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1 т акушерство
1 т акушерство
HOPMANbHINONoru
Phc. 21.1. OuiHKa BiAHOWeHHA roniBKM NNOga Ao nnoWHM BXOAYy BMannA Tas
4CM
CTOAYM HaBKONILUKM
CuaAYM HaBnO4iNKM
PesynbTaTM cnocTepexeHHA 3a
da BiFcyTHOCTÈ 03HaK B0AgineHHA Nna
nporpecOM nonoriB, CTaHOM MaTepi
LueHTM npoTAroM 30 XB nicnA HaponkeHHA Ta nnga 3aHOCATbOA A0 napTorpaMU
nnona
LeHTM TanpoBOnATb
pyHe B0AFineHHA NNa-
BMgineHHA NOCH0Ay; ypasi BMHMK- (AMB. puc. 21.5).
HeHHA KpOBOTeyi pyYHe B0FgineHHA Nna- Ilaprorpama - rpaiHe BigoópaxeH
HA pe3ynbTaT0B AMHaM0HHOrO cnocTe
LLeHTM Ta BMganeHHA NOCNiAy npoBONATb
pexeHHA Nig 4ac nonoriB 3a npouecOM
HeramHO nig agekBaTHMM 3He6oneHHAM.
naBa 21. HopManbH0 NONOru 333
laprorpama
nplaBmuye BariTHIcTb
PeectpauiÛHM HOMep
Aara HanxogxeHHA Yac HanxoAkeHHA yac BinxoAkeHHA BoA
180
170
160
CepyeóurTA 150
140
nnoga 130
120
110
100
HaBKononnigHiBOAu
KOHirypauia
10
AKTMBHa asa
n0H0
N A
MNbHOCT0
7
Po3KpuTTA 6
WMMKM MaTKM 5
4
NpoxonkeHHA 3 NateHTHa casa
roniBKM nNOga 2
1
0
Yac a
MaTKOBi CKO
po4eHHA KOKH0
10XB.
OKCMTOLMH B/B
BBegeHHA
OTpMMaHÍniKM
180
170
160
lynbc 150
140
130
120
110
AT 100
90
80
70
60
TemnepaTypa
lporeiH
Ceya AeTOH
06eM
nOkagaHHAMM. BV3Ha4aOTbCA 3a
KinbK0CTb TpVBanicTb nepeM BM3Ha-
yaroTb i B0AM0YaOTb Ha napTOrpaMi uo- OKCMTOL;H
rOgMHM BNaTeHTHIM basi Ta koKH0 30 XB 3anoBHHOOTb y pasi cTMMynAsii nono
BaKTUBH0ù pasi.
rOBO0i AiaNbHOCTi. BepxH0M pAgok rpapu
lITpMxyBaHHA 3aBXAM 3AiMCHIOeTbcg
npv3HayeHMÝ AnA 3annCy g03M OKCVTO
LMHY Bpo3paxyHKy Ha 1niTp isionori4
npaBopy BIA BepTMKani, AKa BignoBinae HOro po34MHY. HKH0MPANOK rpapu npu
neBHOMY 3HaYeHHHO 4acy.
3Ha4eHMM ANA 3anvcy WBnAKocT0 0HOy3il
po34MHy oKcMTOLMHY. KinbKiCTb Kpanenb
Ill- CTaH K0HKM OKCMTO;MHY 3a XBMNMHy 3anvcyeTbCA
Ilynbc Ta aprepianbHMÝTHCK KOKH030 XB.
BepTMKanbHa BICb rpapu oAHO4CHo Ilpu3HayeHi niku
BiFoópaxae aptepianbHMÝTUCK Ta yacTo 3anoBHIOOTb y pasi 3acTOCYBaHHA Me
Ty nynbcy. AMKaMeHT0B.
AprepianbHMÝ THCK Ta yacToTy nynb
cy BM3Ha4akoTb Ta BigM0HaroTb Ha nap 10 Kpok0B TerinoBOrO naH;IOKKa
TOrpami KOKH0 2 ron, ApTepianbHMÝTMCK 1. Tenna nonoroBa k0MHaTa (onepa
B0AMIHaHOTb Ha napTorpami ABOO04HOHO uiMHa). NpuMiLeHHA nOBMHHe 6yTM
CTpiNKOHO (nokasaHa 3niBa B0A BepTu 4MCTMM 0TennMM, Pe3 npoTAriB 3 B0A
KanbHOÏ Oci rpau), AKa 3Bepxy noCArae 4MHeHX B0KOH, ABepeDTa KOHAM;0o
ropn3OHTani, uo BignoB0Fae 3Ha4eHHIO HepiB (BeHTMNATOpiB). OnTMMaNbHOO
CMCTON0YHOrO TMCKy, a 3HI3y - ropnsOH (6e3neyHOO) ANA MaTepi Ta AMTMHM
Tani, uÊo BignoBilae 3HayeHHO AiacTON0Y BBaKaeTbCA TeMnepaTYpa HaBKONMI
HOro TMCKy. HbOro cepenoBua 25-28 °C.
ABO6iYHa cTpiNKa Mae óyTM posTaIo 2. HeramHe o6cyuyBaHHA AMTMHM. B
baha npaBopyy Biq BepTMKani, AKa B0Ano Apasy nicnA HapOAKeHHA (A0 nepepi
BIFae 3HayeHHO 4acy. 3aHHA nynoBMHM) akyuepka noBMH
Ha o6cyunTM Tino Ta ronOBy AMTMHM
TacToTy nynbcy BigM04aioTb Ha napTo CTepnbHUMM, CyxVMM, nonepegHbO
TpaMi no3HaKOO (-), AKa Mae 6yTM po3Ta
WOBaHa Ha nepexpecT0 M0K ropn3oHTan- nigirpiTMMM neNiOWKaMM. BuKNacTM
, uo BiFnoBigae 3HayeHHHO 4acTOTM AMTMHY Ha KnBIT MaTepi 3ak0H4MTU
nynbcy, Ta BepTMKanno, LIo BignoB0Fae 06cyuiyBaHHA. BonorinenioKM Tpeóa
B0qKNacTM, OAATHyTM Ha AMTMHY 4VCT0
3Ha4eHHKo 4acy. TINa BU3Ha4aoTb Ta B0A- wano4Ky iWKapneTKM Ta HakpuTM 4Mc
MI4TeMnepat
arOTb Hay pasiynapTorpaMi
py KOKHi 4rog (a60 TOO CyXOHO nonepeAHbo nigirpiToO
nenoIKOHO. Bce HeoóxigHe AnA 3ipi
4acTILWe HaABHOcT0 NOKasaHb) Ta
BaHHA AMTMHM (nenioKM, wano4Ka,
BIBIAnoBinae
AM04aroTb 3HayeHHIO
npaBopyY B0A BepTMKani,
4acy.
AKa
LIKapneTKM, Copo4eKu, nOB3yHKM,
06eM BMAineHOÏ ceYi BV3Ha4aroTb Ta KOBApa) Tpeóa nigrOTYBaTM 0nigirpitu
3a3ganerigb.
BipMi4aoTb Ha napTorpami nicNA KOXH0-
No6HMÀwOB
Benmke TÌM'AYKO
Slo60Ba K0CTKa
BiH;eBÀ uOB
Mane TÈM'AYKO
NAMPgonogióHn wOB
NoTMNMYHa KiCTKa
3
Puc. 21.7. Yepen
HOBOHapaANeNOrO.
Posmip ronisKM NNOga:
1-Na KOCHÌC
2-cepegHi} KOCHC
3-nORNni,
4- BeK KOCVIC
5- BepTKanbHt
4. lOBHMMnOBOpOT 0nO4aTOK
posrMHaHHA rONiBKM 8. HaponxeHHA 3agHboro nneyMKa
PHc. 21.9. bioMexaHi3M nonOriB nph nepegHbOMy BHgi noTwnwYHoro nepennekaHHA
PexOMeHÒoBAHa A0mepamypa
1. AKywepcTBO Ta iHeKONoria: y4 T.: HauioHaNbHMH nigpyYHIK / Kon.aBTOD0B., 3a peg. akag HAMH
YkpaiHu. npod. 3anopoK•Ha. - T1. AKywepcTBO,2013. 1032 c.
2. BackerT I 0, Kangep 9. A., ApynkymapaH C. OnepatHBHOe akyuwepcTBO MaHpo Keppa, noA peg.
P 3ncuBepa. M, 2015.
3. Management of Spontaneous Labour at Term in Healthy Women. SOGC clinical practice guideline.
JOGC. 2016; 38 (9): 843-865. DOl:https:/doi. org/10.1016/jjogc.2016.04. 093.
4 WHO Library Cataloguing-in-Publication Data. WHO recommendations for augmentation of labour.
World Health Organization 2014.
5. WHO Library Cataloguing-in-Publication Data. Pregnancy childbirth, postpartum and newborn care a
quide for essential practice - 3rd ed. World Health Organization. World Health Organization, 2015.