Late decelerations due to uteroplacental insufficiency resulting from placental abruption. Immediate cesarean delivery was performed. Umbilical artery.

Slides:



Advertisements
Similar presentations
One suggested algorithm for evaluation of a woman with a suspected ectopic pregnancy. aExpectant management, D&C, or medical regimens are suitable options.
Advertisements

A. Cervical cytology collection devices: (1) Plastic spatula
Some examples of glass capillary viscometers (A) and a schematic diagram showing measurement of time of flow between two points (1 and 2) in a viscometer.
Assembly of a pelvic pressure pack to control hemorrhage
This patient at 33 weeks was admitted in diabetic ketoacidosis (DKA)
Corneal filaments in a 56-year-old patient with dry eye syndrome.
The common denominator is development of a self-perpetuating noncyclic hormonal pattern. Source: Polycystic Ovarian Syndrome and Hyperandrogenism, Williams.
Retinal photographs from a 30-year-old diabetic woman. A
Retinal photographs from a 30-year-old diabetic woman. A
The Distek 2100B United States Pharmacopeia automated dissolution system. (Image used permission from Distek, Inc.) Source: Solubility, Dissolution, and.
Insertion of the Mirena intrauterine system
Uterine artery ligation
The myometrium is incised carefully to avoid cutting the fetal head
Fetal abdominal dystocia at 28 weeks caused by an immensely distended bladder. Delivery was made possible by expression of fluid through a bladder perforation.
Recording of fetal heart rate and uterine activity
Virtual integration involves contractual links between HMOs and physician groups, hospitals, and other provider units. Source: How Health Care Is Organized—II:
Delegation guidelines.
Layered repair of a fourth-degree perineal laceration. A
1. First-degree perineal laceration: injury to only the vaginal epithelium or perineal skin. 2. Second-degree laceration: injury to perineum that spares.
Pathogenesis of bone diseases in chronic kidney disease
A. ST segment changes in normal and hypoxic conditions. B
Diurnal changes in plasma glucose and insulin in normal late pregnancy
Anencephaly/acrania. A. Acrania
Pyogenic granuloma is characterized grossly by a lobulated red growth on a pedunculated or sessile base. (Photograph contributed by Dr. Abel Moron.) Source:
Diagnostic algorithm for normocytic anemia.
Intrauterine devices (IUDs). A. ParaGard T 380A copper IUD. B
Computed tomographic (CT) images in the axial plane of a 61-year-old woman with endometrial cancer. A. Massively enlarged and inhomogeneous uterus (arrows)
M-mode, or motion mode, is a linear display of the events of the cardiac cycle, with time on the x-axis and motion on the y-axis. M-mode is used commonly.
Pathways of labor pain. Pain stimuli from the cervix and uterus travel through the paracervical region and the pelvic and hypogastric plexus to enter the.
Incidence of antithyroid peroxidase antibodies in women who are euthyroid; in those with isolated maternal hypothyroxinemia (IMH), defined by a normal.
Negative-feedback control systems
Schematic representation of the hypothesized pathway between maternal or intrauterine infection and preterm birth or periventricular leukomalacia. Both.
Nexplanon insertion. A sterile pen marks the insertion site, which is 8 to 10 cm proximal to the medial humeral condyle. A second mark is placed 4 cm proximally.
425: Parity in relation to antithyroid peroxidase antibodies
Umbilical artery catheter insertion. (A) Artery dilation
Manual removal of placenta. A. One hand grasps the fundus
Manual removal of placenta. A
Source: Chapter 23. Urinary Incontinence, Williams Gynecology, 2e
This patient at 32 weeks had been in an automobile collision and sustained mild abdominal trauma. Her uterus was not tender and there was minimal but present.
Peritoneal incision overlying the sacrum.
Scaphoid fracture. A. Scaphoid fracture nonunion. B
Diagnostic algorithm to evaluate mastalgia
Rearfoot movement during running
(F) A femoral hernia follows the course of the femoral artery and vein into the anterior thigh inferior to the inguinal ligament. Source: Chapter II-1.
(Data from Rosenfeld RL. N Engl J Med 2005; 353:2578–2588.)
Midsagittal section through the brain of a patient with a brain stem tumor. Histologic findings showed the tumor to be an ependymoma. Source: Discussion.
Changes in the ovarian follicle, endometrial thickness, and serum hormone levels during a 28-day menstrual cycle. P, progesterone; E2, estradiol; LH, luteinizing.
Dilatation of cervix with a Hegar dilator
Neuraxial analgesia. A. Combined spinal-epidural analgesia. B
Factores clave que regulan al parecer las fases del parto
Abdominal CT imaging performed postpartum in a woman with severe HELLP syndrome and right-upper quadrant pain. A large subcapsular hematoma (asterisk)
Increased glomerular filtration rate in early pregnancy in normal women, those stable after unilateral nephrectomy, and those with a successful renal transplant.
Intrauterine devices. The coronal planes of 3-dimensional sonography best depict the type and positioning of the Copper T 380A IUD (ParaGard) (A) and levonorgestrel-containing.
Chart for estimating body mass index (BMI)
Necrotic hysterotomy infection
Mechanism of labor for the left occiput transverse position, lateral view. A. Engagement. B. After engagement, further descent. C. Descent and initial.
Mechanism of labor for the left occiput transverse position, lateral view. A. Engagement. B. Posterior asynclitism at the pelvic brim followed by lateral.
Pressure trace obtained from an anesthetized dog as a Swan-Ganz catheter is advanced through the right atrium, the right ventricle, through the main pulmonary.
FC female condom insertion and positioning. A
Fetoscopic laser ablation of vasa previa
Intrauterine devices (IUDs)
Choroidal neovascularization
COCs = combination oral contraceptive pills; GnRH = gonadotropin-releasing hormone; IUI = intrauterine insemination; NSAIDs = nonsteroidal antiinflammatory.
The common denominator is development of a self-perpetuating noncyclic hormonal pattern. Source: Chapter 17. Polycystic Ovarian Syndrome and Hyperandrogenism,
Da Vinci Surgical System. A. Operator console. B
Types of vulvectomy used in the treatment of vulvar cancer. A
Two umbilical arteries are typically documented sonographically in the second trimester. They encircle the fetal bladder (asterisk) as extensions of the.
Copyright © 2004 The McGraw-Hill Companies, Inc. All rights reserved.
Copyright © 2004 The McGraw-Hill Companies, Inc. All rights reserved.
Copyright © 2004 The McGraw-Hill Companies, Inc. All rights reserved.
Presentation transcript:

Late decelerations due to uteroplacental insufficiency resulting from placental abruption. Immediate cesarean delivery was performed. Umbilical artery pH was 7.05 and the Po2 was 11 mm Hg. Source: Labor, Williams Obstetrics, 24e Citation: Cunningham F, Leveno KJ, Bloom SL, Spong CY, Dashe JS, Hoffman BL, Casey BM, Sheffield JS. Williams Obstetrics, 24e; 2013 Available at: http://accessmedicine.mhmedical.com/DownloadImage.aspx?image=/data/Books/1057/p9780071798938-ch024_f017.png&sec=59793422&BookID=1057&ChapterSecID=59789160&imagename= Accessed: October 14, 2017 Copyright © 2017 McGraw-Hill Education. All rights reserved