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ID:36049482
大小:1.09 MB
页数:14页
时间:2019-05-02
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1、DataInterpretationO&G1.PartogramPartogram:thebrokenlinesshowexpectedprogressofcervicaldilatationinmultiparous(left)andprimiparous(right)womenDelayinfirststageoflabourinamultiparouswoman.Thelineofcervicaldilatationisflattenedandcrossestheexpectedline,leadingtoachangeofmanagementtoincreaseuterineco
2、ntractions.Ifthisworks,progressspeedsupandrunsinparalleltotheexpectedline,leadingtoavaginaldelivery.Ifitdoesnot,acaesareansectionshouldfollowafterareasonabletrialinthiscase,4 hoursIsthispartogramnormal?Isthelineleftoftheactionline?Isthecervixdilatingatthecorrectrate?(1cm/hr)Actionifcrossestheinte
3、rveneline?1.CTGWhataretheFxofCTG?BaselinevariabilityAccelerationsDecelerations(provoked/unprovoked)Definitions:Type1–withcontractions-normalType2>15secsaftercontractions-HypoxicfetusVariable-<15secondsaftercontractions–Cordcompression?2.IUGRCausesofsymmetricalIUGRinclude:·idiopathic·chromosomalab
4、normalities·TORCHinfections·maternalsmoking·maternalalcohol/opiateabuse·chronicmaternalnutritionaldeficiency·ionisingradiation·sicklecelldiseaseCausesofasymmetricalIUGRinclude:·idiopathic·pre-eclampsia·maternalrenalorcardiacdisease·mutiplegestationMonitorfetalwellbeing?1.BloodsPCOSLH>>>FSHSHBG-in
5、cTestosterone,DHEAS&Anderosterolone–allincInsulin–incTests-Amenorrhoea/anovulation,insulinresistancetests,Whenwouldyoudothetests?Day21–progestogen/USSTreatment?Womantryingtogetpregnant–metforminWomannottryingtogetpregnant(irregularcycles)-diannetteMenopauseFSH&LH–inc(>25iu/ml)Oestrodiol-<75iu/mlB
6、enefitsHRT·arrestsflushing(77%);improvesheadaches(30%)andinsomnia(55%),·reversesgenitaltractatrophy·improvespsychologicalsymptomse.g.confidenceimprovedinabout30%·reducesosteoporosisandthus,fracturerate·ithadpreviouslybeensuggestedthatthereisaprotectiveeffectagainstAlzheimer'sdisease-howevertheevi
7、dencesuggeststhatHRTincreasestheriskofprobabledementia(2,3)SideeffectsofHRTinclude:·nauseaandbreasttendernessin10%ofcases·weightgainandfluidretention·premenstrualsyndrometype-symptoms-aprogestogenside-effect·headaches-
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