GOB. ROTURA UTERINA Flashcards

1
Q

Definicion de RU

A

Solución de continuidad del útero

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2
Q

Causas RU

A
  • Cesárea prevea
  • Trauma
  • Maniobra de KristeKer: Si realiza fuerça en fondo de utero.
  • Exceso de oxitocina
  • DCP
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3
Q

Clínica RU

A
  • Dolor súbito intenso
  • Contracciones aumentadas
  • Sangrado oscuro
  • Difícil palpación del feto

Sangre oscuro, dolor intenso, sufrimentp fetal agudo, 22 semanas asta trabajo del parto.

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4
Q

Triada de inminencia de Rotura Uterina

A
  • Signo de Bandl: (Utero en 8)
  • Signo de Frommel
  • Signo de Pinard: Color violaceo en la pared y cervix uterino.
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5
Q

Signo confirmatorio de Rotura Uterina.

A
  • Signo de Clark
    *Crépitos
    *Se palpa el feto

OJO:Deja de critar, Pasa la dolor.

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6
Q

Diagnostico de VASA PREVIA.

A
  • TACTO VAGINAL. (Pulso palpable)
  • ECO-DOPPLER.
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7
Q

Definicion VASA PREVIA.

A

Vasos umbilicales delante de la presentacion.

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8
Q

Conducta en inminencia de Rotura Uterina:

A

Cesárea

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9
Q

Conducta en Rotura Uterina:

A
  • Cesárea
  • Se rotura extensa = laparotomía + hísterectomía.
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