Artificial rupture of membranes

Artificial rupture is a method of inducing uterine contractions by surgery to terminate the pregnancy. Indications for induction of labor: pregnant women or fetuses should not continue their pregnancy due to the condition of termination of pregnancy. Common reasons are: 1. Pregnancy-induced hypertension/hypertension. 2. Pregnancy complications should not continue to be pregnant, such as chronic kidney disease, heart disease, diabetes, liver disease. 3. Those with placental dysfunction, such as expired pregnancy, intrauterine growth retardation. 4. Premature rupture of membranes. 5. Too much amniotic fluid and too little amniotic fluid. 6. Fetal malformation, stillbirth. 7. It is also possible to arrange for the timely induction of labor due to non-medical reasons, but it is currently not advocated. Commonly used methods include artificial stripping, artificial rupture, and small water sac induction. Artificial rupture of the membrane is to clamp or puncture the membrane, discharge amniotic fluid, so that the first dew drops, stimulate the cervix, cause uterine contraction, and make the cervix dilate. The cervix is mature, and the head has been inserted into the basin. The effect is better. Treating diseases: heart disease and pregnancy-induced hypertension Indication Maternal aspect 1 Some pregnancy complications, continued pregnancy is not good for mothers and children. 2 Excessive acute amniotic fluid has symptoms of oppression. 3 fetal membrane rupture for 24 hours has not yet started contractions. 2. Fetal aspects 1 diagnosed as a serious fetal malformation. 2 There is a threat of hypoxia in the fetus. 3 diagnosed as stillbirth. 4 The maternal and child blood type is inconsistent, the fetus is in a high-risk stage but unconditionally intrauterine exchange. Contraindications It is obvious that the head basin is not called, the birth canal is obstructed, the transverse position, and the primipara of the primipara is estimated to have difficulty in vaginal delivery. Surgical procedure Take the bladder lithotomy position and routinely disinfect the vulva and vagina. Use the finger to peel the fetal membrane through the cervix for 4 to 5 cm long (the patient with the placenta previa is exfoliated), and then use a toothed forceps or a needle to puncture the amniotic sac or tear the membrane under the guidance of the finger to make the amniotic fluid flow out. complication 1. Umbilical cord prolapse or a small part of the fetus. 2. Abdominal pressure drooping shock, early placental stripping. 3. It is prone to infection when the membrane is broken for more than 12 hours. 4. In the case of contractions, when the membrane is broken or stripped at the same time, a very small number of amniotic fluid embolism can occur.

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