Maternal trauma. obstetric surgeries

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Maternal trauma. obstetric surgeries

  1. 1. Maternal traumaObstetric surgeries<br />Lecture by AndriyBerbets<br />
  2. 2. Ruptures of perineum<br />Rupture of perineum of the 1st degree<br />1 – anterior wall of the vagina<br />2 – posterior wall of vagina<br />3 – crotch<br />4 – skin of perineum<br />
  3. 3. Ruptures of perineum<br />Rupture of perineum of the 2nddegree<br />1 – anterior wall of the vagina<br />2 – upper edge of the rupture<br />3 – posterior wall of vagina<br />4 – crotch<br />5 – skin of perineum<br />
  4. 4. Ruptures of perineum<br />Rupture of perineum of the 3rddegree<br />1 – posterior wall of the vagina<br />2 – upper edge of the rupture<br />3 – crotch<br />4 – mucous tunic of rectum<br />5 – sphincter<br />6 – anus<br />
  5. 5. Ruptures of perineum<br />Suturing of the rupture of perineum of the 1st degree<br />
  6. 6. Ruptures of perineum<br />Suturing of the rupture of perineum of the 2nd degree: <br />a - suturing the vaginal wall<br />b - suturing the muscles<br />c - suturing the skin of perineum<br />
  7. 7. Ruptures of perineum<br />Suturing of the rupture of perineum of the 3rd degree: <br />a - suturing the rectum wall<br />b - suturing the sphincter<br />
  8. 8. Ruptures of perineum<br />Correct and incorrect suturing of the perineum<br />
  9. 9. Ruptures of cervix<br />Rupture of the cervix of the 2nd degree<br />
  10. 10. Ruptures of the uterus<br />Threat of the rupture of the uterus<br />
  11. 11. Uterus injury<br />Inversion of uterus in case of placenta increta<br />
  12. 12. Obstetric forceps<br />а) introduction of the left spoon of tongs;<br />b) introduction of right spoon; <br />в) trial traction; <br />г) descending of head in tongs and defense of crotch; <br />d) removal of spoons;<br />
  13. 13. Obstetric forceps<br />Directions of tractions of obstetric forceps<br />
  14. 14. Obstetric forceps<br />Application of outlet obstetric forceps<br />
  15. 15. Obstetric forceps<br />Cavity forceps in right oblique dimension<br />
  16. 16. Caesarian section<br />Ceaserian section in the lower segment of the uterus<br />
  17. 17. Caesarian section<br />The delivery of fetus from the incision<br />
  18. 18. Fetal – destroying operations<br />Perforation of head of fetus by the method of Fenomenov<br />
  19. 19. Fetal – destroying operations<br />Decapitation by the Brown’s hook<br />
  20. 20. Fetal – destroying operations<br />Application of cranioclast<br />
  21. 21. Fetal – destroying operations<br />Decapitation. Applying the scissors by Fenomenov<br />
  22. 22. Fetal – destroying operations<br />Decapitation. The removal of trunk of fetus and the fetal head<br />
  23. 23. Thank You!<br />

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