7/30/2019 Report for OB

1/2

Whats the difference between the three.

In Low Transverse, a transverse (horizontal) incision in the lower uterus, In Low Vertical, a vertical incision

in the lower uterus and in Classical, a vertical incision in the main body of the uterus

Umbilical hernia - an outward bulging (protrusion) of the abdominal lining or part of the abdominalorgan(s) through the area around the belly button

Vaginal bleeding late in pregnancy often indicatesplacenta previa, a low-lying

placenta that covers part or all of the inner opening of the cervix. If the bleeding does

not stop with bed rest, the doctor probably will perform a cesarean, to prevent

hemorrhage. Vaginal bleeding late in pregnancy also may indicate placental abruption,

where the placenta separates from the uterine wall before delivery. In some cases of

mild abruption, it may be possible to deliver vaginally. If there is heavy bleeding or fetal

distress caused by abruption (abruption can lead to maternalshock, which, togetherwith a reduced amount of functioning placenta, can deprive the fetus of adequate

oxygen), a cesarean generally is necessary.

Causes of umbilical hernia during pregnancy

Most umbilical hernias are congenital, meaning you have had the hernia since birth. The hernia

may have been small or not caused any noticeable symptoms. Pregnancy or excessive weight gain can put

stress on the defective or weak area of the abdominal wall causing the hernia to become more

noticeable. Many adults have umbilical hernias that go unnoticed because the defect is so small that tissue

cannot pass through it. Once the hole gets large enough that tissue can pass through, the hernia can

become painful and you may see bulging around the umbilical area.

Treatment of umbilical hernia during pregnancy

In most cases it is best to wait until you are no longer pregnant before attempting to repair an

umbilical hernia. However, if an umbilical hernia becomes incarcerated, meaning that tissue remains

trapped in the defective area and cant be pushed back in, it will need to be repaired immediately. When

a hernia becomes incarcerated the trapped tissue will not receive blood and will eventually die. An

incarcerated hernia is generally painful and requires urgent surgical repair. As long as the umbilical hernia

is not incarcerated, it is usually best to wait to have it repaired. If the hernia is bulging and uncomfortable,

rest and gently massage the hernia until the bulging goes back in. If the umbilical hernia is painful or cannot

be pushed back in seek immediate medical attention.

http://www.healthscout.com/ency/1/668/onelibrary.cfm?id=17http://www.healthscout.com/ency/1/668/onelibrary.cfm?id=17http://www.healthscout.com/ency/1/668/onelibrary.cfm?id=17http://www.healthscout.com/ency/1/000039.htmlhttp://www.healthscout.com/ency/1/000039.htmlhttp://www.healthscout.com/ency/1/000039.htmlhttp://www.healthscout.com/ency/1/000039.htmlhttp://www.healthscout.com/ency/1/668/onelibrary.cfm?id=17

7/30/2019 Report for OB

2/2

NCP - because the intestine is handled during surgery, it takes approximately 24 48 hrs. before

full peristaltic function is restored and oral intake is possible.

- they are also kept NPO for a time after surgery to avoid paralytic ileum that occurs from bowelhandling. *Paralytic ileus - Obstruction of the intestine due toparalysisof the intestinal

muscles- flatus is also monitored because it is another indication that intestinal function is again active.- if intestinal function is again active, IV fluid therapy is usually discontinued and the woman is

allowed sips of fluid.

- ensure that a woman is not experiencing nausea and vomiting because it might requirerestarting intravenous therapy.

- introduce oral fluid slowly, for example ice chips first then sips of clear fluid .- gradually advance her diet to a soft and then a regular diet as prescribed.

http://www.medterms.com/script/main/art.asp?articlekey=109388http://www.medterms.com/script/main/art.asp?articlekey=109388http://www.medterms.com/script/main/art.asp?articlekey=109388http://www.medterms.com/script/main/art.asp?articlekey=109388