分娩的臨床經(jīng)過及處理課件

婦產(chǎn)科學(xué)第7章正常分娩(2)婦產(chǎn)科學(xué)1【教學(xué)目標(biāo)】掌握分娩的臨床經(jīng)過及處理要點;掌握產(chǎn)程圖的分期及臨床意義?！窘虒W(xué)重點】產(chǎn)程分期,各產(chǎn)程臨床經(jīng)過和處理,包括產(chǎn)程圖?！窘虒W(xué)難點】分娩的臨床經(jīng)過及處理要點。2020/4/27正常分娩(2)【教學(xué)目標(biāo)】掌握分娩的臨床經(jīng)過及處理2分娩的臨床經(jīng)過及處理(-)先兆臨產(chǎn)1.假臨產(chǎn)2.胎兒下降感3.見紅(二)臨產(chǎn)的診斷:有規(guī)律且逐漸增強的子宮收縮,伴隨進行性宮頸管消失、宮口擴張和胎先露部下降。2020/4/27正常分娩(2)分娩的臨床經(jīng)過及處理3(三)產(chǎn)程分期●分娩全過程是從開始出現(xiàn)規(guī)律宮縮至胎兒胎盤娩出為止,簡稱總產(chǎn)程2020/4/27正常分娩(2)(三)產(chǎn)程分期4第一產(chǎn)程●又稱宮頸擴張期。從開始出現(xiàn)間歇5~6分鐘的規(guī)律宮縮,到宮國開全。初產(chǎn)婦的宮頸較緊,宮口擴張較慢,約需11-12小時;經(jīng)產(chǎn)婦的宮頸較松,宮口擴張較快,約需6-8小時。2020/4/27正常分娩(2)第一產(chǎn)程5第二產(chǎn)程又稱胎兒娩出期。從宮口開全到胎兒娩出。初產(chǎn)婦約需1~2小時:經(jīng)產(chǎn)婦通常數(shù)分鐘即可完成,但也有長達1小時者。2020/4/27正常分娩(2)第二產(chǎn)程6第三產(chǎn)程●又稱胎盤娩出期。從胎兒娩出到胎盤娩出。約需5~15分鐘,不超過30分鐘。2020/4/27正常分娩(2)第三產(chǎn)程7第一產(chǎn)程的臨床經(jīng)對及處理●1.臨床表現(xiàn)●規(guī)律宮縮●宮口擴張●胎頭下降●胎膜破裂2.觀察產(chǎn)程進展及處理2020/4/27正常分娩(2)第一產(chǎn)程的臨床經(jīng)對及處理8官口開張0產(chǎn)程圖線官口開張0產(chǎn)程圖9(1)子宮收縮(1)子宮收縮10分娩的臨床經(jīng)過及處理課件11分娩的臨床經(jīng)過及處理課件12分娩的臨床經(jīng)過及處理課件13分娩的臨床經(jīng)過及處理課件14分娩的臨床經(jīng)過及處理課件15分娩的臨床經(jīng)過及處理課件16分娩的臨床經(jīng)過及處理課件17分娩的臨床經(jīng)過及處理課件18分娩的臨床經(jīng)過及處理課件19分娩的臨床經(jīng)過及處理課件20分娩的臨床經(jīng)過及處理課件21分娩的臨床經(jīng)過及處理課件22分娩的臨床經(jīng)過及處理課件23分娩的臨床經(jīng)過及處理課件24分娩的臨床經(jīng)過及處理課件25分娩的臨床經(jīng)過及處理課件26分娩的臨床經(jīng)過及處理課件27分娩的臨床經(jīng)過及處理課件28分娩的臨床經(jīng)過及處理課件29分娩的臨床經(jīng)過及處理課件30分娩的臨床經(jīng)過及處理課件31分娩的臨床經(jīng)過及處理課件32分娩的臨床經(jīng)過及處理課件33分娩的臨床經(jīng)過及處理課件34分娩的臨床經(jīng)過及處理課件35分娩的臨床經(jīng)過及處理課件36分娩的臨床經(jīng)過及處理課件37分娩的臨床經(jīng)過及處理課件38分娩的臨床經(jīng)過及處理課件39分娩的臨床經(jīng)過及處理課件40分娩的臨床經(jīng)過及處理課件41分娩的臨床經(jīng)過及處理課件42分娩的臨床經(jīng)過及處理課件43分娩的臨床經(jīng)過及處理課件44分娩的臨床經(jīng)過及處理課件45分娩的臨床經(jīng)過及處理課件46分娩的臨床經(jīng)過及處理課件47分娩的臨床經(jīng)過及處理課件48分娩的臨床經(jīng)過及處理課件49分娩的臨床經(jīng)過及處理課件50分娩的臨床經(jīng)過及處理課件51分娩的臨床經(jīng)過及處理課件52分娩的臨床經(jīng)過及處理課件53分娩的臨床經(jīng)過及處理課件54分娩的臨床經(jīng)過及處理課件55分娩的臨床經(jīng)過及處理課件56分娩的臨床經(jīng)過及處理課件57分娩的臨床經(jīng)過及處理課件58分娩的臨床經(jīng)過及處理課件59分娩的臨床經(jīng)過及處理課件60分娩的臨床經(jīng)過及處理課件61分娩的臨床經(jīng)過及處理課件62分娩的臨床經(jīng)過及處理課件63分娩的臨床經(jīng)過及處理課件64分娩的臨床經(jīng)過及處理課件65分娩的臨床經(jīng)過及處理課件66分娩的臨床經(jīng)過及處理課件67分娩的臨床經(jīng)過及處理課件68分娩的臨床經(jīng)過及處理課件69分娩的臨床經(jīng)過及處理課件70分娩的臨床經(jīng)過及處理課件71分娩的臨床經(jīng)過及處理課件72分娩的臨床經(jīng)過及處理課件73分娩的臨床經(jīng)過及處理課件74分娩的臨床經(jīng)過及處理課件75分娩的臨床經(jīng)過及處理課件76婦產(chǎn)科學(xué)第7章正常分娩(2)婦產(chǎn)科學(xué)77【教學(xué)目標(biāo)】掌握分娩的臨床經(jīng)過及處理要點;掌握產(chǎn)程圖的分期及臨床意義。【教學(xué)重點】產(chǎn)程分期,各產(chǎn)程臨床經(jīng)過和處理,包括產(chǎn)程圖?！窘虒W(xué)難點】分娩的臨床經(jīng)過及處理要點。2020/4/27正常分娩(2)【教學(xué)目標(biāo)】掌握分娩的臨床經(jīng)過及處理78分娩的臨床經(jīng)過及處理(-)先兆臨產(chǎn)1.假臨產(chǎn)2.胎兒下降感3.見紅(二)臨產(chǎn)的診斷:有規(guī)律且逐漸增強的子宮收縮,伴隨進行性宮頸管消失、宮口擴張和胎先露部下降。2020/4/27正常分娩(2)分娩的臨床經(jīng)過及處理79(三)產(chǎn)程分期●分娩全過程是從開始出現(xiàn)規(guī)律宮縮至胎兒胎盤娩出為止,簡稱總產(chǎn)程2020/4/27正常分娩(2)(三)產(chǎn)程分期80第一產(chǎn)程●又稱宮頸擴張期。從開始出現(xiàn)間歇5~6分鐘的規(guī)律宮縮,到宮國開全。初產(chǎn)婦的宮頸較緊,宮口擴張較慢,約需11-12小時;經(jīng)產(chǎn)婦的宮頸較松,宮口擴張較快,約需6-8小時。2020/4/27正常分娩(2)第一產(chǎn)程81第二產(chǎn)程又稱胎兒娩出期。從宮口開全到胎兒娩出。初產(chǎn)婦約需1~2小時:經(jīng)產(chǎn)婦通常數(shù)分鐘即可完成,但也有長達1小時者。2020/4/27正常分娩(2)第二產(chǎn)程82第三產(chǎn)程●又稱胎盤娩出期。從胎兒娩出到胎盤娩出。約需5~15分鐘,不超過30分鐘。2020/4/27正常分娩(2)第三產(chǎn)程83第一產(chǎn)程的臨床經(jīng)對及處理●1.臨床表現(xiàn)●規(guī)律宮縮●宮口擴張●胎頭下降●胎膜破裂2.觀察產(chǎn)程進展及處理2020/4/27正常分娩(2)第一產(chǎn)程的臨床經(jīng)對及處理84官口開張0產(chǎn)程圖線官口開張0產(chǎn)程圖85(1)子宮收縮(1)子宮收縮86分娩的臨床經(jīng)過及處理課件87分娩的臨床經(jīng)過及處理課件88分娩的臨床經(jīng)過及處理課件89分娩的臨床經(jīng)過及處理課件90分娩的臨床經(jīng)過及處理課件91分娩的臨床經(jīng)過及處理課件92分娩的臨床經(jīng)過及處理課件93分娩的臨床經(jīng)過及處理課件94分娩的臨床經(jīng)過及處理課件95分娩的臨床經(jīng)過及處理課件96分娩的臨床經(jīng)過及處理課件97分娩的臨床經(jīng)過及處理課件98分娩的臨床經(jīng)過及處理課件99分娩的臨床經(jīng)過及處理課件100分娩的臨床經(jīng)過及處理課件101分娩的臨床經(jīng)過及處理課件102分娩的臨床經(jīng)過及處理課件103分娩的臨床經(jīng)過及處理課件104分娩的臨床經(jīng)過及處理課件105分娩的臨床經(jīng)過及處理課件106分娩的臨床經(jīng)過及處理課件107分娩的臨床經(jīng)過及處理課件108分娩的臨床經(jīng)過及處理課件109分娩的臨床經(jīng)過及處理課件110分娩的臨床經(jīng)過及處理課件111分娩的臨床經(jīng)過及處理課件112分娩的臨床經(jīng)過及處理課件113分娩的臨床經(jīng)過及處理課件114分娩的臨床經(jīng)過及處理課件115分娩的臨床經(jīng)過及處理課件116分娩的臨床經(jīng)過及處理課件117分娩的臨床經(jīng)過及處理課件118分娩的臨床經(jīng)過及處理課件119分娩的臨床經(jīng)過及處理課件120分娩的臨床經(jīng)過及處理課件121分娩的臨床經(jīng)過及處理課件122分娩的臨床經(jīng)過及處理課件123分娩的臨床經(jīng)過及處理課件124分娩的臨床經(jīng)過及處理課件125分娩的臨床經(jīng)過及處理課件126分娩的臨床經(jīng)過及處理課件127分娩的臨床經(jīng)過及處理課件128分娩的臨床經(jīng)過及處理課件129分娩的臨床經(jīng)過及處理課件130分娩的臨床經(jīng)過及處理課件131分娩的臨床經(jīng)過及處理課件132分娩的臨床經(jīng)過及處理課件133分娩的臨床經(jīng)過及處理課件134分娩的臨床經(jīng)過及處理課件135分娩的臨床經(jīng)過及處理課件136分娩的臨床經(jīng)過及處理課件137分娩的臨床經(jīng)過及處理課件138分娩的臨床經(jīng)過及處理課件139分娩的臨床經(jīng)過及處理課件140分娩的臨床經(jīng)過及處理課件141分娩的臨