Asistenta La Nastere 3 Asist Mg Plata Cu Ora
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If we want to create a less If we want to create a less violent world, we must begin violent world, we must begin
with birth with birth
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ASISTENTA LA ASISTENTA LA NASTERENASTERE
IIIIII
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Perioada a III-a a Perioada a III-a a nasteriinasterii
(de expulzie a placentei)(de expulzie a placentei)
Subperioada I (de repaus fiziologic)Subperioada I (de repaus fiziologic) Subperioada a II-a (de decolare a placentei)Subperioada a II-a (de decolare a placentei) Subperioada a III-a (de expulzie a placentei)Subperioada a III-a (de expulzie a placentei)
I II III
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Subperioada I Subperioada I repaus fiziologicrepaus fiziologic
urmeaza imediat dupa expulzia urmeaza imediat dupa expulzia fatuluifatului
durata 5-7 mindurata 5-7 min contractii uterine absentecontractii uterine absente se pregateste decolarea placenteise pregateste decolarea placentei
Respectarea acestei perioade este obligatorieRespectarea acestei perioade este obligatorie
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Subperioada I Subperioada I repaus fiziologicrepaus fiziologic
ExpectativaExpectativa Supraveghere:Supraveghere:
- parametrii vitali- parametrii vitali
- vol sg pierdut- vol sg pierdut Supravegherea starii fatuluiSupravegherea starii fatului
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APGARAPGAR
A Appearance
P Pulse Rate G Grimace A Activity R Respiration
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detasarea placentei de peretele uterindetasarea placentei de peretele uterin dureaza 15-20 mindureaza 15-20 min contractii uterine contractii uterine dureroase 4-5’ / 20-30’’ dureroase 4-5’ / 20-30’’
Subperioada II-a Subperioada II-a decolare a placenteidecolare a placentei
vol sg pierdut max 250-300 mlvol sg pierdut max 250-300 ml
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Intre placenta si peretele uterin se Intre placenta si peretele uterin se formeaza formeaza un hematomun hematom care care contribuie la detasarea placentei si contribuie la detasarea placentei si eliminarea sa in vagin.eliminarea sa in vagin.
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Mecanism BaudeloqueMecanism Baudeloque Mecanism DuncanMecanism Duncan
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Decolarea placentei se produce la nivelul Decolarea placentei se produce la nivelul fibrinoidului Nitabuchfibrinoidului Nitabuch
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HemostazaHemostaza
““ligaturile vii” Pinardligaturile vii” Pinard tromboza fiziologicatromboza fiziologica factori tisulari placentarifactori tisulari placentari complex chininiccomplex chininic tromboplastinatromboplastina prostaglandineprostaglandine
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ConduitaConduita
parametrii vitali (puls, TA)parametrii vitali (puls, TA) vol sg eliminatvol sg eliminat forma si consistenta forma si consistenta
uteruluiuterului
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Subperioada a III-a Subperioada a III-a expulzie a placenteiexpulzie a placentei
dureaza 3-5 mindureaza 3-5 min placenta aflata intravaginal placenta aflata intravaginal eforturi eforturi
expulziveexpulzive expulzia spontana a placenteiexpulzia spontana a placentei
Controlul decolarii placenteiControlul decolarii placenteimanevra Brandtmanevra Brandt
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Insertia cordonuluiInsertia cordonului
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EpiziorafiaEpiziorafia
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““Obstetrics is Bloody Obstetrics is Bloody Business”Business”**
*Cunningham, et. al: Williams Obstetrics, 21st ed., 2001
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Hemoragia in postpartumHemoragia in postpartum
Atonie uterinaAtonie uterina Retentie partiala a placentei si Retentie partiala a placentei si
membranelormembranelor Solutii de continuitate la nivelul filierei Solutii de continuitate la nivelul filierei
pelvi-genitalepelvi-genitale Tulburari de coagulareTulburari de coagulare
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Atonia uterinaAtonia uterina
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Retentia partiala a placentei si Retentia partiala a placentei si mbmb
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Decolarea manualaDecolarea manuala
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Inversiunea uterinaInversiunea uterina
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Solutii de continuitate la Solutii de continuitate la nivelul filierei pelvi-genitalenivelul filierei pelvi-genitale
Rupturile colului uterinRupturile colului uterin Rupturile vaginuluiRupturile vaginului Rupturile vulvareRupturile vulvare Rupturile perinealeRupturile perineale
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Rupturile colului uterinRupturile colului uterin
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Hematom pelvinHematom pelvin
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Hematom vulvarHematom vulvar
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Rupturile perinealeRupturile perineale
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Sutura sfincterului analSutura sfincterului anal
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Supravegherea in postpartumSupravegherea in postpartum
B B - breast- breast
U U - uterus- uterus
BB - bowels - bowels
B B - bladder- bladder
L L - lochia- lochia
E E - episiotomy - episiotomy
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B - breastB - breast
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U - uterusU - uterus
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! vezica urinara! vezica urinara
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Etapele nasteriiEtapele nasterii
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