产科临床医学中心建设规划课件

dystociaTengYinchengRENJI

HOSPITAL8/26/20232RENJI

HOSPITALDefinitionDystocia

literally

means

difficult

labor

and

itischaracterized

by

abnormally

slow

progressoflaborIt

is

the

consequence

of

fourdistinctabnormalities

that

may

exist

singly

orcombination8/26/20233RENJI

HOSPITALAbnormal

of

the

powers(uterine

contractility

andmaternal

expulsive

effort)Abnormalities

of

passenger(the

fetus)Abnormalities

of

the

passage(the

birth

canal)Categories

of

dystociaAbnormalities

of

the

powersUterine

dysfunctionhypotonicprimarysecondaryuterine

inertiaUterineDysfunctionhypertonicuterine

hypercontractility8/26/20234RENJI

HOSPITALAbnormalities

of

the

powers8/26/20235RENJI

HOSPITAL8/26/20236RENJI

HOSPITALAbnormalities

of

the

powers-----uterine

inertiaEtiology

of

uterine

inertiaCephalopelvic

disproportion or

Fetal

malpositionAbnormal

of

uterine

muscleImbalance

of

endocrine

systemAdministration

of

analgesiapsychical-factorsOthers

fatigue8/26/20237RENJI

HOSPITALAbnormalities

of

the

powers-----uterine

inertia2.Clinical

findingsFailure

to

progressLack

of

progressive

cervical

dilatationProlonged

latent

phaseProlonged

active

phaseProtracted

active

phaseProlonged

second

phaseLack

of

fetaldecentProlonged

descentProtracted

descentProlonged

laborRENJI

HOSPITALAbnormalities

of

the

powers-----uterine

inertia3.diagnosisPalpation:strengthdurationfrequencyTocodynamometerVaginal

examination8/26/20238RENJI

HOSPITAL8/26/20239RENJI

HOSPITAL8/26/2023108/26/202311RENJI

HOSPITALAbnormalities

of

the

powers-----uterine

inertia4.Effect

on

maternal

and

fetusmaternalfatigueacidosisinfectionpostpartum

hemorrhagecesarean

section

ratebirth

injury

distressprolapse

of

umbilical

cordstillbirthfetus8/26/202312RENJI

HOSPITALAbnormalities

of

the

powers-----uterine

inertia5.managementhypotonicgeneral

managementphysical

methodsdrugsSedativeHypertonicRENJI

HOSPITALAbnormalities

of

the

powers-----hypercontractility1.Clinical

findings

and

diagnosisPrecipitate

deliveryConstriction

ring

of

uterusTetanic

contractionofuterus8/26/2023138/26/202314RENJI

HOSPITALAbnormalities

of

the

powers-----hypercontractilityEffect

on

maternal

and

fetusPrecipitate

deliverysoft

birth

canaltraumaRupture

of

uterusFetal

distressFetal

deathstillbirth8/26/20231