And fetal mortality risks are even higher as more prolonged gestational age, maternal age younger age, higher parity, fetal birth weight less, the association with abnormalpresentations or other maternal morbid states. Pregnant metabolic rebalancing requiresrepeated administration of oxygen required and careful monitoring of uterine dynamics.
At birth, this syndrome needs to be indicated Ballantyne Runge - CLIFORDcharacterized by:
- general signs: fetal length 53-54 cm, big hair, hands washerwoman;
- biological signs: hypoglycemia, hyponatremia, hypocalcemia, acidosis, increasedhematocrit;
- signs skin: scaly skin, hands and pursed plants, the elderly;
- signs of nerves: the fetus shows hypothermia, hypertonic, is excited about life, and maycyanotic seizures.
After making a positive diagnosis of conduct in chronologically prolonged pregnancycan be of two types: conservative, when they expect active and spontaneous onset(classic approach), in which attempts to trigger labor. This can be done through severalmethods:
1. administration of castor oleum
2. administration of calcitonin
3. by administration of 8-12 estrogenizarea sintofolin ampoules / day
4. ocitocice be administered in tablet form or as slow infusion
5. administration of prostaglandin is the most indicated.
Labor should be closely monitored to track the dynamics of the fetal heart beat anduterine caesarean section is indicated whenever there is another indication if pregnantor dead fetuses also presented chronologically by prolonged pregnancy.
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