asistenta prenatala
TRANSCRIPT
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INGRIJIREA FEMEII GRAVIDE
SUPRAVEGHEREA SARCINII
DISPENSARIZAREA GRAVIDELOR IN FUNCTIE DE
RISCUL OBSTETRICAL in practiac MEDICININII DE
FAMILIE
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FACTORII DE RISC OBSTETRICAL SARCINA NEDORITA
FAMILIIDEZORGANIZATE
FEMEIA NECASATORITA
DOMICILIU IN ZONE
GREU ACCESIBILE
NIVEL SOCIO-
ECONOMIC
SCAZUT(VENIT REDUS,ALIMENTATIE
INSUFICIENTA, IGIENA
DEFICITARA)
1. CIRCUMSTANTE
PSIHOSOCIALE
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FACTORII DE RISC OBSTETRICAL
!. FACTORI
GENERALI
VARSTA SUB 1" ANI SAU PESTE#$ ANI ( IN SPECIAL LAPRIMIPARE)
MARILE MULTIPARE (4-5
NASTERI) MARILE MULTIGESTE% AVORTURI
SPONTANE SAU TERAPEUTICE& INALTIMEA SUB 1'$$ (
GREUTATEA SUB )$ *+ VOLUM CARDIAC REDUS BOLI AUTOIMUNE
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FACTORII DE RISC OBSTETRICAL
#.PATOLOGIE
GINECOLOGICO
OBSTETRICALAANTERIOARA
INFANTILISM GENITAL UTER CICATRICIAL MALFORMATII UTERINE TUMORI UTEROOVARIENE OPERATII PLASTICE IN SFERA
GENITALA SARCINA DUPA TRATAMENT
PENTRU STERILITATE AVORTURI SPONTANE REPETATE AVORTURI COMPLICATE GRAVE NASTERI PREMARTURE SARCINI PATOLOGICE
%HEMORAGII, INFECTIE,HTA DESARCINA)
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FACTORII DE RISC OBSTETRICAL
#. PATOLOGIE
GINECOLOGICO
OBSTETRICALAANTERIOARA
Na,t-ri c c/(p0icatii
dist!ii d" di#$%i!$ s$& di'$t$ti" dist!ii %"!$#i!" dist!ii i# "*!"s d" +'&% "t$' "%$.ii i# "id&' III-IV I#t"+"#tii /st"ti!$'"
Pat/0/+ia +-n-rati-i pr/+-n- N$s!&ti %ti($#t"-si0s$& i#t$$t&%) D"!"d$ti i# "i$d$ #"#$t$'$ "!!" M$!s%i" Hiti" M$'%$tii Cii !& #"+i s"!i$'"
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FACTORII DE RISC OBSTETRICAL
). Pat/0/+i-
/,t-trica0a
acta0a
Dist!i" s$s$ Dist!i" d" "1"#t$ti"
( t$#s+"s$'$,#t$'$,$!i$'$,
/".%$ti!$)
HTA i#d&s$ d" s$!i#$ S$#."$i i# i%"'" d&$ ti%"st" d"
s$!i#$ S$#."$" i# &'ti%&' ti%"st& d"
s$!i#$ P'$!"#t$ $"+i$,d"!'$"$ "%$t&$d" '$!"#t$ #%$' i#s"$t$ si0s$&$'"*i$ &t"-'$!"#t$$
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FACTORII DE RISC OBSTETRICAL
4. Pat/0/+i-/,t-trica0a
acta0a
C"st""$ $#%$'$ d" +'&% $&t"&'&i( id$%#is,s$!i#$."%"'$$ s$& %&'ti'$
Ut" !#t$!ti'( $%"#i#t$" d"#$st"" "%$t&$
I#!#ti#"#t$ !"+i!-ist%i!$ I#!%$ti/i'it$t" d" .& s$#.&i#
si 0s$& R
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FACTORII DE RISC OBSTETRICAL
). Pat/0/+i-/,t-trica0a
acta0a
S&"i#t$ "t$'$ !#i!$ M$t"$ i#t$&t"i#$ $ d&s&'&i d"
!#!"ti" P$t'.i" d" t$+$'i& M"%/$#" &t" "%$t&("!!") Dist!i" d" di#$%i!$ si 0s$& di'$t$ti" P'$/$" s$& !id"#t$ d" !d#
S&"i#t$ "t$'$ $!&t$ N"i#!$d$"$ t$+$'i&'&i i# $$%"tiiti%i
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FACTORII DE RISC OBSTETRICAL
$. BOLI
PREE2ISTENTE
SI3SAU ASOCIATESARCINII
B/a0a 4ip-rt-n,i5a Pat/0/+i- car6iaca
Pat/0/+i- 4-(at/0/+ica
Pat/0/+ia aparat0i r-,pirat/r
Pat/0/+ia aparat0i 6i+-,ti5
Pat/0/+ia r-na0a
Pat/0/+ia -n6/crin/(-ta/0ica
Pat/0/+i- 4-patica Pat/0/+i- n-r/p,i4ica
Pat/0/+ia ,i,t-(0i /,t-/artic0ar
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FACTORII DE RISC OBSTETRICAL
$. BOLIPREE2ISTENTE
SI3SAUASOCIATESARCINII
P$t'.i" d"%$t'.i!$ P$t'.i" O2R2LA'".ii si i#t'"$#t" B'i !& t$#s%it"" s"*&$'$ B'i i#"!t-!#t$.i$s" I#t*i!$tii !#i!" (P/, H., $'!',
t&t, %"di!$%"#t", st&"i$#t",$'t" d.&i)
P$t'.i" t$'%'.i!$
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SCORUL COOPLAND PENTRU SARCINA CU
RISCANTECEDENTEOBSTETRICALE
CONDITII MEDICALE SAUCHIRURGICALE ASOCIATE
PATOLOGIA SARCINII PREZENTE
Varsta
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GRAVIDE FARA RISC SAU CU RISC MINIM
S&$+".""
MEDIC DE FAMILIE
$#$ i# '$ $ VII-$
d" s$!i#$
$i i# !'$/$" !&
%"di!&' s"!i$'ist i#
/st"ti!$ .i#"!'.i"
E5/0ti- 7i8i/0/+ica a ,arcinii Gra5i6- p-,t- 1" ani Ni5-0 ,/ci/-c/n/(ic ,ca8t Fa(i0ii 6-8/r+ani8at- F-(-ia n-ca,at/rita
Str-,, 0a ,-r5ici' (nca //,it/ar- -tc D/(ici0i in 8/n- i8/0at- Di,+ra5i6i- 6- pri( tri(-,tr% -9c0,
7/r(-0- ,-5-r-& An-(i- +r.I% 6-pi,tata pt pri(a 6ata H
1:+36011+360& Inc/(patii0itati 6- +rp 7ara titr 6- Ac
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GRAVIDE FARA RISC SAU CU RISC MINIM
S&$+".""
MEDIC DE FAMILIE$#$ i# '$ $ VII-$d" s$!i#$
$i i# !'$/$" !&%"di!&' s"!i$'ist O-G
Di,+ra5i6i- 6- pri(tri(-,tr% -9c0, 7/r(-0- ,-5-r-& An-(i- +r.I% 6-pi,tata pt pri(a
6ata H 1:+36011+360& Inc/(patii0itati 6- +rp 7ara
titr 6- Ac A(-nintar- 6- a5/rt c ra,pn,
7a5/rai0 0a trata(-nt Gra5i6a c pana 0a # c/pii
na,cti in ant-c-6-nt- Gra5i6a c pana 0a ! a5/rtri
,p/ntan- 6- pri( trin-,tr inant-c-6-nt-
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GRAVIDE FARA RISC SAU CU RISC MINIM
S&$+".""MEDIC DE FAMILIE $#$
i# '$ $ VII-$ d" s$!i#$
$i i# !'$/$" !&
%"di!&' s"!i$'ist O-G
Pat/0/+i- +-n-ra0a
pr--9i,t-nta ,i a,/ciata,arcinii( d&$ !#s&'t$"$s"!i$'ist&'&i d" i') 3
HTA st$di&' IA"!tii &'%#$" #"s"!ii!"
$$ i#s&i!i"#t$ "si$ti"A"!tii .$st-i#t"sti#$'"A"!tii i#'$%$tii $'" i#i!i'
si !$i' &i#$"-d"ist$t" "#t&
i%$ d$t$,$$ d"".'$"$!ti"i "#$'"
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GRAVIDE CU RISC MODERAT
S&$+".""
MEDIC DE
SPECIALITATE
OBSTETRICA-GINECOLOGIE i#
!'$/$"!& M"di!&'
d" $%i'i" si di"iti
s"!i$'isti, di# i%&'
ti%"st& d" s$!i#$
Ana(n-8a /,t-trica0ac/(p0icata;
M$!s%i"
R"t$d d" !"st"" i#t$&t"i#$
A+t s#t$# t$di+
A+t&i $/it&$'"
P"%$t&it$t" $/it&$'$
I#!%"t"#t$ !"+i!-ist%i!$
I#"ti'it$t" t$t$t$
Ut" !i!$ti!"$'
M$i %&'ti$" C%'i!$tii '$ #$st"i'" $#t"i$"
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GRAVIDE CU RISC MODERAT
S&$+".""
MEDIC DE
SPECIALITATE
OBSTETRICA-GINECOLOGIE i#
!'$/$"!& M"di!&'
d" $%i'i" si di"iti
s"!i$'isti, di# i%&'
ti%"st& d" s$!i#$
A%"#i#t$" d" $+t $$ $ss '$t$t$%"#t&' ""!t&$t d" MF
I#!%$ti/i'it$t" R $$ tit& d" $#ti!i G$+id$ !& #$#is% s$& d"%$i $'"
s!"'"t&'&i
S$!i#$ %&'ti'$ A#%$'ii d" 1iti" $'" $t&'&i ( "'+i$#$,
t$#s+"s$) d&$ 67 s$t$%$#i d"s$!i#$
P'$!"#t$ $"+i$ $$ s$#."$"-$#$ '$
68 s$t$%$#i d" s$!i#$ A#"%i" .$d&' II( H/ 9-:;.0d')
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GRAVIDE CU RISC MODERAT
S&$+".""
MEDIC DE
SPECIALITATE
OBSTETRICA-GINECOLOGIE i#
!'$/$"!& M"di!&'
d" $%i'i" si di"iti
s"!i$'isti, di# i%&'
ti%"st& d" s$!i#$
HTA ,ta6i0 II Pri(ipar- in 5ar,ta 6- p-,t- #$ ani
6pa c/n,0t c n +-n-tician Ant-c-6-nt- 6- 6-c-, 7-ta0
ant-3n-/nata0 ,a 6- 7at (a07/r(at
6pa c/n,0t c n +-n-tician B/a0a +-n-tica in 7a(i0i-6pa
c/n,0t c n +-n-tician In7-ctii r/+-nita0- ,p-ci7ic-
%M
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GRAVIDE CU RISC MODERAT
S&$+"."" MEDIC DESPECIALITATE
OBSTETRICA-GINECOLOGIE i#!'$/$"!&
M"di!&' d" $%i'i" si
di"iti s"!i$'isti, di#i%&' ti%"st& d"s$!i#$
A8 6- a0c//0' 7(at
O-8itat-3-9c-, p/n6-ra0 "st" 7;
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GRAVIDE CU RISC MODERAT
S&$+"."" MEDIC DESPECIALITATE
OBSTETRICA-GINECOLOGIE i#!'$/$"!&
M"di!&' d" $%i'i" si
di"iti s"!i$'isti, di#i%&' ti%"st& d"s$!i#$
Ca,ti+ p/n6-ra0 , )'$ =+ 0a#: ,apta(ani 6- ,arcina
N-c0aritat- a 5ar,t-i ,arcinii
Sarcina /tinta 6patrata(-nt,ti(0ar- /5ariana'7-rti0i8ar- in 5itr/
Pat/0/+i- +in-c/0/+ica
i/% &t"i#- %$'%$tii ."#it$'" "t!
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GRAVIDE CU RISC INALT
S&$+".""
i# SPITALd" !$t"
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s"!i$'it$t" O-G,di# %%"#t&'
d"ist$ii is!&'&i,
"#t& di$.#sti! si
t$t$%"#t
T-,t- ,-r/0/+ic- p/8iti5-(T*'$s%$, R&/"'$, VDRL,HIV)
:2 P"#t& .$+id"'" i#"!t$t"$#$ '$ 79 d" s$t$%$#i d"$%"#"" s" " /'"%$i#t"&"ii t"$"&ti!" $!&s&'&i s$!i#ii
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GRAVIDE CU RISC INALT
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i# SPITALd" !$t"
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s"!i$'it$t" O-G,di# %%"#t&'
d"ist$ii is!&'&i,
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t$t$%"#t
T-,t- ,-r/0/+ic- p/8iti5-(T*'$s%$, R&/"'$, VDRL, HIV)
72 G$+id"'" i#"!t$t" d&$ 79 d"s$t$%$#i d" $%"#"" + $%$#" i#"+id"#t$ s"!tii' d" /'i i#"!ti$s" si+ i $d%is" i# %$t"#it$t" "#t$st""2C$1&i'" d" '&"s s" ti%it '$sit$'"'" d" /'i i#"!ti$s" d" t it$t$t" 49 " $i "*t"#$t"2C$1&i"'"d" '&"s d"ist$t" '$ #$st"" s" "1'+$
i# !"#t"'" d" #i+"' III( $!"st '&!&t"/&i#d $ i !%i!$t d" !$t" ASP)
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GRAVIDE CU RISC INALT
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i# SPITALd" !$t"
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t$t$%"#t
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:2 F%" s"+""
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An/(a0ii 6- 6-85/0tar- a 7at0i
An/(a0ii a0- cantitatii 6- 0ic4i6 a(ni/tic('i.0id$%#is)
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GRAVIDE CU RISC INALT
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d" !$t" %"di!&' d"
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si t$t$%"#t
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Dia-t 8a4arati#di""#t d" %$
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