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[Basic Information] Female, 33 years old
[Type of Diseases] 37+6 weeks of pregnancy, first Zhaoxi premature birth, pregnancy combined with uterine scar
[Treatment Hospital] Huangshi Central Hospital (Trina)
[Treatment plan] Magnesium sulfate tires and improved placental circulation+dexamethasone to promote tire lung maturity
[Treatment cycle] 8 days of hospitalization, 2 weeks of delivery every 2 weeks
【Treatment effect】 Successful fetal protection
The patient is 33 years old. In order to prepare for a long time for the second child, this child can now be said to be difficult, so he also pays special attention to the production inspection.At present, the patient’s menopause is 36+5 weeks. Yesterday, patients were routinely checked in our department. During the treatment of fetal heart monitoring, the fetal heart rate was 171/minute, and then repeatedly tested.It still returns to 160 times/min.The mother’s body is accompanied by occasional irregular lower abdominal distension and the painting of the past cesarean section. This indicates that the patient is incident, low -intensity contractions, which is a sign of threatened premature.There may be in -palace distress. In order to clarify the situation, it can be kept in time if necessary, and patients were admitted to the hospital for treatment the next day.
After admission, the uterine ultrasound examination was improved. As a result, the ultrasound was 36+6 weeks, which was in line with the clinical pregnancy week. No fetal breathing was seen. The fetal heart rate was 133bpm and the fetal position was estimated.The ultrasound results indicate that the fetus is still good, but the patient has always had symptoms of lower abdominal distension and the post -cesarean section incision. The patients with magnesium sulfate in patients inhibit the contraction and improve the cycle.After the first administration, the symptoms of the patient disappear, indicating that the treatment is effective, and the fetal heart rate of the fetal heart monitoring is more than 160. It is prompted that there is still a hypoxia.Case.
The patient was quite anxious after admission, and he could not appease many attempts. On the third day of admission, the patient complained to panic. He arranged for the patient to improve the electrocardiogram. As a result, the patient had sinus tachycardia, t -wave leveling and T wave.Please consult the cardiac physician. The clinician believes that the patient’s panic is caused by tachycardia. In combination with the current situation and previous history of the patient, you can temporarily observe it.examine.
The fetal heart rate in the fetal heart monitoring was stable, the anxiety of patients gradually relieved, and the symptoms of panic also gradually improved. The electrocardiogram was prompt to be a normal electrocardiogram.
1. Conventional diet, appropriate exercise, find the way to exercise suitable for you, should not learn others blindly; to relieve stress through exercise, singing, chatting, etc., and keep your mood comfortable.
2. Once for the delivery every two weeks, the fetus is about to be full after being discharged. After returning home, prepare for production, and psychologically prepare for childbirth. The patient’s past caesarean section incision occurs.Choose a caesarean section.
The patient was hospitalized for 8 days, and the fetal heart rate was stable between 130-150 times/minute 2 days before discharge. It was stable that the fetal condition was stable.Relieve that the fetus is successful. At present, the patient is emotionally stable and demanded to be discharged, so he was discharged.The patients are instructed to adjust the dietary structure according to the guidance of the birth checkup. The exercise is difficult to exercise in the third trimester, but they can still do some mild aerobic exercises. It is not recommended to wait for delivery. It is not conducive to mother health.
The auction premature birth is a very common disease of obstetrics, which is generally caused by irregular contractions caused by various factors. At this time, it can achieve the purpose of preservation by injection of magnesium sulfate. Depending on the factors, there are differences in hospitalization time required.However, some patients have miscarriage due to failure to protect the fetus.The most important thing for patients who have miscarriage are to maintain a stable mentality, let it go, and raise their bodies to prepare for the next pregnancy.
Common causes of threatened premature birth are the severe activities of pregnant women, sexual life during pregnancy, abnormal or abnormal amounts of amniotic fluid, abnormal fetal development, etc., which can be seen. Most of the common reasons can be avoided.During pregnancy, a low -salt diet strategy is adopted to help eliminate water in the body and stabilize in a suitable range. With the help of non -invasive DNA and amniotic fluid puncture, the fetal development can be detected early and termination of pregnancy in a timely manner.
Therefore, at the level of medical technology today, threatening premature birth is not a serious disease. As long as pregnant women usually pay more attention to the fetal condition, it is not a big deal for timely treatment.
Name: Zhang Yinxing
Unit: Huangshi Central Hospital
Department: Obstetrics and Gynecology
Title: Deputy Chief Physician