Embarazo múltiple: riesgos y manejo

EMBARAZO MULTIPLE LUCIA MARQUEZ

INTRODUCCION ,[object Object],[object Object],[object Object],[object Object]

INCIDENCIA LEY DE HELLIN ,[object Object],[object Object],[object Object],[object Object]

FACTORES DE RIESGO ,[object Object],[object Object],[object Object],[object Object]

EMBRIOLOGIA DE LOS GEMELOS ,[object Object],[object Object],[object Object]

CLASIFICACION ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

[object Object],[object Object],[object Object]

[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

25 % MAS FREC 75% 1 % MAS COMPLICACIONES

Cigosidad: ¿porqué es importante? ,[object Object],[object Object],[object Object],[object Object]

DIAGNOSTICO ,[object Object],[object Object],[object Object],[object Object]

EXAMEN FISICO ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

ECOGRAFIA ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

ECOGRAFIA ,[object Object],[object Object],[object Object],[object Object],[object Object]

BICORIAL BIAMNIOTICO MONOCORIAL BIAMNIOTICO BICORIAL BIAMNIOTICO

CRITERIOS PARA ESTABLECER CORIONICIDAD

SEGUIMIENTO ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

MANEJO DEL PARTO ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Conducta intraparto ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

GEMELO A CEFALICA GEMELO B CEFALICA ,[object Object],[object Object],[object Object],[object Object],[object Object]

GEMELO A CEFALICA GEMELO B NO CEFALICA ,[object Object],[object Object]

GEMELO A NO CEFALICA ,[object Object]

Cronograma de decisiones Embarazo múltiple Trabajo de parto Ecografía Embarazo doble Embarazo triple o más CESAREA PARTO Cefálica Cefálica Cefálica podálica Cefálica transversa Peso estimado Menor de 1800 grs. Feto 1 cefálica Feto 1 No cefálica Segunda elección

Riesgos para el primer y segundo gemelo ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

COMPLICACIONES ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

[object Object],[object Object],[object Object],[object Object],[object Object]

[object Object],[object Object],[object Object],[object Object]

PREMATUREZ Y PARTO PRETERMINO ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

MUERTE DE UN GEMELO ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],TROMBOPLASTINA TISULAR DEL FM PUEDE INVADIR LA CIRCULACION MATERNA O DEL FETO SOBREVIVIENTE Y ACTIVAR LOS PASOS DE LA COAGULACION EXTRINSECA

CRECIMIENTO FETAL DISCORDANTE ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

COMPLICACIONES DE EMBARAZOS MONOCORIONICOS ,[object Object],[object Object],[object Object],[object Object]

[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

POLIHIDRAMNIOS OLIGOAMNIOS CARDIOMEGALIA Y ASCITIS

TRATAMIENTO ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

GEMELO ACARDICO (TRAP) ,[object Object],[object Object],[object Object]

SIAMESES ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Embarazo múltiple: riesgos y manejo

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