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1、2023年复旦高校上海医学院妇产科学系英文教案教研室(科)妇产科姓名夏贤职称副主任医师授课题目早产和胎膜早破节次34授课对象2023级临床医学专业殍谆生班授课 日期Objectives1. Understanding the definition and causes of preterm labor .2. Understanding the diagnosis and treatment of preterm labor.3. Understanding the definition and causes of premature rupture of menbranes (PROM).4
2、. Understanding the diagnosis and treatment of PROM.Contents of courses1. Definition of preterm laborLabor that occurs before 36 completed weeks(36+6 weeks) gestation is defined as preterm labor.2. Causes of preterm laborThere are four main direct reasons for preterm births:(1) spontaneous unexplain
3、ed preterm labor with intact membranes,(2) idiopathic preterm premature rupture of membranes (PPROM),(3) delivery for maternal or fetal indications,(4) twins and higher-order multifetal births.3. Diagnosis of preterm laborDocumented uterine contractions(4 per 20 minutes or 8 per 60 minutes)Documente
4、d cervical change (cervical effacement of 80% or cervical dilatation of 2cm or more)Forecast:uterine activity monitoring.Ultrasound Examination of Cervical lengthFetal Fibronectin4. Treatments of preterm laborX)- )z X), 1 2 3 4 5 6 zl 7( z/ table model etc.(五)Case analysisA 24-year old woman, gravid
5、a 2, para 1, 33 wk gestation, fluid passing through the vagina, have mild uterine contractions.Examination, treatment?Questions:1. What is the definition of preterm labor?2. What are the causes of premature rupture of membrane?3. Explain the treatment of preterm labor.4. Explain the treatment of premature rupture of membrane(六)References:textbook, supplementary materials, recommended reading;Fundamentals of Obstetrics and Gynaecology (9th edition)Williams Obstetrics (24lh edition)Obstetrics and Gynaecology (8111 edition) (in Chinese)
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