Chuyển dạ đình trệ - Prolonged and obstructed labour
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Transcript of Chuyển dạ đình trệ - Prolonged and obstructed labour
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CHUYÓN D¹ KÐO DµI-CHUYÓN D¹ §×NH TRÖ
b¹ch ngâ ®¹i hoc y huÕ
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Muc tiªu1. §inh nghÜa ®îc chuyÓn d¹ kÐo dµi – chuyÓn d¹
®×nh trÖ
2. KÓ ®îc c¸c nguyªn nh©n cña chuyÓn d¹ kÐo dµi –chuyÓn d¹ ®×nh trÖ
3. Ph©n tÝch ®îc t¸c h¹i cña chuyÓn d¹ kÐo dµi –chuyÓn d¹ ®×nh trÖ
4. ChÈn ®o¸n ®îc chuyÓn d¹ kÐo dµi – chuyÓn d¹ ®×nh trÖ
5. LËp vµ thùc hiÖn kÕ hoach ch¨m sãc c¸c bµ mÑ chuyÓn d¹ kÐo dµi – chuyÓn d¹ ®×nh trÖ
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§Þnh nghÜa
• ChuyÓn d¹ kÐo dµi
• ChuyÓn d¹ ®×nh trÖ
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Nguyªn nh©n
Cã 4 yÕu tè dÉn ®Õn chuyÓn d¹ kÐo dµi:
1. TÝnh chÊt c¬n co 2. Thai nhi 3. Khung chËu ngêi mÑ 4. T©m lý thai phô.
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Cã 2 yÕu tè dÉn ®ÕnchuyÓn d¹ ®×nh trÖ
• Do mÑ:
- Khung chËu hÑp so víi ®Çu thai nhi
- U tiÒn ®¹o ( u nang, u x¬, ...)
• Do thai:
- C¸c ng«i bÊt thêng
- Thai to ( trªn 3500gr), dÞ d¹ng ®Çu.
- Ng«i chám cói kh«ng tèt ( kiÓu thÕ sau)
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T¸c h¹i§èi víi mÑ� Lµm cho mÑ mÖt mái, suy kÞªt
� T¨ng nguy c¬ ch¶y m¸u
� T¨ng nguy c¬ nhiÔm khuÈn
� T¨ng nguy c¬ tö vong
§èi víi con� T¨ng tû lÖ suy thai, thai ng¹t, thai chÕt.
� Cã thÓ ®Ó l¹i di chøng do sang chÊn sä n·o
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ChÈn ®o¸n
1. ChuyÓn d¹ kÐo dµi• ChuyÓn d¹ trªn 18 giê cha ®Î
• C¸c yÕu tè g©y chuyÓn d¹ kÐo dµi ( nÕu cã)
• Dùa vµo biÓu ®å chuyÓn d¹:
> 8 giê (Pha tiÒm tµng)
> 7 giê ( pha tÝch cùc )
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ChÈn ®o¸n
2. ChuyÓn d¹ ®×nh trÖ
� Dùa vµo biÓu ®å chuyÓn d¹
� Ng«i kh«ng tiÕn triÓn
� DÊu hiÖu chång khíp sä
� Ng«i bÊt thêng.
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Ch¨m sãc
1. NhËn ®Þnh
• ChuyÓn d¹ kÐo dµi
• ChuyÓn d¹ ®×nh trÖ
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Nh÷ng vÊn ®Ò
cÇn ch¨m sãc• ChuyÓn d¹ kÐo dµi� Cã nhiÔm khuÈn èi
� Cã suy thai
� Cã ®ê tö cung thø ph¸t
� Cã dÊu hiÖu däa vì tö cung
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LËp kÕ ho¹ch ch¨m sãc1. ChÈn ®ãan chÝnh x¸c chuyÕn d¹ thËt
2. Theo dâi tiÕn ®é cña chuyÓn d¹ 3. Theo dâi tim thai, cã suy kh«ng4. C¸c dÊu hiÖu sèng cña ngêi mÑ5. Híng dÉn chÕ ®é ¨n uèng hîp lý, khuyÕn khÝch n»m nghiªn tr¸i.6. C¸c dÊu hiÖu däa vì tö cung7. Xö trÝ kÞp thêi 8. §éng viªn s¶n phô, híng dÉn s¶n phô vµ gia ®×nh phèi hîp trong qu¸ tr×nh ch¨m sãc vµ xö trÝ.
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Nh÷ng vÊn ®Ò
cÇn ch¨m sãc
• ChuyÓn d¹ ®×nh trÖ�Cã nhiÔm khuÈn èi
�Cã suy thai
�Cã däa vì tö cung