Handout "Pragma- und Psycholinguistik" Zusammenfassung nach dem gleichnamigen Essay von Hermann Reichert, 1999
This is the handout I distributed at the Innovate 2013 Conference
Full description
Handout TekananDeskripsi lengkap
Management: treat abortion, high dose IV antibiotic therapy (penicillin, clindamycin and tobramycin), D and C if incompl ete abortion PLACENTA PREVIA
-
-
The
placenta implants in th e lower uterine segment, near or over the cervical os. The degree to which it cov ers the os leads to three diff ere erent classifications : When the placenta implanted low, the size and the margin are aff ected by chang es in rd the lower uterine segment especially in th e 3 trimester when it begins to stretch and shorten in preparation for labor causing tear or breakage in placental attachment. The lower uterine segment is not as muscular as the upper portion making it unabl e to efficiently contract should a bl eeding occurs due to this breakage.
Types: a. Total placenta previa occurs when the placenta completely covers the internal os. b. Partial placenta previa occurs when the placenta partially covers the internal os. c. Low lying or low implantation placenta previa occurs when the placental border the border of the internal os
reaches
Predisposing factors: 1. Conditions that may make implantation in upp er segment undesirable due to decreased blood supply/scarring: a. Multiparity b. Previous molar pregnancy c. Endom etritis d. Previous C S e. Abortion f . D and C 2. Multiple pregnancy due to adjustment for 2 placentas 3. Advanced maternal age, over 35 years of age because and older uterus is not as vascular as younger uterus 4. Decreased blood supply to ut erine wall by smoking, PIH, drug abuse and diabetes 5. Short umbilical co rd for this will sometimes slide the placenta to implant in low er segment due to weight of f etus 6. Abnormal placentas increta and accreta 7. Large placenta Complications: 1. Disseminated Intravascular Coagulation 2. Inf ection
