emergency in obstetrics dr ewa zwolinska...•umbilical cord prolapse •hospitalization •examine...
TRANSCRIPT
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EMERGENCY IN OBSTETRICSdr Ewa Zwolinska
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• you will remember a little of what you hear, some of what you read, considerably more of what you see, but almost all of what youunderstand.
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PLAN
• Some simple questions
• Delivery
• Bleeding
• PROM
• Monitoring fetal movement
• CTG
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• When does pregnancy begin?
• Gestational age vs embryonic age
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• What is the best position to sleep for a pregnant woman?
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• What is the average fetal heart rate?
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• How do you estimate the weight of the fetus?
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• What are the norms of blood pressure valuesfor a pregnant patient?
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VISIT HOSPITAL WHEN:
• Contractions
• Bleeding
• PROM
• Weak fetal movement
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CONTRACTIONS
• As the strength of each contraction increases, the peaks will come sooner and last longer.
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BLEEDING
• Placenta pervia
• Placental abrutpion
• Dehiscence of cesarean scar
• Polyp
• Erosio portionis
• Trauma
• Carcinoma
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• Risk factors:
• Multiparity
• Previous c- section
• Smoking
• Previous D&C
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BLEEDING NO BLEEDING
FETUS MATURE C-SECTION OBSERVATION
FETUS IMMATURE C-SECTION OBSERVATION
IF IN LABOUR- C-SECTION
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• Symptoms:
• Bleeding
• Fetal distress
• Tetanic contractions
• Sonography 50% sensitivity
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• Risk factors:
• Previous abruption
• Myoms
• Septum
• Maternal diseases
• Nicotine, cocaine
• Abdominal trauma
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PROM
• Infection• Umbilical cord prolapse
• Hospitalization
• EXAMINE THE PATIENT
• Control infectious parameters• Antibiotics
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• Admitted to hospital, PV bleed. Weakcontractions. Normal CTG trace. VE: Cx fullyeffaced, 2 cm dilated.
• After 2 hours: ARM. Bloodstained liquordraining. Sudden pain per abdomen Uterustensed, 200 ml blood clot per vagina.
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• Desicion made for Emergency ceaserean section.
• Caeserean Section. Babygirl born AS 2, 4, 5. Birthweight 3 670 g.
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Fertility awareness based methodsof family planning
• Dr Ewa Zwolińska, NFPMC
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• Contraindications to use OC/ IUD
• Discontinuation of OC/ IUD because of sideeffects
• Fear/ heard of side effects
• Post-pill/ IUD
• Monitoring health and fertility
• Perimenopause, breastfeeding
• Will I ever be a mother?
• Ethical or other reasons
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ANATOMY, PHYSIOLOGY
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•MEN
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A HEALTHY MAN IS ALWAYS FERTILE
• Volume > 1,5ml
• pH 7,2-8,1
• Concentration >15mln/ml
• Number >39mln
• Activity >32%
• Morphology >4% correct forms
• Living >58%
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•WOMEN
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ANATOMY
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PHYSIOLOGY
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Cervix
Fertile mucus
Egg lives up to 24 hours and can be inseminated up to 12 hours.
Sperm lives up to 7 days in fertile mucus
The fertility of a couple is a sum of fertility of the man andwoman and so in fact is conditioned by the cyclic fertility ofthe woman.
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PHYSIOLOGY
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wczesna faza pęcherzykowa
1 2 3 4 5
dzień cyklu:
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wczesna faza pęcherzykowa
1 2 3 4 5
dzień cyklu:
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1 2 3 4 5 6 7
wczesna faza pęcherzykowadzień cyklu:
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1 2 3 4 5 6 7 8 9 10
wczesna faza pęcherzykowa
dzień cyklu:
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późna faza pęcherzykowadzień cyklu:
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owulacjadzień cyklu:
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faza ciałka żółtegodzień cyklu:
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faza ciałka żółtegodzień cyklu:
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PHYSIOLOGY
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PHYSIOLOGY
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PHYSIOLOGY
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PHYSIOLOGY- PREGNANCY
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WHAT DO THE HORMONES DO?
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TOO MUCH ESTROGEN
DVT
FEELING UNWELL
OBESITY
ENLARGEMENT OF BREASTS
HEPATIC DISFUNCTION
OEDEMA
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PROGESTERONE
MANTAINING PREGNANCY
HIGHER TEMPERATURE
RETAINED WATER
LOWER CONCENTRATION-
MENSES
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CHANGES IN WEIGHTMOOD SWINGSWATER RETAINLOWER LIBIDOPAIN
MICARRIAREDEPRESSION
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Cervical mucus
Feeling:
Appearnce:
dry
humid
wet
cloudy, sticky, tacky, dense
stretchy, transparent
Less fertile mucus
More fertile mucus
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1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30
WIL
GO
TNO
SUC
HO
SUC
HO
SUC
HO
SUC
HO
SUC
HO
KR
WA
WIE
NIE
KR
WA
WIE
NIE
KR
WA
WIE
NIE
KR
WA
WIE
NIE
LEP
KI
KR
WA
WIE
NIE
KR
WA
WIE
NIE
KR
WA
WIE
NIE
KR
WA
WIE
NIE
Wygląd
Odczucie
Dzień cyklu
Śluz szyjkowy
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1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30
WIL
GO
TNO
WIL
GO
TNO
SUC
HO
SUC
HO
SUC
HO
SUC
HO
SUC
HO
KR
WA
WIE
NIE
KR
WA
WIE
NIE
KR
WA
WIE
NIE
KR
WA
WIE
NIE
GĘS
TY
LEP
KI
KR
WA
WIE
NIE
KR
WA
WIE
NIE
KR
WA
WIE
NIE
KR
WA
WIE
NIE
Wygląd
Odczucie
Dzień cyklu
Śluz szyjkowy
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1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30
MO
KR
O
WIL
GO
TNO
WIL
GO
TNO
SUC
HO
SUC
HO
SUC
HO
SUC
HO
SUC
HO
KR
WA
WIE
NIE
KR
WA
WIE
NIE
KR
WA
WIE
NIE
KR
WA
WIE
NIE
RO
ZCIĄ
GLI
WY
GĘS
TY
LEP
KI
KR
WA
WIE
NIE
KR
WA
WIE
NIE
KR
WA
WIE
NIE
KR
WA
WIE
NIE
Wygląd
Odczucie
Dzień cyklu
Śluz szyjkowy
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1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30
NO
RKO
MO
KR
O
WIL
GO
TNO
WIL
GO
TNO
SUC
HO
SUC
HO
SUC
HO
SUC
HO
SUC
HO
KR
WA
WIE
NIE
KR
WA
WIE
NIE
KR
WA
WIE
NIE
KR
WA
WIE
NIE
RO
ZCIĄ
GLI
WY
RO
ZCIĄ
GLI
WY
GĘS
TY
LEP
KI
KR
WA
WIE
NIE
KR
WA
WIE
NIE
KR
WA
WIE
NIE
KR
WA
WIE
NIE
Wygląd
Odczucie
Dzień cyklu
Śluz szyjkowy
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1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30
WIL
GO
TNO
NO
RKO
MO
KR
O
WIL
GO
TNO
WIL
GO
TNO
SUC
HO
SUC
HO
SUC
HO
SUC
HO
SUC
HO
KR
WA
WIE
NIE
KR
WA
WIE
NIE
KR
WA
WIE
NIE
KR
WA
WIE
NIE
GĘS
TY
RO
ZCIĄ
GLI
WY
RO
ZCIĄ
GLI
WY
GĘS
TY
LEP
KI
KR
WA
WIE
NIE
KR
WA
WIE
NIE
KR
WA
WIE
NIE
KR
WA
WIE
NIE
Wygląd
Odczucie
Dzień cyklu
Śluz szyjkowy
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1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30
SUC
HO
SUC
HO
SUC
HO
SUC
HO
SUC
HO
KR
WA
WIE
NIE
SUC
HO
SUC
HO
SUC
HO
SUC
HO
SUC
HO
SUC
HO
SUC
HO
SUC
HO
SUC
HO
SUC
HO
WIL
GO
TNO
MO
KR
O
WIL
GO
TNO
WIL
GO
TNO
SUC
HO
SUC
HO
SUC
HO
SUC
HO
SUC
HO
KR
WA
WIE
NIE
KR
WA
WIE
NIE
KR
WA
WIE
NIE
KR
WA
WIE
NIE
KR
WA
WIE
NIE
GĘS
TY
RO
ZCIĄ
GLI
WY
GĘS
TY
LEP
KI
KR
WA
WIE
NIE
KR
WA
WIE
NIE
KR
WA
WIE
NIE
KR
WA
WIE
NIE
Wygląd
Odczucie
Dzień cyklu
Szczyt objawu śluzu
S 1 2 3
Śluz szyjkowy
MO
RKO
RO
ZCIĄ
GLI
WY
MO
KR
OR
OZC
IĄG
LIW
Y
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The changes in basic body temperature
After 3 hours of sleep, after waking up, before gettingup in vagina, rectum or in mouth.
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What can affect the basic temperature?
- illness- medicine,- tiredness,- stress,- climate change,- alcohol,- changing thermometer,- different time of measurement…
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1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30
PTC
Dzień cyklu
Tem
per
atu
ra
1 2 3
6 5 4 3 2 1
≥ 0,2OC
Podstawowa Temperatura Ciała (PTC)
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CERVIXBeginning of cycle:- low,- closed,- hard.
Owulation:- high,- open,- soft.
After ovulation:- low,- closed,- hard.
As biomarkers show:- higher,- more open,- soft.
macica
szyjka
pochwa
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1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30
KR
WA
WIE
NIE
KR
WA
WIE
NIE
KR
WA
WIE
NIE
KR
WA
WIE
NIE
Twardość
Pozycja i rozwarcie
Dzień cyklu
K K K K T T T T T M
Szyjka macicy
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1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30
KR
WA
WIE
NIE
KR
WA
WIE
NIE
KR
WA
WIE
NIE
KR
WA
WIE
NIE
Twardość
Pozycja i rozwarcie
Dzień cyklu
K K K K T T T T T M M M M
Szyjka macicy
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1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30
KR
WA
WIE
NIE
KR
WA
WIE
NIE
KR
WA
WIE
NIE
KR
WA
WIE
NIE
Twardość
Pozycja i rozwarcie
Dzień cyklu
K K K K T T T T T M M M M M T
Szyjka macicy
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KR
WA
WIE
NIE
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30
KR
WA
WIE
NIE
KR
WA
WIE
NIE
KR
WA
WIE
NIE
KR
WA
WIE
NIE
Twardość
Pozycja i rozwarcie
Dzień cyklu
K K K K T T T T T M M M M M T T T T T T T T T T T T T T T K
S 1 2 3
Szczyt objawu szyjki
M
Szyjka macicy
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Występowanie owulacji zależnie od długości cyklu
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Badanie celowane w oparciu o cykl
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• Irregular menses
• Intensitivity of menses
• Acyclic bleedings
• Intracycal spotting
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• PMS
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• Painful menses
• Infections
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• Myomas
• Polyps
• Insufficiency of corpum luteum
• Other hormonal symptoms
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• Polycystic ovary syndrome
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• Changes in mucus
• Anovulation
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• Pregnancy
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104
Metoda wielowskaźnikowa – podwójnego sprawdzenia
Karta obserwacji cyklu – początek ciąży
6 5 4 3 2 1
1 2 3
S 1 2 3
1 2 3S
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The effectiveness of a fertility awareness based method to avoid pregnancy in relation to a couple's sexual behaviour during the fertile time: a prospective longitudinal study
P. Frank-Herrmann et all.Human Reproduction pp. 1–10, 2007
• RESULTS After 13 cycles, 1.8 per 100 women of the cohort experienced an unintended pregnancy; 9.2 per 100 women dropped out because of dissatisfaction with the method; the pregnancy rate was 0.6 per 100 women and per 13 cycles when there was no unprotected intercourse in the fertile time.
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Fertility Awareness-Based Methods: Another Option for Family PlanningStephen R. Pallone
The Journal of the American Board of Family Medicine
• The available evidence suggests that FABMs, based largelyon assessing cervical mucous, can provide effectivecontraception. Although these methods have not gainedwide use, modern FABMs can be mastered by mostmotivated couples. Physicians' and other medicalpersonnel's limited knowledge of and experience with themethods inhibits broader use. Physicians should offerFABMs as a reasonable choice for family planning becausethere are no absolute contraindications. A woman'sinformed decision to use such methods should besupported with accurate information and referral to acertified provider. Instruction is available in manycommunities and from online courses. Some of thesemethods can be taught during a single session.
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• Thank you for your attention!