Summary
Samenvatting Zwangerschap, arbeid & bevalling 1; Opvolging arbeid
- Course
- Institution
Dit is een samenvatting over de lessen van het opvolgen van de arbeid binnen het vak Vroedvrouw tijdens zwangerschap, arbeid & bevalling 1.
[Show more]
Seller
Follow
1gH
Content preview
OPVOLGING ARBEID DOOR DE VROEDVROUWInhoudsopgave
1. Foetale monitoring.......................................................................................................... 3
1.1 Inleiding..................................................................................................................... 3
1.1.1 Begrippen............................................................................................................ 4
1.2 Observaties en technieken........................................................................................4
1.3 Foetale bewaking door cardiotocogram.....................................................................4
1.3.1 Medicolegale aspecten........................................................................................4
1.3.2 Analyse van het CTG........................................................................................... 5
2. Inductie arbeid en amniotomie.......................................................................................6
2.1 Begrippen.................................................................................................................. 6
2.2 Niet-medische inductie.............................................................................................. 6
2.3 Medische inductie...................................................................................................... 7
2.4 Induceerbaarheid....................................................................................................... 7
2.5 Middelen en technieken.............................................................................................8
2.5.1 Onrijpe cervix...................................................................................................... 8
2.5.2 Rijpe cervix.......................................................................................................... 8
2.6 Besluit........................................................................................................................ 8
3. Achterste plaatsing......................................................................................................... 9
3.1 Begrippen.................................................................................................................. 9
3.2 Afwijkende ligging van de foetus...............................................................................9
3.3 Achterhoofdsligging achterhoofd achter....................................................................9
3.3.1 Kenmerken.......................................................................................................... 9
3.3.2 Oorzaken............................................................................................................. 9
3.3.3 Diagnose............................................................................................................. 9
3.3.4 Baringsmechanisme.......................................................................................... 10
3.3.5 Complicaties...................................................................................................... 10
3.3.6 Taak vroedvrouw............................................................................................... 10
4. Navelstrengprolaps....................................................................................................... 11
4.1 Begrippen................................................................................................................ 11
4.2 Incidentie................................................................................................................. 11
4.3 Soorten navelstrengprolaps.....................................................................................11
4.4 Predisponerende factoren........................................................................................ 11
4.5 Diagnose.................................................................................................................. 12
4.6 Preventie................................................................................................................. 12
4.7 Management............................................................................................................ 12
4.8 Prognose.................................................................................................................. 12
5. Preterme arbeid, postterme arbeid & GBS....................................................................13
1
Stefanie Marcelis
,OPVOLGING ARBEID DOOR DE VROEDVROUW
5.1 Preterme partus....................................................................................................... 13
5.1.1 Begrippen.......................................................................................................... 13
5.1.2 Incidentie........................................................................................................... 13
5.1.3 Risicofactoren.................................................................................................... 13
5.1.4 Diagnose........................................................................................................... 13
5.1.5 Beleid & vroedkundige aandachtspunten..........................................................13
5.2 Postterme partus..................................................................................................... 14
5.2.1 Begrippen.......................................................................................................... 14
5.2.2 Incidentie........................................................................................................... 14
5.2.3 Oorzaken........................................................................................................... 14
5.2.4 Gevolgen........................................................................................................... 14
5.2.5 Beleid & vroedkundige aandachtspunten..........................................................14
5.3 Groep B-Streptokokken............................................................................................ 14
5.3.1 Begrippen.......................................................................................................... 15
5.3.2 Incidentie........................................................................................................... 15
5.3.3 Gevolgen........................................................................................................... 15
5.3.4 Klinische tekens neonatale GBS.........................................................................15
5.3.5 Lange termijn gevolgen neonatale GBS.............................................................15
5.3.6 Risicofactoren.................................................................................................... 15
5.3.7 Preventiebeleid.................................................................................................. 15
6. Pijnverdoving................................................................................................................ 15
6.1 Pijnintensiteit........................................................................................................... 15
6.2 Pijnstilling................................................................................................................ 16
6.3 Lokaal regionale analgesie......................................................................................16
6.3.1 Klassieke epidurale............................................................................................ 16
6.3.2 Combined spinal epidural..................................................................................16
6.4 Complicaties............................................................................................................ 16
6.5 Rol van de vroedvrouw............................................................................................ 17
6.5.1 Voorbereiding.................................................................................................... 17
6.5.2 Uitvoering.......................................................................................................... 17
6.5.3 Nazorg............................................................................................................... 17
7. Partogram..................................................................................................................... 17
7.1 WHO Labour care guide........................................................................................... 17
7.2 Section 1: admission................................................................................................ 18
7.3 Section 2: supportive care.......................................................................................18
7.4 Section 3: baby........................................................................................................ 18
7.5 Section 4: women.................................................................................................... 19
7.6 Section 5: labour progress.......................................................................................19
2
Stefanie Marcelis
, OPVOLGING ARBEID DOOR DE VROEDVROUW
7.7 Section 6: medication.............................................................................................. 19
7.8 Section 7: shared decision-making..........................................................................19
8. PPH, uterus inversie, hypovolemische shock & placenta retentie.................................19
8.1 PPH.......................................................................................................................... 19
8.1.1 Atonie................................................................................................................ 19
8.1.2 Trauma.............................................................................................................. 20
8.1.3 Tissue................................................................................................................ 20
8.1.4 Trombin............................................................................................................. 20
8.1.5 Preventie........................................................................................................... 20
8.1.6 Behandeling....................................................................................................... 21
8.2 Hypovolemische shock............................................................................................ 21
8.2.1 Risicofactoren.................................................................................................... 21
8.2.2 Preventie........................................................................................................... 21
8.2.3 Klinische symptomen......................................................................................... 21
8.2.4 Behandeling....................................................................................................... 21
8.3 Manuele placentaverwijdering.................................................................................22
8.3.1 Definitie............................................................................................................. 22
8.3.2 Incidentie........................................................................................................... 22
8.3.3 Risicofactoren.................................................................................................... 22
8.3.4 Indicaties........................................................................................................... 22
8.3.5 Techniek............................................................................................................ 22
8.3.6 Alternatieve techniek......................................................................................... 22
8.3.7 Complicaties...................................................................................................... 22
8.4 Uterus inversie......................................................................................................... 23
8.4.1 Incidentie & risicofactoren.................................................................................23
8.4.2 Preventie........................................................................................................... 23
8.4.3 Klinische symptomen......................................................................................... 23
8.4.4 Classificatie....................................................................................................... 23
8.4.5 Behandeling....................................................................................................... 23
1. FOETALE MONITORING
1.1 INLEIDING
Placenta: zuurstofrijk bloed via Aorta > A. Iliacae > A. Uterinae > spiraalarteriën >
intervilleuze ruimte
3
Stefanie Marcelis
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller 1gH. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $8.62. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
51036 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 15 years now