Re: fetal death in labour or ealier

From: Jefferson Delfino (dr.jefferson@uol.com.br)
Fri Apr 24 06:03:22 2009


<p> </p> <p>When   was a  death of a fetus? <br />Antenal (maceration). What was the colour of amniotics liq?</p> <p>Whether it is possible cardiomonitoring device to listen to a pulsation of vessels of the woman with 120-140 in minutes in position standing?</p> <p style="MARGIN: 0cm 0cm 0pt">It´s possible.<br /><br />Whether the situation is possible when in horizontal position FHR is not listened, and in position standing to be registered?</p> <p>You should do an ultrasound.<br /><br /><br />Jefferson<br /><br />Em 24/04/2009 07:35, <strong><span>?????? ??????? < yars0906@yandex.ru ></span></strong> escreveu:</p> <blockquote style="border-left: 2px solid #6868cc; margin: 0pt 0pt 0pt 0.8ex; padding-left: 1ex;"><br /> <div class="notviscode">.hmmessage P { PADDING-RIGHT: 0px; PADDING-LEFT: 0px; PADDING-BOTTOM: 0px; MARGIN: 0px; PADDING-TOP: 0px } BODY.hmmessage { FONT-SIZE: 10pt; FONT-FAMILY: Verdana }</div> <div><span style="font-family: Arial;"> <div><span style="font-size: x-small; font-family: Arial;"> <p class="MsoNormal"><span style="font-family: Times New Roman;"><span style="font-size: 14pt; mso-ansi-language: EN-US;" lang="EN-US">Primigravida 20 years was with diagnosis: Pregnancy 39-40 week. Rh-negative blood type. </span></span></p> <p class="MsoNormal"><span style="font-family: Times New Roman;"><span style="font-size: 14pt; mso-ansi-language: EN-US;" lang="EN-US">A large fetus. A "mature" of cervix. </span></span></p> <p class="MsoNormal"><span style="font-size: 14pt; mso-ansi-language: EN-US;" lang="EN-US"><span style="font-family: Times New Roman;">CTG<span style="mso-spacerun: yes">  </span>a fetus within norm, <span style="mso-spacerun: yes"> </span>functional tests of a<span style="mso-spacerun: yes">  </span>fetus<span style="mso-spacerun: yes;">   </span>in norm, </span></span></p> <p class="MsoNormal"><span style="font-size: 14pt; mso-ansi-language: EN-US;" lang="EN-US"><span style="font-family: Times New Roman;">Doppler - the blood-groove is not broken. </span></span></p> <p class="MsoNormal"><span style="font-family: Times New Roman;"><span style="font-size: 14pt; mso-ansi-language: EN-US;" lang="EN-US">Hb<span style="mso-spacerun: yes;">   </span>145g/l, Ht 43%, L - 8,3* 10*9,<span style="mso-spacerun: yes">  </span></span></span></p> <p class="MsoNormal"><span style="font-size: 14pt; mso-ansi-language: EN-US;" lang="EN-US"><span style="font-family: Times New Roman;">While translating in delivery department complaints to birth pangs within 2 hours, discharge of amniotic fluid, light, 100 ml.</span></span></p> <p class="MsoNormal"><span style="font-family: Times New Roman;"><span style="font-size: 14pt; mso-ansi-language: EN-US;" lang="EN-US">Opening cervix<span style="mso-spacerun: yes;">  </span>3</span><span style="font-size: 14pt;">с</span><span style="font-size: 14pt; mso-ansi-language: EN-US;" lang="EN-US">m. </span></span></p> <p class="MsoNormal"><span style="font-size: 14pt; mso-ansi-language: EN-US;" lang="EN-US"><span style="font-family: Times New Roman;">Fetal heartbeats<span style="mso-spacerun: yes">  </span>by a stethoscope as clear, rhythmical 140 /minutes that proves to be true cardiomonitor. PS and blood pressure is norm. </span></span></p> <p class="MsoNormal"><span style="font-size: 14pt; mso-ansi-language: EN-US;" lang="EN-US"><span style="font-family: Times New Roman;">Upon 1 hour by a stethoscope in horizontal position of woman fetal heartbeats<span style="mso-spacerun: yes">  </span>is not listened, at position change, standing, cardiomonitor(sonicaid team ip trend)<span style="mso-spacerun: yes">  </span>FHR 136-140. </span></span></p> <p class="MsoNormal"><span style="font-family: Times New Roman;"><span style="font-size: 14pt; mso-ansi-language: EN-US;" lang="EN-US">After 2 hours fetal heartbeats<span style="mso-spacerun: yes">  </span>is not listened, at ultrasonic it is diagnosed antenatal death.</span></span></p> <p class="MsoNormal"><span style="font-family: Times New Roman;"><span style="font-size: 14pt; mso-ansi-language: EN-US;" lang="EN-US">In childbirth of 9 hours, nonaqueous<span style="mso-spacerun: yes">  </span>period 6 hours. Antenatal destruction (ultrasound) 3 hours prior to labour.</span></span></p> <p class="MsoNormal"><span style="font-size: 14pt; mso-ansi-language: EN-US;" lang="EN-US"><span style="font-family: Times New Roman;"> </span></span></p> <p class="MsoNormal"><span style="font-family: Times New Roman;"><span style="font-size: 14pt; mso-ansi-language: EN-US;" lang="EN-US">Pathological anatomy: maceration<span style="mso-spacerun: yes">  </span>of cutis I degree, initial signs autolysis internal bodies, intestines slept, meconium in thick intestines, a thrombosis of vessels of an umbilical cord.</span></span></p> <p class="MsoNormal"><span style="font-size: 14pt; mso-ansi-language: EN-US;" lang="EN-US"><span style="font-family: Times New Roman;">Questions: . </span></span></p> <p class="MsoNormal"><span style="font-size: 14pt; mso-ansi-language: EN-US;" lang="EN-US"><span style="font-family: Times New Roman;">When<span style="mso-spacerun: yes">   </span>was a  death of a fetus? </span></span></p> <p class="MsoNormal"><span style="font-family: Times New Roman;"><span style="font-size: 14pt; mso-ansi-language: EN-US;" lang="EN-US">Antenatal or intranatal?</span></span></p> <p class="MsoNormal"><span style="font-family: Times New Roman;"><span style="font-size: 14pt; mso-ansi-language: EN-US;" lang="EN-US">Whether it is possible cardiomonitoring device to listen to a pulsation of vessels of the woman with 120-140 in minutes in position standing?</span></span></p> <p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt"><span style="font-family: Times New Roman;"><span style="font-size: 14pt; mso-ansi-language: EN-US;" lang="EN-US">Whether the situation is possible when in horizontal position FHR is not listened, and in position standing to be registered?</span></span></p> <p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt"> </p> <p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt"><span style="font-size: 14pt; mso-ansi-language: EN-US;" lang="EN-US"><span style="font-family: Times New Roman;">Best wishes, Alexey Semykin,</span></span></p> <p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt"><span style="font-size: 14pt; mso-ansi-language: EN-US;" lang="EN-US"><span style="font-family: Times New Roman;">Delivery department of regional perinatal center, Belgorod, Russia </span></span></p> </span></div> </span><a href="http://windowslive.com/online/skydrive?ocid=TXT_TAGLM_WL_skydrive_042009" target="_new">it out.</a></div> <br /></blockquote>




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