The placenta is an organ that provides nutrients to your baby while you’re pregnant. It’s typically implanted in the upper part of your uterus, and it normally detaches from the uterine wall.

Ovarian cyst rupture -The pain often begins during strenuous physical activity, such as exercise or sexual intercourse. It may be accompanied by light vaginal bleeding due to a drop in secretion of ovarian hormones and subsequent endometrial sloughing. -common for the abdomen to be distended and tender. Could be also associated with heavy vaginal bleeding followed by abdominal pain, bloating - that mainly happens when the patient takes anticoagulant medications, e.g. Basically, the most common ruptured ovarian cyst symptom is pain. Often, the ruptured ovarian cyst occurs around the menstrual period, primarily just after the period, or just before.

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If there has been no pain associated with the presence of the ovarian cyst prior to rupture, the increase in pain upon cystic rupture will be particularly evident. Other symptoms to identify the ovarian cyst rupture, more general ones, can be nausea, vomiting and fever. Patients whose cyst has ruptured may experience weakness, dizziness or fainting. These symptoms are serious, as they may be indicative of internal bleeding. In addition, excessively high or low blood pressure which is unrelated to or not explained by other medical conditions you are currently being treated for or medications that you are taking also warrants concern and immediate medical investigation. Separation and expulsion of the placenta and membranes begins following the birth of the baby (generally bleeding from the placental site is minimal) 2.

The placental site rapidly diminishes in size and the placenta is compressed so that blood in the intervillous spaces is forced back into the spongy layer of the decidua 3. Retraction of the oblique muscle fibres constricts the blood vessels supplying the placenta, preventing blood from draining into the maternal vascular tree.

4.Three factors involved in haemostasis, the action of the living ligatures; the walls of the uterus applying pressure to the placental site; and a transitory increase in the activity of the coagulation system. Active management: involves using a prophylactic oxytocic drug followed by controlled cord traction to control the length of third stage and lessen the amount of bleeding. Physiological management ( best used when out of hospital): hands off approach, waiting for signs of separation(lengthening of the cord, fresh blood loss and allowing the placenta to deliver spontaneously) 3. Birth the baby onto the mothers chest 4.

Keep Mum warm and put the baby to the breast to encourage natural release of oxytocin ( wrap them together) 5. Leave cord unclamped to facilitate maximum oxygenation 6. Monitor blood loss. 1.blood vessels in fetal lungs are markedly constricted so that instead of perfusing the lungs, blood is shunted from the pulmonary artery through the ductus arteriosus into the aorta. At birth fluid in the alveoli is absorbed into lung tissue and replaced by air.

Exposure to oxygen afterbirth causes the pulmonary arterioles to relax, permitting a dramatic increase in pulmonary blood flow. The blood absorbs oxygen from the air in the alveoli, and the O2 rich blood is pumped to tissues throughout the baby's body. 1.To control birth of the head, have your dominant hand poised to gently receive the head 2. Continue to gently support the perineum as the head delivers. Op x pro ii keygen generator letöltés. 3.Once the head delivers, ask the woman not to push. Feel around the foetus's neck for the umbilical cord: 5.

Allow the head to turn spontaneously. After the head turns, place a hand on each side of the foetus's head. Ask the mother to push gently with the next contraction. [Gently move the foetus's head posteriorly to aid in delivery the shoulder that is anterior]. [Gently lift the foetus's head anteriorly to aid in delivery the shoulder that is posterior.] 9. Support the rest of the foetus's body with one hand as it slides out 10.

Place the baby on the mother's abdomen, providing skin to skin contact. Thoroughly dry the baby, wipe the eyes and assess the baby's breathing. 1.If the baby is crying or breathing effectively, leave the baby with the mother. 2.If baby does not start breathing within 30 seconds, take steps to resuscitate the baby. 3.Complete an Apgar score on the baby at 1 and 5 minutes after birth. Clamp cord at 10, 15 and 20 centimetres from the baby and cut between 15 and 20 centimetres after it has stopped pulsating. Manage delivery of the placenta and membranes if necessary.

Ensure the baby is kept warm en route to the receiving facility. Maintain skin to skin with the mother and cover the baby's head and back with a warm blanket.