ray ban occhiali 78 cases of pregnancy after cesar

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78 cases of pregnancy after cesarean section delivery mode again, clinical analysis

Selective pregnancy vaginal delivery trial production, trial production a success rate of 84.21%. Of course,[link widoczny dla zalogowanych], selective vaginal trial production is a history of successful vaginal delivery and cesarean section a prerequisite, this can take five steps: look, ask, listen, search, cut. Hope: the observation of maternal height, gait, shape and abdominal abdominal size, the original surgical scar, etc., whether the initial screening pelvic deformity, narrow, large children, whether previous cesarean section infection. Q: Ask the previous cesarean section indications, surgical procedures, preoperative trial production ever, neonatal weight, surgery with or without fever, infection and whether this pregnancy, prenatal fetal abnormalities, pregnancy complications, concurrent psychosis,[link widoczny dla zalogowanych], no longer determine the previous cesarean section indication, this new pregnancy,[link widoczny dla zalogowanych], no indications of cesarean section. Listen: Listen to fetal heart tones, listen to pregnant women in labor pain location, description of the nature or the groans of pain from which to identify uterine contraction pain is normal or a sign of uterine rupture, rupture warning symptoms are not typical J. Search: search the pelvic condition, fetal position, fetal size, first exposed the level, progress of labor,[link widoczny dla zalogowanych], with particular attention to whether there is tenderness at the original incision. ureshi other proposed ultrasound in late pregnancy can guess the lower uterine segment thickness of the danger of uterine rupture, a cesarean section on the history of women, transvaginal ultrasound measurement of the thickness of the lower uterine segment to the lower uterine segment> 12m / n as cut El healed <2mm for the healing. Routine examination of the original B-incision muscle thickness and continuity Palace, thickness <3mm were no trial production. Cut: Step 4 refers to the former should not be screened out of the trial production and trial production of the object appear in the process of fetal distress, labor abnormalities, threatened uterine rupture decisively to stop the trial production, to emergency cesarean section. Pregnancy cesarean section should be strictly controlled pilot vaginal indications and contraindications to promote vaginal birth. Because vaginal delivery can reduce the cesarean section again, organ abdominal adhesions increase the degree of postoperative fever, abdominal incision healing and complications such as lochia too long, as long as the trial production process carefully, to detect fetal distress, threatened uterine rupture, severe incidence of maternal complications will be greatly reduced. Therefore, the emphasis on the trial production process must have someone close observation, observation of pregnant women belly shape, whether the lower uterine tenderness, fetal heart rate changes, the best line of the hospital conditions of intrauterine pressure measurement, continuous fetal heart rate monitoring. In short, the cesarean section delivery is not only absolutely safe way, the perfect mother and infant is the combined result of many factors. Many risk factors for pregnancy outcome in itself makes the perfect under threat. The patients also indicates that another pregnancy after cesarean delivery, trial production is a kind of alternative measures to remove the contraindication for vaginal delivery after the pilot be given the opportunity to reduce the cesarean section rate, can further improve the quality of obstetrics, promote the further development of perinatal medicine.
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