1. 2. 3. 4. (Uterine Rupture) 28 1.

 1.   2.    3.   4.    (Uterine Rupture)   28  1.

1. 2.

3. 4.

(Uterine Rupture) 28 1. (Complete Rupture)

. (incomplete rupture) 1. 2.

3. 4. 5. 2

1. 2. (Tonic contraction) 3.

4. 5. 6. 1. 2.

2-3 1. Ringers lactate 2. 3.

1. (Presentation of cord) ) Occult prolapsed) of cord) 2. (prolapsed) of cord) )

1.

2. 3. 4. 5. 2.1

2.2. (Uterine inversion)

3 1. (incomplete inversion) 2. (complete inversion) 1.

2. 1.

2. 3. broad) ligament 4. 5.

1.

2. 3. 4. 5. 6. (Amniotic fluid embolism)

/ card) iogenic shock 1-2

(Disseminated) Intraavascular Clottion : DIC) 1. 2. 3. 4. 5. 6.

1. 2. 3. Fibrinogen

4. 5. 5.1 15-30 5.2 5.3

(Fetal distress) (Fetal d) istress) 1. 120 / 160 / 2. meconium spincter anus meconium stain

. External Fetal Monitoring (Late d) ecelerate) 4. acid) osis 1. inferior

vena cava card) iac output 2. 3. 4. 5 External fetal Monitoring 6. 7. 8.

1.Hypovolemic shock 2.Card) iogenic shock card) iac output (vasoconstriction)

3.Septic shock enterotoxin 4.neurogenic shock peripheral vasod) ilatation 5.Anaphylactic shock Hypovolemia

Card) iogenic shock 1. 2.

3. 4. electrolyte imbalance Whole blood) CVP 10-13 . . (Isuprel)

6. 100 . 7. - (Vasa previa) (vasa previa) Velamentous inrsertion

internal os Vasa previa Fetal d) istress

(Postterm) 42 (294 ) 40 (280 ) 1. (Uteroplacental insufficiency : UPI) (Oligohyd) ramnios)

Fetal d) istress 2. d) ysmaturity 3. 1.

41 42 2. 1. 2.

ultrasound) 3. 41 4. (Premature Rupture of

membranes : PROM)) PROM 1. (chorioamnionitis) 2. 3.

4. (Cervical imcompetent) 5. . (malpresentation) 7. 8. 9.

1. 2.Speculum exam (Posterior formix) 3.Nitrazine paper test nitrazine pH 4.5-6.0 pH 7.0-7.5

4. Fern test electrolyte NaCl (Arbrization) 1. (chorioamnioitis) 2. 3. 2 (Dry labour)

1. 2. (Respiratory Distress Synd) rome : RDS) 37 3. (Fetal d) istress) 4. (IUGR) 1.

biparietal d) iameter amniocentesis Lecithin Sphingomyelin (L:S ratio) 2:1 Shake test 3 .

3. 34-36 16-24 (Lung maturity) RDS glucocorticoid) 24 . (chorioamnionitis)

(Premature labour) 28-37 259

1. 19 40 d) iethylstilbestrol (DES) .

prostagland) in 3. 4. 1. 2. 30

1 10 30 2 . 80% 3. 1. (Spontaneous pretermlabour) 2.

(tocolytic d) rugs) 3. (fetal d) istress) 1. 23-28 (respiratory d) istress synd) rome : RDS) 2.

1. 1.1 1.2 (tocolytic agent)

1. active 4 . 2. 3. severe preeclamsia, eclampsia chorioamnionitis 4. fetal d) istress, hyd) rop fetallis

1. 140 / 2. (systolic 20 mm.Hg, d) iastolic 10 mm.Hg) 3. fetal d) istress 4. 1.3 (glucgluc ocorticoid) ) Dexamethazone betamethazone 24 mg. surfactant glycopho spholipid) pneumocyte type II 24-48

34 24 7 2. 2.1 2.2 chorioamnionitis

2.3 fetal d) istres s 2.4 RDS (glucRetained) Plecenta) 30

1. 2. 3. (plecenta ad) herens) trophoblast d) ecid) ual basalis 3 3.1 plecenta accreta trophoblast

3.2 plecenta increta trophoblast 3.3 plecenta percreta trophoblast serosa (hysterectomy) 4. 1. 2.

controlled) cord) traction 4. (glucPost partum hemorrhage) 500 . 1

24 1. 2. 3. 4. 1.

2. 500 . 1 24 6 1. 2. 3.

4. 5. 3 4-9

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