Table of contents (expand)
- Anatomy of the female genital organs
- Anatomy of the female genital organs (continued)
- Physiology of the female reproductive system
- Anatomy of the female pelvis
- Fertilization and development of the fetal egg
- Changes in a woman's body during pregnancy
- Diagnosis of pregnancy
- Signs of fetal maturity, the size of the head and body of a mature fetus
- Examination of a woman in labor
- Physical examination
- Physical examination (continued)
- Physiological childbirth
- Biomechanism of labor in anterior occiput presentation. Seven basic fetal movements during labor
- Pain relief during labor
- Management of the second stage of labor
- Management of the third stage of labor
- Childbirth with breech presentation of the fetus
- Childbirth with extensor presentation of the fetal head
- Transverse and oblique position of the fetus
- obstetric turn
- Childbirth with prolapse of small parts of the fetus, large fetus, fetal hydrocephalus
- Anomalies of labor activity (pathological preliminary period, weakness of labor activity)
- Anomalies of labor activity (violent labor activity, uterine tetanus)
- placenta previa
- Premature detachment of a normally located placenta
- Diagnosis, delivery in case of premature detachment of the placenta
- Birth injury
- Clinic, diagnosis, treatment for birth trauma
- Toxicosis of pregnant women
- Toxicosis of pregnant women (continued)
- Late toxicosis of pregnant women
- Clinical picture of OPG (dropsy, nephropathy)
- Clinical picture of OPG (preeclampsia, eclampsia)
- Treatment of preeclampsia
- Premature termination of pregnancy
- Bleeding in the early postpartum period
- Treatment for bleeding
- Infusion-transfusion therapy of acute massive blood loss in obstetrics and gynecology
- Hypocoagulation phase of DIC syndrome
- Modern technologies for providing emergency infusion-transfusion care in acute massive blood loss
- Ectopic pregnancy
- Diagnosis of ectopic pregnancy
- Inflammatory diseases of the female genital organs (bacterial vaginosis, chlamydial infection)
- Inflammatory diseases of the female genital organs (viral infections, candidal colpitis)
- specific infections. Gonorrhea
- Trichomoniasis and tuberculosis of the genital organs
- Endometritis
- Postpartum endometritis
- Pelvioperitonitis and parametritis
- Menstrual irregularities
- Diagnosis and treatment of menstrual irregularities
- Endometriosis
- Hysteromyoma
- Diagnosis and treatment of uterine fibroids
- Pregnancy is multiple
- Intrauterine fetal death. Fruit-destroying operations
8. Signs of fetal maturity, dimensions of the head and body of a mature fetus
The length (height) of a mature full-term newborn ranges from 46 to 52 cm or more, averaging 50 cm. The average body weight of a mature full-term newborn is 3400-3500 g. A mature full-term newborn has a well-developed subcutaneous fat layer; skin pink, elastic; the vellus cover is not pronounced, the length of the hair on the head reaches 2 cm; ear and nasal cartilages are elastic; nails are dense, protruding beyond the edges of the fingers. The umbilical ring is located in the middle of the distance between the womb and the xiphoid process. In boys, the testicles are descended into the scrotum. In girls, the small labia are covered with large ones. The cry of a child is loud. Muscle tone and movements of sufficient strength. The sucking reflex is well expressed.
The main feature of the cranial part of the head is that its bones are connected by fibrous membranes - sutures. In the area of \uXNUMXb\uXNUMXbthe connection of the seams there are fontanelles - wide areas of connective tissue. A large head can change its shape and volume, as the sutures and fontanelles allow the bones of the skull to overlap each other. Due to this plasticity, the head adapts to the mother's birth canal. The most important sutures connecting the bones of the fetal skull are the following: the sagittal suture, passing between the two parietal bones; frontal suture - between two frontal bones; coronal suture - between the frontal and parietal bone; lambdoid (occipital) suture - between the occipital and parietal bones. Among the fontanelles on the head of the fetus, large and small fontanelles are of practical importance. The large (anterior) fontanel is diamond-shaped and is located at the junction of the sagittal, frontal, and coronal sutures. The small (posterior) fontanel has a triangular shape and is a small depression in which the sagittal and lambdoid sutures converge.
Head full-term mature fetus has the following dimensions:
1) direct size (from the bridge of the nose to the occiput) - 12 cm, head circumference in direct size - 34 cm;
2) large oblique size (from the chin to the occiput) - 13-13,5 cm; head circumference - 38-42 cm;
3) small oblique size (from the suboccipital fossa to the anterior angle of the large fontanel) - 9,5 cm, head circumference - 32 cm;
4) average oblique size (from the suboccipital fossa to the border of the scalp of the forehead) - 10 cm; head circumference - 33 cm;
5) sheer, or vertical, size (from the top of the crown to the sublingual region) - 9,5-10 cm, head circumference - 32 cm;
6) large transverse size (the largest distance between the parietal tubercles) - 9,5 cm;
7) small transverse dimension (distance between the most distant points of the coronal suture) - 8 cm.
dimensions torso fruit are as follows:
1) the size of the shoulders (diameter of the shoulder girdle) - 12 cm, the circumference of the shoulder girdle - 35 cm;
2) the transverse size of the buttocks is 9 cm, the circumference is 28 cm.
Author: Ivanov A.I.
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