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

病因 1.创伤 2.宫颈内口松弛 3.胎膜感染:支原体、衣原体、细菌、性交刺激 4.羊膜腔压力:双胎、羊水过多 5.头盆不称、胎位异常 6.胎膜发育不良、胶原纤维和弹性蛋白合成障碍

Definition PROM is defined as the rupture of the chorioamniotic membrane before the onset of labor

Pregnancy-induced Hypertension syndrome (Hypertensive disorders complicating pregnancy) Professor of obstetrics and gynecology

异常分娩 定义 影响分娩的主要因素为产力、产道、胎 儿及精神心理因素,这些因素在分娩过 程中相互影响。任何一个或一个以上因 素发生异常以及四个因素间相互不能适 应,而使分娩进展受到阻碍,称异常分 娩(dystocia),又称为难产

General Consideration Diabetes mellitus complicating pregnancy Diabetes mellitus is diagnosed before this pregnancy Gestational diabetes mellitus (GDM) Carbohydrate intolerance of varying degree of severity with onset or first recognition during pregnancy

淋病( gonorrhea) 目前世界上发病率最高的性传播疾病 ,由淋病奈瑟菌引起,属革兰氏阴性 双球菌 淋菌特点是侵袭粘膜,以生殖、泌尿 系统粘膜的柱状上皮与移行上皮为主 喜潮湿,怕干燥

异常分娩的诊治要点 1产前诊断 2产时诊断 3注重病因学诊断

Physiological Stages Neonatal period: birth---4 weeks Childhood: 4 weeks----12 years Puberty:12 years----18 years Sexual maturation: 18 year-=-50 year Perimenopause: decline of ovarian function(40 years)---1year postmenopause Postmenopause:

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)