《妇产科学》课程教学课件（PPT讲稿）8.dystocia

承宽仁百年文化 重在餐种大学 书医院世纪辉煌 dystocia chang shufang

dystocia chang shufang

definition o Difficculty labor,it may be associated with various abnormalities that prevent or deviate from the normal course of labor and delivery

definition ⚫ Difficculty labor,it may be associated with various abnormalities that prevent or deviate from the normal course of labor and delivery

incidence Cesarean section were more often as a treatment for dystocia. The trend toward increasing the use of cesarean section was noted in many countries USA 25%,china 11%in 1990 to 29.9%in 1997 The maternal morbidity and cost of medical care was increased

incidence  Cesarean section were more often as a treatment for dystocia.  The trend toward increasing the use of cesarean section was noted in many countries USA 25%,china 11% in 1990 to 29.9% in 1997  The maternal morbidity and cost of medical care was increased

effect of dystocia on mather postpartum hemorrhage ▣postnatal infection postpartum urinary retention ▣genital duct fistula ▣uterine prolapse

 postpartum hemorrhage  postnatal infection  postpartum urinary retention  genital duct fistula  uterine prolapse effect of dystocia on mather

effect of dystocia on fetus ▣asphyxia ▣Birth trauma ▣bone fracture、nerve injury ▣perinatal morbidity、mortility

 asphyxia  Birth trauma  bone fracture 、nerve injury  perinatal morbidity 、mortility effect of dystocia on fetus

板咖國阅 >expulsive force >birth canal fetus spirits

expulsive force birth canal fetus spirits

classification ● Abnormalities of the passage pelvic dystocia ● Abnormalities of the passenger- fetal dystocia ● Abnormality of the powers- uterine dystocia

classification ⚫ Abnormalities of the passage – pelvic dystocia ⚫ Abnormalities of the passenger- fetal dystocia ⚫ Abnormality of the powers- uterine dystocia

Abnormalities of the passage causes bony abnormalities Soft tissue obstruction Abnormal placental location

causes ◼ bony abnormalities ◼ Soft tissue obstruction ◼ Abnormal placental location Abnormalities of the passage

bony abmormalities ▣Pelvic dystocia Due to small bony architecture,is the most commen cause of passage abnormalities

Pelvic dystocia Due to small bony architecture,is the most commen cause of passage abnormalities bony abmormalities

pelvic types caldwell and maloy classified in 1993) ▣Gynecoid pelvis ▣Android pelvis ▣Anthropoid pelvis ▣Platypelloid pelvis 型 女 男 类人型 泉平敌

pelvic types (caldwell and maloy classified in 1993)  Gynecoid pelvis  Android pelvis  Anthropoid pelvis  Platypelloid pelvis