2) timely and ,

عزيزي الزائر يتوجب عليك التسجيل للمشاهدة الرابط [ للتسجيل اضغط هنا ]

, correct estimate in the volume of blood loss is important

عزيزي الزائر يتوجب عليك التسجيل للمشاهدة الرابط [ للتسجيل اضغط هنا ]

to timely remedy of postpartum hemorrhage. Sometimes due to the believed clinical incorrect blood reduction along with maternal shock, hence have to be strictly in accordance with all the weighing and volumetric approaches estimated postpartum blood loss, dynamic observation shock index, Hb, RBC adjustments, early detection of shock, grasp transfusion timing. (3) timely, quick to include quantity, opening two far more intravenous access, enter at the least one hour after the shock occurs crystalloid fluid 2L, recruitment should be 3 times the quantity of misplaced. Crystalloid

عزيزي الزائر يتوجب عليك التسجيل للمشاهدة الرابط [ للتسجيل اضغط هنا ]

fluids can select saline, Ringer's solution and sodium bicarbonate Ringer's remedy, and after that threene input colloidal liquid (such as minimal molecular dextran, plasma, plasmageneration goods, albumin, etc.). (four) transfusion treatment: treatment of postpartum hemorrhage rarely significantly less than 10% of your blood quantity with whole blood, the volume of bleeding, no blood transfusions, crystalloids or colloids can include. Anemia such as bleeding, could possibly be suitable to include packed pink blood cells or washed crimson blood cells. The massive amount of bleeding, up to 20% of your blood volume, speedy infusion of the well balanced resolution and Ringer's lactate solution 1500 2000ml, and with blood .

عزيزي الزائر يتوجب عليك التسجيل للمشاهدة الرابط [ للتسجيل اضغط هنا ]

for ,

عزيزي الزائر يتوجب عليك التسجيل للمشاهدة الرابط [ للتسجيل اضغط هنا ]

, transfusion prepare. Including unstable blood stress, indicators of shock, ought to enhance the crystal liquid + the colloidal liquid + blood, within the ratio of three:1:0.five, the blood obtainable Additives crimson blood cells. Bleeding more than 40% on the blood quantity, in line with the crystal resolution, colloidal solution.相ه…³çڑ„ن¸»é¢کو–‡ç«*:

عزيزي الزائر يتوجب عليك التسجيل للمشاهدة الرابط [ للتسجيل اضغط هنا ]

عزيزي الزائر يتوجب عليك التسجيل للمشاهدة الرابط [ للتسجيل اضغط هنا ]

عزيزي الزائر يتوجب عليك التسجيل للمشاهدة الرابط [ للتسجيل اضغط هنا ]

عزيزي الزائر يتوجب عليك التسجيل للمشاهدة الرابط [ للتسجيل اضغط هنا ]

عزيزي الزائر يتوجب عليك التسجيل للمشاهدة الرابط [ للتسجيل اضغط هنا ]

عزيزي الزائر يتوجب عليك التسجيل للمشاهدة الرابط [ للتسجيل اضغط هنا ]

عزيزي الزائر يتوجب عليك التسجيل للمشاهدة الرابط [ للتسجيل اضغط هنا ]

عزيزي الزائر يتوجب عليك التسجيل للمشاهدة الرابط [ للتسجيل اضغط هنا ]

عزيزي الزائر يتوجب عليك التسجيل للمشاهدة الرابط [ للتسجيل اضغط هنا ]

عزيزي الزائر يتوجب عليك التسجيل للمشاهدة الرابط [ للتسجيل اضغط هنا ]

عزيزي الزائر يتوجب عليك التسجيل للمشاهدة الرابط [ للتسجيل اضغط هنا ]

عزيزي الزائر يتوجب عليك التسجيل للمشاهدة الرابط [ للتسجيل اضغط هنا ]

عزيزي الزائر يتوجب عليك التسجيل للمشاهدة الرابط [ للتسجيل اضغط هنا ]

عزيزي الزائر يتوجب عليك التسجيل للمشاهدة الرابط [ للتسجيل اضغط هنا ]

عزيزي الزائر يتوجب عليك التسجيل للمشاهدة الرابط [ للتسجيل اضغط هنا ]

عزيزي الزائر يتوجب عليك التسجيل للمشاهدة الرابط [ للتسجيل اضغط هنا ]

عزيزي الزائر يتوجب عليك التسجيل للمشاهدة الرابط [ للتسجيل اضغط هنا ]

عزيزي الزائر يتوجب عليك التسجيل للمشاهدة الرابط [ للتسجيل اضغط هنا ]

عزيزي الزائر يتوجب عليك التسجيل للمشاهدة الرابط [ للتسجيل اضغط هنا ]

عزيزي الزائر يتوجب عليك التسجيل للمشاهدة الرابط [ للتسجيل اضغط هنا ]







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الكلمات الدلالية (Tags)
carefully , check , integrity , of , placenta , the
المواضيع المتشابهه
الموضوع كاتب الموضوع المنتدى مشاركات آخر مشاركة
261).Herve Leger Dress - Check it out 8230;What i lihua7540 المحذوفات والمواضيع المنقوله 0 09-16-2011 09:59 AM
Check out this video and see the Dilliger Varsity Camille784 المحذوفات والمواضيع المنقوله 0 09-02-2011 07:14 AM
Check out this video and see the Dilliger Varsity Stewart157 المحذوفات والمواضيع المنقوله 0 08-30-2011 01:01 PM
- Make a background check before hiring companies qo01ha21qx المحذوفات والمواضيع المنقوله 0 11-13-2010 12:45 PM


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