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

女性生殖系统解剖 第一节骨盆 (一)骨盆的组成 1.骨盆的骨骼 2.骨盆的关节 3.骨盆的韧带

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

1. Different periods of Female Neonatal period:≤4 weeks childhood: 4 weeks to age of 12 adolescence: menarche age of 12-17 sexual maturity: begain 18. maintains for 30 years Operi-menopausal period: begain 40, maintains for 10-20 years pre-menopause, menopause (last time of menorrhae post-menopause

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

一、定义分娩及产褥期生殖道受病原体感染,引起的局部或全身的炎症变化 二、产褥病率 puerperal morbidity):分娩24小时后的10天内,用口表每日测量体温4次,2次大于等于38度

General Consideration Definition The separation of the placenta from its site of implantation after 20 weeks of gestation or during the course of delivery Frequency 0.51%0-2.33%(our country) 1%o(other countries) Incidence of fetal death

General Consideration Antenatal cardiovascular changes Blood volume increase by 40%-60%0 Peaking at 32-34 weeks the expansion in plasma volume is greater than that expansion of red cell mass Cardiac output Increase by 40%6-50% Peaking at 20-24 weeks

Definition Abruptio Placentae( placental abruption): premature separation of the normally implanted placenta from the uterine wall

7.1.1弱间断解与弱间断面 设2CR(N≥2)是连通区域,在2上给定二阶线性