SU1724263A1 - Method for treatment of dystocia against a background of the parturientъs fatigue - Google Patents

Abstract

This invention relates to medicine, namely obstetrics. The goal is to reduce the number of complications. For this, a percutaneous electrorelaxation of the uterus is carried out with a sinusoidal modulated current, where the carrier frequency is 1500-200Q Hz and modulated - 50-100 Hz with a modulated and unmodulated oscillation duration of 1-2 minutes, a current of 2-3 mA, total duration of exposure 30–0 min. As a result, the number of surgeries associated with fetal hypoxia was reduced.

Description

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FIELD OF THE INVENTION The invention relates to medicine, namely obstetrics,

The aim of the invention is to reduce the number of complications,

The method is carried out as follows.

Electrorelaxation is carried out when electrodes are placed on the abdominal wall in the projection zone of the lower segment of the uterus and on the sacrum. The area of the electrodes is chosen respectively 60 and 100 cm2. Flannel pads moistened with water are placed under the electrodes.

The strength of the current is determined by the patient's sensations (usually within 2-3 mA on average), Uterus relaxation is carried out by pulsed electric current in the range of 1500-2000 Hz, amplitude modulated by sinusoidal voltage

a frequency of 50–100 Hz with an electric stimulus applied for 1–2 min and an interval of 1–2 min between exposures for 30–40 min. i. Electrorelaxation is not performed on the EUS-K-1 Utrostim-1 apparatus in the Relaxation mode.

After the uterus is relaxed, the parturient takes in 1,, 0 g of sodium hydroxybutyrate, and 10-15 minutes after taking sodium hydroxybutyrate, she begins to sleep, which lasts 2-3 hours.

An example. The mother Ma, 23 years old, was admitted to the maternity ward with a diagnosis of pregnancy, I, JSC week. Childbirth I, the first stage of labor.

It has been established that the labor takes place for more than 16 hours and the woman gives birth notes: When the uterus is contracted, the hysterectomy is recorded.

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It has been established that the violation of the contractile activity of the uterus is by type / coordinated generic activity.

After a vaginal examination of the woman has been established: the vagina of a uterus, the cervix is shortened to 0.5 cm, too dense, the cervical canal is open to 3-A cm o The head is pressed to the small pelvis entrance, the dense bladder is intact, the Cape does not function

Menstrual function: menarche from the age of 11, established immediately, painful, moderate, for 3 days after 28 days

Dimensions of the pelvis: 25-27-30-20 cm.

Estimated fruit weight 3500 Ј200 g

Fetal heartbeat is clear, rhythmic, 136-13V beats per 1 min. The fetal position is longitudinal, the head is present, pressed to the entrance to the small pelvis “Waters are whole.

The uterus was electro-relaxed at the external location of the electrodes for 30 minutes with a bipolar pulsed current of 1 500 Hz with a duty cycle of 2 ,. modulated frequency of 100 Hz, when electrical stimuli are applied for 1 min and the interval between exposures is 2 min, and the current is 2 mA at the average value.

After 15 minutes after electrorelaxation of pain in the lower abdomen of the parturient woman who had decreased, uterine contractions became coordinated “

At the end of the uterus relaxation session, the delivery became coordinated with

At the end of the electrorelaxation of the uterus, the woman was given a sleep — rest after taking 2.0 g of sodium oxybutyrate inside. Sleep lasted 3 hours

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After a sleep-rest of the woman in labor, a cardiomonitoring study was carried out in which it was established that the frequency of the Z-k tongs lasts 10 minutes. According to the cardiotoxgram of hypoxia and drug depression of cardiac activity of the fetus after a sleep-rest was not observed. The vascular heart rate was 136-1 2 beats per 1 minute.

7 hours after the sleep-rest, the birth of a full-term girl with a weight of 3–10 gs occurred, with an APGAR score of 5 9 points. After 8 minutes, the placenta separated and separated. The placenta is intact. Birth canal, blood loss 200 ml „

Claims (1)

Thus, the proposed method allows to significantly reduce the frequency of intrauterine hypoxia of the fetus and asphyxia of the newborn, as well as reduce the number of surgical interventions in connection with the intrauterine hypoxia of the fetus, which helps to reduce perinatal morbidity and mortality. The method can be used in practical Healthcare 0 Invention Formula The method of treating discoordinated labor against the background of fatigue of the mother through electro-stimulation, characterized in that, in order to reduce the number of complications, transcutaneous electrorelaxation of the uterus is performed with a sinusoidal modulated current at a carrier frequency of 1500–2000 Hz, and 0 Dulled - 50-10.0 Hz and with a duration of modulated and unmodulated oscillations of 1-2 minutes with an average unmatched output current of 2-3 mA and a total duration of 5 five These effects are min.