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Complications of cesarean section

Point, ① try to take the lower uterine cesarean section Yin transverse incision, to avoid even a classical incision ② the lower uterine segment transverse incision, the suture should not penetrate the endometrium and myometrium should only be sewn. ⑤ patients should pay attention to the protection of incision. ④ two tablets of thousands of clean gauze Palace are one-time application. @ Seam End pounds cystatin fold after peritoneal washing with salt water should the abdominal cavity, Well of the fat layer. 4. 1 patient in our hospital, Department of incisional hernia 1 year after caesarean section wound in the abdomen to the top, about 2 cubic centimeters the size of the surgical repair. Incision hernia occurred in the wall look straight incision (especially abdominal incision more common white lines), and the imitation which healed after severe coughing on. In this case the cause may be related with the surgical operation, brake production house outside the small incision is often presented in large, sewn into the peritoneal suture to the top through the discussion, we believe that: ① cesarean section should be the same size inside and outside the surgical incision,[link widoczny dla zalogowanych], suture peritoneum to to cut the top. ② 4 fascia incision at both ends of a single needle sewing thread sets the rest of the ⑤ selective cesarean section in case of severe cough, j be controlled before surgery emergency surgery, intraoperative suture reinforcement bar shelf, after a large number of antibiotics, abdominal bandage with a cummerbund. The remaining post-acute medical and surgical combined,[link widoczny dla zalogowanych], are to switch departments, symptomatic treatment, without sequelae. In recent years the development of perinatal medicine and social factors, cesarean section rate increased significantly, increased complications, especially serious complications. Difficulties of this, the indications should be strictly controlled, proud of a good preoperative, intraoperative, and postoperative treatment work to reduce the incidence of complications. 'Kung editor of thing - flat) Prenatal diagnosis of congenital malformations of family planning guidance, Beijing, Wang Su-linked congenital malformations of the means already exist at birth, babies can recognize the shape or structural abnormalities of the body. Xicheng District, Beijing Neonatal Mortality data, 1979 neonatal deaths accounted for congenital Qi-shaped 37.5 deaths, all causes of death in the first place. Beijing Children's Hospital and the Capital Institute of Pediatrics in December 1953 to March 1984, l1 during the 2234 side were doing neonatal autopsy and found 700 cases of congenital malformation, accounting for 31.3. In other diseases that gradually brought under control at the same time, congenital abnormalities, neonatal mortality has become the main reason. The incidence of congenital malformation of modern than in the past have significantly increased. According to statistics,[link widoczny dla zalogowanych], in the newborn, about 1 ~ 2% of patients with various congenital malformations, the occurrence of the original difficulties currently estimated at about 10% are from single-gene genetic diseases and chromosome diseases caused by other lO caused by environmental factors , 80% of the interaction of genetic and environmental factors results. Can check out the Wye during pregnancy without fetal malformations,[link widoczny dla zalogowanych], the answer is yes. Currently there are several methods can be used for prenatal diagnosis of congenital malformations. First, check the villi or amniotic fluid culture, fetal chromosomal chromosome illness, mental retardation, but is often associated with superficial or visceral malformations. Chromosome can be detected by chromosome abnormality caused by a congenital malformation. This check applies to older pregnant women, the age of 35 years or older or the age of {5-year-old husband, or more, because as couples age, children born in the possibility of chromosomal abnormalities also increase. In addition, one spouse is not normal for the chromosomes, in the past has given birth to a fruit l9 Port O wicker din 1r or malformation of some silly children who should be proud of the Yun-Lei. Nap time should normally take 6 to 9 weeks gestation, with 1.2 mm diameter hollow plastic tube through the cervix into the bureaucratic day, connecting a plastic tube at 5 ml syringe,[link widoczny dla zalogowanych], can be taken down 5 ~ 1O mg get picked . But this operation requires a doctor specially trained by the do. Villus direct preparation can not develop into a specimen for analysis, 2 to 3 days can make a diagnosis. Amniotic fluid in pregnant 4 to 5 months after abdominal puncture and collected into 20 ml of laboratory culture, about 3-4 weeks can be a diagnosis. =, B-mode ultrasound imaging ultrasound probe will check the abdomen to scan the entire uterus, the fetus can directly observe the physical state of Lu, pregnant women without pain, B-scan ultrasound imaging device in the graphic that appears when dwarfish radiography can also record . Some of the more common abnormalities such as anencephaly children, spina bifida, hydrocephalus, meningitis, etc. can be pointing out the diagnosis. Another example is the visceral valgus, polycystic kidney disease, pleural effusion, ascites, a large umbilical hernia, cartilage development is not base, microcephaly, edema children, also can be diagnostic method has been applied. Clinical experience in the past has given birth to deformed children or couples above one of the patient or family members of such patients, the other when checking in maternal serum or amniotic fluid AFP elevated, polyhydramnios who do not touch the fetal head clear who should be proud of and so this check. Viral infection in early pregnancy has often caused by a variety of malformations, it should do the inspection. Check more time in the 4 to 5 months of pregnancy or later. Echocardiography is currently useful for penetration off heart disease, but not yet universal. Ultrasound examination of some of the smaller instrument deformities such as multi-
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