Omuz Distozisi - www.jinekolojivegebelik.com

Omuz Distosisi ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Tanım ,[object Object],[object Object],[object Object],[object Object],[object Object]

İnsidans Yazar Yıl Doğum Sayısı Distosi % Lurie 1986-1991 27,112 52 0.19 Gross 1980-1985 10,662 24 0.23 Smith 1980-1985 34,800 203 0.58 Baskett 1980-1989 40,518 254 0.6 Ghermen 1991-1995 50,114 303 0.6 Stallings 1994-1997 8,282 138 1.7 Nesbitt 1992 175,886 6238 3.0 Beal 1995-1996 722 99 13.7 Spong 1995 250 40 16

Ne zaman oluşur? ,[object Object],[object Object],[object Object],[object Object],[object Object]

Antepartum Risk Faktörleri ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

İntrapartum Risk Faktörleri ,[object Object],[object Object],[object Object],[object Object],[object Object]

Omuz Distosisi ,[object Object],[object Object],[object Object],[object Object],[object Object],Blickstein , Gynecol Obstet Invest, 1998

Nesbitt çalışması 175000 doğum Kilo aralığı Nondiabetik Diabetik GDM+ Vak u m-Forceps 4000-4250 %5.25 %8.4 %12.2 4250-4500 %9.1 %12.3 %16.7 4500-4750 %14.3 %19.9 %27.3 4750-5000 %21 %23.5 %34.8

MAKROZOMİ TESBİT EDİLENLERDE DOĞUM İNDÜKSİYONU ,[object Object],[object Object],[object Object],[object Object],[object Object]

PROFİLAKTİK SEZARYEN ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Omuz distosis i ,[object Object],[object Object],[object Object]

BRAKİAL PLEKSUS HASARI ,[object Object],[object Object],[object Object],[object Object],[object Object]

Pleksus Hasarı ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Clinical Obstetrics and Gynecology 2007, Lipinkott Williams&Wilkins

OMUZ DİSTOSİSİ YÖNETİMİ ,[object Object],[object Object],[object Object],[object Object],[object Object]

Asfiksi!!! ,[object Object],[object Object],[object Object],[object Object]

MANEVRALER ,[object Object],[object Object],[object Object],[object Object]

MANEVRALAR ,[object Object],[object Object],[object Object]

MANEVRALAR ,[object Object],[object Object],[object Object],[object Object]

Obstet Gynecol 2003:101:1068-1072

Manevralar ,[object Object],[object Object],[object Object]

Clinical Obstetrics & Gynecol(2007)

Manevralar ,[object Object],[object Object],[object Object],[object Object]

Koplikasyonlar ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Brakial Pleksus Hasarı ,[object Object],[object Object],[object Object],[object Object]

ACOG(2002) TAVSİYELERİ ,[object Object],[object Object],[object Object]

ACOG(2002) ,[object Object],[object Object]

Sonuç Olarak ,[object Object],[object Object],[object Object],[object Object],[object Object]

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