The method of preparation of pregnant women risk group for childbirth in the third trimester

 

(57) Abstract:

Usage: in obstetrics. Essence: in the posterior vaginal fornix for 10 min prior to the introduction of prostaglandin gel intravenously injected-adrenomimetic for 5 to 6 hours Positive effect: reduces complications. table 2.

The invention relates to medicine, namely to obstetrics.

The aim of the invention is the reduction of complications.

The method is as follows. To obtain gel 1.0 g finely grated salt of carboxymethyl cellulose is dissolved in 7.0 ml of distilled water in a clean bottle out of penicillin. After sealing the vial was placed in an autoclave for 20-25 min at to120aboutAnd pressure 121,56 PDA. Further vials gel is stored at to+4oC.

Initially, establish intravenous drip solution adrenomimetic: 10.0 ml effects or 1.0 ml of alupent on 500,0 ml of physiological solution with an initial speed of 6-8 drops in one minute. Simultaneously, begin cardiotocographic study of intrauterine fetal condition using cardiac monitor. Then in a bottle with gel, warmed to room temperature, we use the renomination and the introduction of the gel is equal to 10 min and conditioned by time, necessary for the pharmacological effects of adrenomimetics. Prostaglandin gel instilliruut in the posterior vaginal vault syringe plastic catheter. As the catheter using a polyethylene tube with a length of 15-20 cm, taken from the disposable systems, blood transfusion, produced by domestic industry. The catheter is introduced into the vagina under control fingers exploring hands. After the introduction of the gel pregnant woman should stay in bed with a raised pelvic end of 2 hours for 0.5 h after injection of the gel continue cardiotocographic study of the intrauterine fetus. In further performed according to the testimony. If labor activity is not developed in one day, the next day, the treatment according to this method, repeat.

Pregnant U. 38 years. Diagnosis: pregnancy 29 weeks. Severe pre-eclampsia on the background of hypertension II senior Burdened obstetric history. Angiopathy of the retina Art. I Obesity II-III century Items. cholecystitis.

State upon receipt of moderate severity. HELL 160/100-160/105 mm RT.article.

Intensive therapy of preeclampsia within 1 day. ineffective. Preparations have begun for early delivery through joint ispci on the scale of the Bishop to treatment - 2B.

After 14 h after the start of treatment by this method have been premature rupture of amniotic fluid. Started intravenously drip labor induction S. Prostenoni of 0.1% to 1.0 ml After 17 h from the beginning of the introduction of gel developed regular family activities, and after 21 h happened live births preterm boy weighing 1650,0 grams and height of 42 cm, the score on the Apgar scale 5/6 points.

The total duration of labour 4 hours 10 minutes

Blood loss - of 150.0 ml.

The postpartum period was uneventful. On the 21st day the child is in a satisfactory condition transferred to the Pediatric Institute with a diagnosis of XP. intrauterine hypoxia. Prematurity II-III century

Indications for use

1. Pregnant women with placental insufficiency.

2. During advanced pregnancy.

3. Pathological reliminaries period.

4. When toxicosis II half of pregnancy.

5. Pregnant women with unripe cervix (neck of the uterus after 38 weeks of pregnancy, have suffered in the past childbirth pathological preliminary period.

6. For carrying out programmed delivery: treatment is carried out on the above methodology to the ripening of the cervix followed is entoprocta.

Contraindications to the use of.

Contraindications for joint applications-adrenomimetics and prostaglandin gel are the same as at their separate use (instructions for use of products).

The treatment by the above method is performed 1 time per day.

Daily dose:

partusisten - 10.0 ml,

alupent - 1.0 ml,

prostenon 0.1% gel 3,0-4,0 ml (3-4 mg PGE2)

entoproct gel 4,0-5,0 ml (20-25 mg PGE2).

Side effects.

Treated 51 pregnant by this method.

Of them: tachycardia pregnant -2/4% cropped tablet phenoptin, tachycardia in the fetus according to the CTG within 6 h from the start of treatment were observed.

Hypertension, hypotonia, strokes of hyperglycemia mother was not. Acidemia mother and ketoacidosis was not in one case.

Headache occurred in the 1st pregnant (2%), cropped S. Analgini 50% -7,0/m

The proposed method is shown in the table. 1 and 2.

The METHOD of preparation of PREGNANT women RISK GROUP FOR CHILDBIRTH IN the third TRIMESTER, including the introduction of prostaglandin gel in the posterior fornix of the vagina, characterized in that, to reduce complications, for 10 min to

 

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