(精选)【医学英文课件】 CHALLENGES IN MANAGEMENT OF UTERINE PROLAPSE IN PREGNANCY教学课件.ppt

CHALLENGES IN MANAGEMENT OF UTERINE PROLAPSE IN PREGNANCY;CASE REPORT;DEMOGRAPHIC INFO.;PRESENTING COMPLAINT;HPI;HPI………..ct;OBSTETRIC HX;GENERAL EXAM;Initial plan;Obstetric u/sound;Subsequent management;Follow up plan;INTRODUCTION;Types;Ant. Vag wall prolapse;Apical prolapse;Post wall prolapse;The POP Burden;Prevalence difficult to ascertain Different classification systems Symptomatic vs Asymptomatic Worldwide 3-6% based on symptoms 41 – 50% on clinical findings In low income countries mean prevalence is 19.7% (3.4 – 56.4%) In Africa, largely remains unknown. Ethiopia 55.1% vs 6.3% Ghana 12.1% Tanzania ?? ;..relevant anatomy;Normal pelvic floor anatomy;Risk factors;Clinical Manifestations;Diagnosis and Evaluation;..the Baden-Walker Halfway system;POP-Quantification test;Uses a fixed reference point – hymenal remnants, called point zero (0) Positive (+) values outside the vagina (hymenal remnants) Negative (-) values inside the vagina Site specific defined points referenced to the place of the hymenal remnants ;POP-Q Staging;MANAGEMENT OF UTERINE PROLAPSE;MNGT OF UTERINE PROLAPSE;Conservative management;Surgery;Suspension procedures;Uterosacral suspension;Sacrospinous suspension;Sacral culpopexy;Provide support/strengthening;Obliterative;Uterine prolapse in pregnancy;Uterine prolapse in pregnancy;