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Samenvatting handboek verloskunde, UA

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- Samenvatting van de te kennen hoofdstukken voor het examen gynaecologie en verloskunde. - In deze samenvatting het handboek verloskunde, zie ook mijn smv van gynaecologie. - Mooi en overzichtelijk samengevat. In puntjes. - Volledig.

Last document update: 2 year ago

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  • November 24, 2022
  • November 24, 2022
  • 51
  • 2022/2023
  • Summary
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SAMENVATTING
VERLOSKUNDE
Master 1

, 1




Inhoud
5. Stoornissen in de foetale groei en het vruchtwater........................................................5
5.1 IUGR: intra-uteriene groeirestrictie............................................................................5
5.2 IUVD: Intra-uteriene vruchtdood – MIU: mors in utero...............................................7
5.3 Macrosomie............................................................................................................... 7
5.4 Polyhydramnion......................................................................................................... 8
5.5 Oligohydramnion....................................................................................................... 8
6. Vaginaal bloedverlies tijdens de zwangerschap..............................................................9
6.1 Eerste trimester......................................................................................................... 9
Oorzaak 1: miskraam................................................................................................... 9
Oorzaak 2: habituele miskraam.................................................................................10
Oorzaak 3: EUG.......................................................................................................... 10
Oorzaak 4: Trofoblastziekten.....................................................................................12
6.2 Tweede en derde trimester.....................................................................................13
Oorzaak 1: Solutio placentae.....................................................................................13
Oorzaak 2: Placenta Praevia......................................................................................14
Oorzaak 3: randvenebloeding....................................................................................15
Oorzaak 4: Placenta circumvalata..............................................................................15
Oorzaak 5: Insertio vilamentosa en Vasa Preavia......................................................15
7. Stoornissen in de duur van de zwangerschap...............................................................15
7.1 Preterme arbeid...................................................................................................... 15
7.2 Cervixinsufficiëntie.................................................................................................. 17
7.3 PPROM..................................................................................................................... 18
7.4 Serotiniteit............................................................................................................... 19
7.5 Inductie................................................................................................................... 19
8. Meerlingenzwangerschap............................................................................................. 20
8.1 Risico’s voor de babbies.......................................................................................... 21
Vroeggeboorte........................................................................................................... 21
Discordante groei en groeirestrictie...........................................................................21
Discordante afwijkingen............................................................................................. 21
8.2 Risico’s voor de mama............................................................................................ 21
Meer zwangerschapskwaaltjes...................................................................................21
Zwangerschapshypertensie en pre-eclampsie...........................................................21
Per- en postportaal risico........................................................................................... 21
8.3 Frequente complicaties bij monochoriale tweelingen..............................................22
Twin-to-twin-transfusiesyndroom (TTTS)....................................................................22
Twin-anemie-polycythemie-sequentie (TAPS)............................................................22

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Co-twinsterfte of cerebrale schade bij intra-uterien overlijden van één twin.............22
Monoamniotische tweelingen.....................................................................................23
Twin reversed arterial perfusion (TRAP).....................................................................23
8.4 Complicaties bij monochoriale en dichoriale tweelingen die verschillende aanpak
vereisen........................................................................................................................ 23
8.5 Prenatale echografische opvolging van tweelingenzwangerschappen....................23
8.6 Klinische opvolging van tweelingzwangerschappen................................................24
8.7 Bevalling................................................................................................................. 24
8.8 Hogere meerlingen.................................................................................................. 25
9. Problemen tijdens de barinG......................................................................................... 25
9.1 Langdurige ontsluiting............................................................................................. 25
9.2 Langdurige uitdrijving............................................................................................. 25
9.3 Schouderdystocie (Manouvres niet te kennen)........................................................26
9.4 Liggingsafwijkingen................................................................................................. 26
Persisterend occiput posterior...................................................................................26
Kruinligging (NK)........................................................................................................ 27
Voorhoofdligging (NK)................................................................................................ 27
Aangezichtsligging (NK)............................................................................................. 27
Stuitligging................................................................................................................. 27
Dwarsligging.............................................................................................................. 28
9.5 Foetale nood............................................................................................................ 28
9.6 Vaginale kunstverlossing......................................................................................... 29
Vacuümverlossing of ventouse..................................................................................29
Forceps of verlostang................................................................................................. 30
9.7 Keizersnede............................................................................................................. 30
9.8 Vruchtwaterembool................................................................................................. 31
9.9 Navelstrengprolaps................................................................................................. 31
9.10 Uterusruptuur........................................................................................................ 31
9.11 Cervixruptuur........................................................................................................ 32
10. Stoornissen van het nageboortetijdperk en de postplacentaire periode.....................32
10.1 Bloedingen............................................................................................................ 32
Hematoom................................................................................................................. 33
10.2 Placenta................................................................................................................ 33
Retentio Placentae..................................................................................................... 33
Placenta Accreta........................................................................................................ 33
10.3 Infectie en koorts............................................................................................... 34
Endomyometritis – puerperale sepsis........................................................................34
Mastitis...................................................................................................................... 34

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Koorts........................................................................................................................ 34
10.4 Perineum............................................................................................................... 35
Perineale pijn............................................................................................................. 35
Perineale infectie....................................................................................................... 35
Dehiscentie................................................................................................................ 35
Derde- en vierdegraadsruptuur..................................................................................35
10.5 Borstproblemen..................................................................................................... 35
10.6 Urinewegen........................................................................................................... 36
Urineretentie.............................................................................................................. 36
Incontinentie.............................................................................................................. 36
10.7 Trombo-embolische processen..............................................................................36
Oppervlakkige tromboflebitis.....................................................................................36
DVT............................................................................................................................ 36
10.8 Hypertensie, pre-eclampsie en eclampsie.............................................................36
10.9 Psychiatrische stoornissen tijdens het postpartum................................................36
Posttraumatische stressstoornis................................................................................36
Postpartumblues........................................................................................................ 36
Milde Postpartumdepressie........................................................................................37
Ernstige of majeure postpartumdepressie.................................................................37
Postpartumpsychose.................................................................................................. 37
11. Hematologische problemen........................................................................................37
11.1 Iso-immunisatie..................................................................................................... 37
11.2 Maternale anemie (NK).......................................................................................... 38
11.3 Trombocytopenie (NK)........................................................................................... 39
Gestationele trombocytopenie...................................................................................39
ITP: idiopathische trombocytopenische purpura........................................................39
11.4 Trombo-embolie (NK)............................................................................................ 40
Diep veneuze trombose............................................................................................. 40
Longembolie.............................................................................................................. 40
Sinustrombose........................................................................................................... 40
Trombofilie................................................................................................................. 41
12. Hypertensieve aandoeningen.....................................................................................41
12.1 Chronische hypertensie.....................................................................................41
Zwangerschapshypertensie.......................................................................................42
Pre-eclampsie............................................................................................................ 42
Eclampsie.................................................................................................................. 43
HELLP-syndroom........................................................................................................ 43
13. Infectieziekten............................................................................................................ 44

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