Dr - NEDAL
07-14-2011, 06:48 AM
بسم الله الرحمن الرحيم
من منا داوم في مشفى الزهراوي في قسم المخاض أو في أي مشفى آخر ولم يشاهد الخزع
هذا موضوع مهم جداً فلا تكاد تولد امرأة بدونه
لذلك سوف نتعرف عليه بشكل مبسط ويسير بإذن الله
Definition
Designed incision in the perineum to widen the vulval orifice to allow easy passage of the fetus
Routine in primi gravida
Can be done in multi with rigid perineum
Indications
Fetal distress
Prematurity
Forceps
Rigid perineum
Advantages
Prevent genital prolapse as a result of overstretch of perineal muscle
Prevent ragged perineal tears
Shorten 2nd stage
Prevent compression of fetal head
Prevent injury to rectal sphincter
Types
(Median ( with large perineum
(Mediolateral ( with short perineum
(Lateral (Not done now
J shaped
http://www.mda-sy.com/up2//uploads/images/mda737bc73046.png (http://www.mda-sy.com/up2//uploads/images/mda737bc73046.png)
http://www.mda-sy.com/up2//uploads/images/mdaf677945d0b.jpg (http://www.mda-sy.com/up2//uploads/images/mdaf677945d0b.jpg)
Complications
Deep perineal tear
Excessive bleeding
Haematoma
Dysparuenia
Infection
Inclusion dermoid cyst
دمتم في حفظ الله ورعايته
من منا داوم في مشفى الزهراوي في قسم المخاض أو في أي مشفى آخر ولم يشاهد الخزع
هذا موضوع مهم جداً فلا تكاد تولد امرأة بدونه
لذلك سوف نتعرف عليه بشكل مبسط ويسير بإذن الله
Definition
Designed incision in the perineum to widen the vulval orifice to allow easy passage of the fetus
Routine in primi gravida
Can be done in multi with rigid perineum
Indications
Fetal distress
Prematurity
Forceps
Rigid perineum
Advantages
Prevent genital prolapse as a result of overstretch of perineal muscle
Prevent ragged perineal tears
Shorten 2nd stage
Prevent compression of fetal head
Prevent injury to rectal sphincter
Types
(Median ( with large perineum
(Mediolateral ( with short perineum
(Lateral (Not done now
J shaped
http://www.mda-sy.com/up2//uploads/images/mda737bc73046.png (http://www.mda-sy.com/up2//uploads/images/mda737bc73046.png)
http://www.mda-sy.com/up2//uploads/images/mdaf677945d0b.jpg (http://www.mda-sy.com/up2//uploads/images/mdaf677945d0b.jpg)
Complications
Deep perineal tear
Excessive bleeding
Haematoma
Dysparuenia
Infection
Inclusion dermoid cyst
دمتم في حفظ الله ورعايته