- •“Pregnancy and labor with extragenital diseases”
- •Actuality of theme
- •2.Purpose of studying :
- •3. Basic part
- •Illnesses of liver and gall-bladder
- •1. Woman consultation:
- •- Chronic non-calculary cholecystitis; - chronic calculary cholecystitis;
- •Subjective data:
- •Vascular diseases of vessels of cerebrum and pregnancy.
- •Complication of pregnancy
- •Conduct of pregnancy
- •5.3. Control questions
- •6.Methodical materials:
- •7.Literature
5.3. Control questions
Aquired defects of heart. Conduct of pregnancy and labor.
Congenital defects of heart. Conduct of labor.
Features of flow of diseases of breathing organs are at pregnancy
Features of flow of pregnancy are at the vascular diseases of CNS.
A conduct of pregnancy is at the vascular diseases of CNS.
Shows are to terminating pregnancy at the diseases of CNS.
A conduct of labor is at the vascular diseases of CNS.
Features of pregnancy and labor are at myasthenia.
Shows are to terminating pregnancy at myasthenia.
Methods of treatment in case of the diseases of CNS.
Features of flow of pregnancy and labor are at epilepsy.
A conduct of pregnancy and labor is at epilepsy.
What changes of blood are characteristic for women with physiology pregnancy?
Anaemias of pregnants.
Clinic, diagnostics of different forms of anaemias pregnant.
Treatment of anaemias of pregnant.
Who of pregnant belongs to the group of high risk?
A conduct of labor is at anaemias.
Leucosis. Classification.
Conduct of pregnancy, labor.
Symptomatology of leucosis.
Thrombocytopenia. Forms, clinic, diagnostics.
Conduct of pregnant, labor at thrombocytopenia.
To give determination: to the pyelonephritis, glomerulonephritis, urolithiasis.
Etiology: to the pyelonephritis, nephrite, glomerulonephritis.
The pregnant have classification of disease of kidneys.
Clinic: pyelonephritis (different forms), glomerulonephritis (different forms), urolithiasis.
Determination of risk group: at a pyelonephritis, glomerulonephritis.
The pregnant have features of flow of disease of kidneys.
Features of flow of pregnancy are at the diseases of kidneys.
Features of flow of labor are at the disease of kidneys.
Features of conduct of pregnancy, labor, puerperium, period of new-bornness are at the diseases of kidneys.
Treatment of disease of kidneys at pregnancy and in post-natal
A diabetes mellitus is pathology of carbohydrate exchange.
The pregnant have diagnostics, clinic and treatment of diabetes mellitus.
Contraindications to continuation of pregnancy for patients by a diabetes mellitus.
The pregnant have obstetric complications with a diabetes mellitus.
Methods of labor of pregnant are at a diabetes mellitus.
The pregnant have diagnostics, clinic and treatment of diabetes mellitus.
Contraindications to continuation of pregnancy for patients by a diabetes mellitus.
The pregnant have obstetric complications with a diabetes mellitus.
Methods of labor of pregnant are at a diabetes mellitus.
A conduct of pregnancy and labor is at the diseases of thyroid.
Features of conduct of pregnancy and labor are at the diseases of liver and gall-bladder.
5.4 FINAL STAGE
Control and correction of level of professional ability and practical skills is conducted by the decision of situational and clinical tasks, tests.
A teacher sets a domestic task, recommends literature on the topic of next employment.
6.Methodical materials:
6.1Materials to control of base preparation of students: situational tasks.
Materials for the methodical providing of the basic stage of employment: tool of maternity hospital, history of labor.
6.3Materials for the final stage of employment: clinical situational tasks.
6.4Materials for the methodical providing of self-study of students in the corresponding methodical pointing for independent work.
Task № 1. Multipara 27 years at pregnancy 36 weeks entered a term maternity unit with regular fights, that began 6 hours to the volume. It was ill a quinsy. From 16 years is on "Д" of account in connection with the defect of heart. Obstetric anamnesis is without features. Under surveillance of district accoucheur in woman consultation since from 8 weeks of pregnancy. At the beginning and at the end of pregnancy was on prophylactic stationary treatment. Objectively: In the lungs of the vesicular breathing. A liver is not megascopic. Spleen is not palpated. The symptom of Pasternatskyi is negative on either side. In 20 minutes after amniotic waters released and beginning of pushing efforts a living boy was born by mass of 2450г, long a 44 cm. After labor of child the state of породіллі became worse acutely, a skin had gone by pale, sticky sweat appeared, a pulse became more frequent, weak filling and tension, BP - 90/50 мм.рт.ст. Consciousness is stored.
1 .Diagnosis.
2. Reason of worsening of the state of woman is after labor of child.
З. How to prevent this complication.
Task. №2. Unit of pathology of pregnant the pregnant entered, pregnancy And, 27 weeks with complaints about a fervescence to 380С, chill, pains in a lumbar area. Objectively: skin of гіперемована, the symptom of Пастернацького is acutely positive on the right. An uterus is easily excitative.
Your diagnosis?
Appoint treatment.
Task № 3.To the doctor of перинатолога the pregnant appealed concerning registering. Pregnancy And, 7-8 weeks. Hypertensive illness of ІІа of century. In what terms of потібно to hospitalize pregnant in what permanent establishment?
Tests.
For pregnant the volume of circulatory blood increases in a term:
А. of 28-32тиж.
В. of 39-40тиж.
С. of 22-23тиж.
D.37-38тиж.
Е. of 21-22тиж.
An congenital defect is hearts which are протипоказом for maturing of pregnancy :
А. Тетрада of Фалло
В. Defect of міжпередсердсерної membrane
С. Defect of міжшлуночкової membrane
D.The arterial is open channels
Е. Stenosis of mouth of aorta
Optimal term of пологорозрішення for pregnant with a diabetes mellitus:
А. of 36-37тиж.
В. of 39-40тиж.
С. of 34-35тиж.
D.37-38тиж.
Е. of 31-32тиж
