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Expulsion of the fetal head during cesarean section techniques

Review after 56 days, if not satisfied with the first treatment may be treated the same way again. 3 Results 3.1 The cure: the cervix is smooth, all the repair erosion area, the patient symptoms disappeared. Improvement: reduced erosion area 1 / 2 or more shallow erosion surface, conscious patients with vaginal discharge reduction, pain relief. Invalid: erosion area is small, less than 1 / 2 or no change. 3-2 months later reviewed the results of the above symptoms are more marked improvement thereof, decreased vaginal discharge, lower abdominal pain disappeared but light therapy within one week after a small amount of drain phenomenon, which is light therapy after a normal phenomenon, disappear naturally after a week, follow-up and review a cure rate of 96% in the secondary cure rate of 100%. 4 Discussion 25 * POME treatment for the therapeutic effect is positive, the principle role of the aircraft is able to send a specific wavelength of light, because it filters out ultraviolet radiation, so the difference in sunlight to produce a thermal effect on the treatment of cervical erosion has a good effect. With drugs, laser and other methods are more frozen, simple operation, small size, easy to carry. A high cure rate,[link widoczny dla zalogowanych], the patient no pain, no bleeding. The exact role of irradiation in cervical lesions without damaging surrounding normal tissue, exposure time not too long, so as to avoid exposure to the process of lesion in the flow of fluid, bleeding and other adverse reactions,[link widoczny dla zalogowanych], so as not to affect the efficacy. Clinical observation of light therapy, together with a special women's health for external use (use of) the better. The instrument can not only treatment of cervical erosion, but also to treat white lesions of vulva, genital itching, genital warts and other diseases, and they have a certain effect. Solution for the majority of women suffering with the disease. Instruments are widely used in relation to value, promote the use of peer-worth. On the fetal head was delivered cesarean section technique in Ningyang Second People's Hospital of Shandong Province (271411) Chang-Hung Su Yuying transverse incision in our hospital had cesarean section more than 2 years, the surgical procedures do have many advantages such as: shorter operative time, intraoperative blood less blade appearance, and rapid postoperative recovery. However, the first delivery during surgery when the existence of some difficulties, especially when the fetal head is too high,[link widoczny dla zalogowanych], too low or posterior position was delivered more difficult when the lower uterine segment tear or other causes. To prevent this from happening,[link widoczny dla zalogowanych], I accumulated through practice, summed up in the fetal head was delivered a few aspects of caesarean section techniques are summarized as follows: 1, high-floating of pregnant women for fetal head, fetal head was delivered before surgery should be difficult mentally prepared, should choose a good muscle relaxation and anesthesia lumbar epidural anesthesia, the incision should be large enough and the slightly higher. Intraoperative myometrial incision, blunt dissection of uterine incision after delivery of fetal head not once, but stretched by the surgeon to push the fetus to help people under house down to the fetal head position or slightly below the uterine incision and fixed by hand the other hand delivery of fetal head, pay attention to the anterior position was delivered. If still parturition difficulties, assistant in the fetal neck position can be squeezed to help the fetal head with the crown, to be fixed in the incision after the fetal head, assistant and then press the palace at the end, to help the fetal head was delivered. 2, for the cervix to open all or nearly all, pregnant women, fetal head position of the lower cesarean section delivery head, the lower uterine segment has been expanded due to a long thin, sometimes the fetal head has entered, may result in expulsion of the fetal head lower uterine segment tear, and even tear to the cervix, making surgery more difficult, so the surgery on the uterine incision should be partial. Before the lower uterine segment incision, the surgeon by hand shoulder in the lower uterine segment continued to push the fetus fetus, until the fetal head emerges to take patients to easily hand position,[link widoczny dla zalogowanych], note that push the tire on the shoulder and should avoid the bladder to avoid injury. Then cut the myometrium, the uterine incision with blunt tear, when the first delivery action to light, avoid rough, the fetal head by vaginal delivery after delivery is different from the first delivery after the shoulder, then shoulder before delivery, compared with the first delivery before After the shoulder after shoulder delivery easier. This would avoid the lower uterine segment tear. 3, posterior position for cesarean section in pregnant women after blunt uterine incision extension, if the direct expulsion of the fetal head was delivered is more difficult because the diameter of wire (diameter chin pillow) are larger, the surgeon who should be stretched intrauterine to help turn into a pillow transverse fetal head, a more trail line is delivered, so that the fetal head was delivered easily. Discussion: The fetal head was delivered over the use of techniques to make our hospital cesarean section delivery in 2004, 528 cases, none of the fetal head was delivered due to difficulties caused by asphyxia, none of the maternal uterine segment tear occurred and extended knife-edge , maternal and child according to the time discharged. So I feel there is value application.