胎盘早剥 Obstetrics is\bloody business Even though the maternal mortality rate has been reduced dramatically by hospitalization for delivery and the availability of blood for transfusion, death from hemorrhage remains prominent in the majority reports From willams obstetrics
General considerations Definition In placenta previa, the placenta is implanted in the lower uterine segment and located over the internal os. It constitutes an obstruction of descent of the presenting part. Main cause of obstetrical hemorrhage Incidence 0.24%-1.57% (our country)
Definition Placenta previa: Abnormal location- of the placenta over,orin close proximity to the internal os. Incidence: approximately 1 /250 pregnancy nulliparas: 1/1000~1/1500 pregnancy grandmultiparas: 1/20
Dystocia literally means difficult labor and it is characterized by abnormally slow progress of labor It is the consequence of four distinct abnormalities that may exist singly or combination
Normal Pregnancy Pregnand The course that the embryo and the fetus grow in the maternal body Stages f pregnancy Early pregnancy: $12 weeks Mid pregnancy:≥13 weeks,≤27 weeks Late pregnancy: 228 weeks Term pregnancy:≥37 weeks,<42 weeks
epidemiology Labor and delivery between28-36+6 weeks 5%-10% be the leading cause of perinatal morbidity and mortality Survival rates have increased and morbidity has decreased because of technologic advances
