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قبل عدة اسابيع بمحاضرة preterm labour كان اكو سؤال داخل المحاضرة شنو فائدة magnesium sulphate لل preterm baby و دكتورة وسن كالت هذا homework?
هاي معلومات عن MgSO4 في حال سالوا عليه:
1/ it increases blood flow through uterine and fetal umbilical and cerebral arteries >> relaxation of the uterus by competing with intracellular calcium >> *fetal neuroprotection* against cerebral Palsy or other brain damage
2/ It enhances *lung maturation* >> reduces the incidence of RDS in preterm infants exposed to ACS and MgSO4
3/ Prolonged exposure leads to uterine atony; it had been attributed with increased risk of *PPH*
>> dose should be balanced between benefits and risk
4/ it's not an independent risk factor >> it increases the risk of uterine atony in the presence of other risk factors
5/*contraindications* for its use: DM coma, hypersensitivity reaction to the drug, heart block or myocardial damage, mysthenia gravis (precipitate mysthenia crisis), not used with medications from tetracycline family (demeclocycline, doxycycline, etc), in cases of hypercalcemia and hypermagnesemia >> *monitor* blood levels while patient is taking MgSO4.
هاي معلومات عن MgSO4 في حال سالوا عليه:
1/ it increases blood flow through uterine and fetal umbilical and cerebral arteries >> relaxation of the uterus by competing with intracellular calcium >> *fetal neuroprotection* against cerebral Palsy or other brain damage
2/ It enhances *lung maturation* >> reduces the incidence of RDS in preterm infants exposed to ACS and MgSO4
3/ Prolonged exposure leads to uterine atony; it had been attributed with increased risk of *PPH*
>> dose should be balanced between benefits and risk
4/ it's not an independent risk factor >> it increases the risk of uterine atony in the presence of other risk factors
5/*contraindications* for its use: DM coma, hypersensitivity reaction to the drug, heart block or myocardial damage, mysthenia gravis (precipitate mysthenia crisis), not used with medications from tetracycline family (demeclocycline, doxycycline, etc), in cases of hypercalcemia and hypermagnesemia >> *monitor* blood levels while patient is taking MgSO4.
وبما انو دنحجي عن الamniotic fluid فاكو تيستين مهمات اله ويستعملون تحديدا بال PROM
Nitrazine test:ورقه خاصه لونها اصفر من تتعرض للامنيوتك فلود تصير زركه
Fering test:من تاخذ الدسجارج مال فاجاينا علمود تعرف امنيوتك فلود او لا
يتحول الى شي ضبابي او غيمه حسب الفهمته
وبالمصطلح
Crystallization of NACL
Nitrazine test:ورقه خاصه لونها اصفر من تتعرض للامنيوتك فلود تصير زركه
Fering test:من تاخذ الدسجارج مال فاجاينا علمود تعرف امنيوتك فلود او لا
يتحول الى شي ضبابي او غيمه حسب الفهمته
وبالمصطلح
Crystallization of NACL
•how to recognise that the fetal is compromised?
1-thick or tenacious , dark green, bright green or black amniotic fluid
2-By CTG findings;
“tachycardia >160 or bradycardia <100
“Loss of baseline variability (<5 bpm)
“Recurrent late decelerations
“Persistent variable decelerations
الlate deceleration يعتبر نورمال بس من يتكرر يعتبر مو خوش علامه
1-thick or tenacious , dark green, bright green or black amniotic fluid
2-By CTG findings;
“tachycardia >160 or bradycardia <100
“Loss of baseline variability (<5 bpm)
“Recurrent late decelerations
“Persistent variable decelerations
الlate deceleration يعتبر نورمال بس من يتكرر يعتبر مو خوش علامه
