A post-term pregnancy persists 42 weeks or more from the last menstrual period. It occurs in 5-10% of pregnancies and is more common in first-time mothers. Risks include placental insufficiency, low amniotic fluid levels, and difficult labor due to an oversized baby with a more calcified skull. Diagnosis involves assessing gestational age, ultrasound measurements of fetal size and amniotic fluid levels, and tests of placental function. Management seeks to induce labor if safe for vaginal delivery, or perform a Caesarean section if conditions are not suitable for induction or it fails.
Prelabour Rupture of Membrane (PROM) by Sunil Kumar Dahasunil kumar daha
Please find the power point on Prelabour Rupture of Membrane (PROM). I tried to present it on understandable way and all the contents are reviewed by experts and from very reliable references. Thank you
Prelabour Rupture of Membrane (PROM) by Sunil Kumar Dahasunil kumar daha
Please find the power point on Prelabour Rupture of Membrane (PROM). I tried to present it on understandable way and all the contents are reviewed by experts and from very reliable references. Thank you
Preterm labor is the labor that starts before the 37th completed week. In this presentation, we will discover causes, pathogenesis, diagnosis, clinical features, and management principles for preterm labor along with the most recent evidence.
Placental abruption is premature separation of placenta from the uterus/ in other words separates before childbirth.
It occurs most commonly around 25 weeks of pregnancy characterized by vaginal bleeding, lower abdominal pain, and dangerously low blood pressure
According to the International Federation of Gynaecology and Obstetrics (FIGO), prolonged pregnancy is defined as any pregnancy that exceeds 42wks (294 days) from the first day of the LMP in a woman with regular 28-day cycles.
Preterm labor is the labor that starts before the 37th completed week. In this presentation, we will discover causes, pathogenesis, diagnosis, clinical features, and management principles for preterm labor along with the most recent evidence.
Placental abruption is premature separation of placenta from the uterus/ in other words separates before childbirth.
It occurs most commonly around 25 weeks of pregnancy characterized by vaginal bleeding, lower abdominal pain, and dangerously low blood pressure
According to the International Federation of Gynaecology and Obstetrics (FIGO), prolonged pregnancy is defined as any pregnancy that exceeds 42wks (294 days) from the first day of the LMP in a woman with regular 28-day cycles.
A short presentation including a fictitious case study on prematurity. Focusing on the causes of prematurity, acute complications, chronic complications and bronchopulmonary dysplasia.
This presentation was prepared by me, Dr. P. Chizororo, to help fellow professionals understand one of the most common malpresentations, Breech presentation. Visit my YouTube channel, Nexus Medical Media for all pre-clinical subjects
2. Definition A pregnancy that persists for 42 weeks or more from the onset of the last menstrual period. Sometimes called postmaturity or postdate. Incidence 5-10%. It is more common in primigravidae. www.freelivedoctor.com
3. Aetiology Unknown, but hereditary, hormonal and non-engagement of the presenting part are suspected factors. www.freelivedoctor.com
4. Risk of Post-term A. Placental insufficiency: which may lead to foetal hypoxia or even death. B.Oligohydramnios: with its sequelae particularly cord compression during labour. C. Obstructed labour: due to; * oversized baby, * no moulding of the skull due to more calcification. D. Increased incidence of operative delivery. www.freelivedoctor.com
5. Diagnosis Antenatal > History: calculation of gestational age (see later). > Examination: larger baby size. > X-ray: large ossification center in the upper end of the tibia. > Ultrasonography: can detect, Biparietal diameter more than 9.6 cm. Increased foetal weight. Oligohydramnios. Increased placental calcification. >Tests for placental function. www.freelivedoctor.com
6. Diagnosis Postnatal a. Baby length: more than 54 cm. b. Baby weight: more than 4.5 kg. c. Skull: well ossified with smaller fontanelles. d. Finger nails: project beyond finger tips. www.freelivedoctor.com
7. Management Termination of labour is indicated which may be by: Induction of labour if the condition is favourable for vaginal delivery using: > amniotomy ± oxytocin, or > prostaglandins ± oxytocin. Caesarean section: if conditions are not favourable for vaginal delivery, or if induction of labour failed. www.freelivedoctor.com