cpd + uterine rupture
TRANSCRIPT
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References
Cunningham, F. Gary, et al. Williams
Obstetrics, 24th Edition. McGraw HillEducation, 2014.
Lynch, Christoper B. A Textbook ofPostpartum Hemorrhage. Jaypee Brothers
Pub, 2006
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Objective
0) 1&"*#23%&" 34* 5#$&6$57*2 $& 34* "$%8&)2$2
%&" 9%&%8*9*&3 ): %;&)#9%7$
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!7*#3 !6
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109
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1
0
XXX
X XXXX X
1 2 3 4 5 6 7 8 9 10 11 12 13 14
- 3
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2
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1
0
+ 1
+ 2
+ 3
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/?23)6$%
Abnormalities of:
1. Expulsive forces
2. Maternal bony pelvis
3.
Soft tissues of the reproductive tract
4. Fetal presentation, position or development of
the fetus
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@ AB2
A)+*#
A%22%8*
A%22*&8*#
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/?23)6$%
Abnormalities of:
1. Expulsive forces
2. Maternal bony pelvis
3.
Soft tissues of the reproductive tract
4. Fetal presentation, position or development of
the fetus
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A%22%8*
C&7*3
-$"57%&*
D137*3
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A%22%8*
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A%22%8*
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C&3*#&%7 EF%9$&%
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C&7*3
!A G => 69
0#%&2H*#2* G =I 69
J7$&$6%7 A*7H$9*3#?K "$%8)&%7 6)&L18%3* G ==.M69
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C&7*3
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C&7*3
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C&7*3
E%#7? #1531#* ): 34* 9*9;#%&*
-%75#*2*&3%
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C&7*3
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-$"57%&*
C&3*#25$&)12 G N 69
C&3*#25$&)12 O A)23*#$)# P%8$3%7 < 13.5 cm
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-$"57%&*
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D137*3
C&3*#$264$%7 31;*#)12 G N 69
04)9B2 Q17*KR+4*& 34* 3#%&2H*#2* "$%9*3*# 5712 5)23*#$)# 2%8$3%7
"$%9*3*#2 ): )137*3 S =M 69 ;? TUQ%? A*7H$9*3#?, ;)&?
5*7H$6 $2 6)&2$"*#*" %"*V1%3*W
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J7$&$6%7 A*7H$9*3#?
Parametersassessed
Adequate Contracted
Sacral Promontory Not reached Easily reached
Curvature ofsacrum Concave Straight or flat
Sacrosciatic notch Admits 2 fingers < 2 fingers
Ischial spine Blunt Prominent
Bispinousdiameter
Not reached by 2fingers
Reached by 2fingers
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J7$&$6%7 A*7H$9*3#?
Parametersassessed
Adequate Contracted
Pelvic sidewalls Parallel ordivergent
Convergent
Pubic arch Obtuse angle Acute angle
Ischial tuberosities > Closed fist < Closed fist
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P)X 0$221* /?23)6$%
Y7%""*# "$23*&
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/$%8&)2
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/$%8&)2
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/$%8&)2
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P4)17"*# /?23)6$%
E9*#8*&6? 2$31%
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P4)17"*# /?23)6$%
-6Q);*#3B2 9%&*1H*#
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P4)17"*# /?23)6$%
-6Q);*#3B2 9%&*1H*#
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P4)17"*# /?23)6$%
]))"B2 9%&*1H*#
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P4)17"*# /?23)6$%
Q1;$&B2 9%&*1H*#
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P4)17"*# /?23)6$%
/*7$H*#? ): 34* 5)23*#$)# 24)17"*#
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A%22*&8*#
P4)17"*# /?23)6$%
^%H%&*77$B2 9%&*1H*#
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-%3*#&%7 E_*63 ): /?23)6$%
`3*#$&* #1531#*
a$2317% :)#9%
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a*3%7 E_*63 ): /?23)6$%
J%513 2166*"%&*19
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d*#H* $&L1#?
a#%631#*
J*54%7)4*9%3)9%
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a*3%7 E_*63 ): /?23)6$%
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`3*#$&* Q1531#*
A#$9%#? H2 P*6)&"%#?
J)957*3* H2 C&6)957*3*
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`3*#$&* Q1531#*
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`3*#$&* Q1531#*
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`3*#$&* Q1531#*
P$8& %&" P?953)92
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`3*#$&* Q1531#*
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f?23*#*63)9? H2 13*#$&* #*5%$#
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