الاختلاطات الوالدية للولادة المهبلية (خلال الطور الثالث والرابع للمخاض)
Abstract
أجريت الدراسة في قسم التوليد وأمراض النساء- مشفى الأسد الجامعي- اللاذقية وامتدت من تاريخ 01/01/2003 حتى 01/06/2004 وتضمنت الدراسة المواخض في تمام الحمل وليس في سوابقهن قيصرية وكان عددهن 2300 ماخض, وجاء ت نتائج الدراسة على الشكل التالي:
- حدثت الاختلاطات الوالدية عند 430 ماخض وشكلت نسبة 19.22% من مجمل الولادات.
- حدثت الاختلاطات عند الولودات بنسبة أعلى من الخروسات (56.5% مقابل 43.5%).
- تمثلت الاختلاطات الوالدية بما يلي :
- تمزقات المسير التناسلي 16.78% .
- العطالة الرحمية 1.69 % .
- انحباس المشيمة 0.71% .
- صمة أمنيوسية 0.043% .
- أ كثر الاختلاطات مشاهدة عند الخروسات هو تمزق عنق الرحم 5.52% .
- أكثر الاختلاطات مشاهدة عند الولودات تمزق العجان درجة (I) 14.23% .
وكانت أهم العوامل المؤهبة لحدوث الاختلاطات :
- المجيئات المعيبة .
- عدم التناسب الحوضي الجنيني .
- تحريض المخاض بالأوكسيتوسين .
- الحمل المتعدد .
- سن الحامل >35عاما".
The study was carried out in the obstetrics and gynecology department at AL ASSAD university hospital in Lattakia at a time between 01/01/2003 and 01/06/2004.
The study included the pregnants in labor who were between (38-40) weeks considerably to LMPand who had no previous cesarean section.
The study included 2300 patients and the results are :
-The maternal complications were noted in 430 patients (19.22%).
-The higher incidence of the complications was in the multiparous women more than in nulliparous women who are having thrie first pregnancy (56.5% to 43.5%) .
-The maternal complications were :
- genital tract lacerations (16.78%).
- uterine atony (1.69%) .
- manual removal of the placenta (0.71%) .
-amniotic emboly (0.043%) .
-The complication which was the highest in the nulliparous women was the cervical laceration) 5.52% ).
-The following factors are considered as predisposed factors for the complications:
- abnormal presentations .
- fetopelvic disproportion.
- using of oxytocin.
- multifetal pregnancy.
- pregnant aged > 35 years.
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