asistenta prenatala

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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"

    %"di!&' d"

    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

    S&$+".""

    i# SPITALd" !$t"

    %"di!&' d"

    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)

    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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    S&$+".""

    i# SPITALd" !$t"

    %"di!&' d"

    s"!i$'it$t" O-G,di# %%"#t&'

    d"ist$ii is!&'&i,

    "#t& di$.#sti! si

    t$t$%"#t

    Di,+ra5i6ii 6- pri( tri(-,tr7/r(-

    ,-5-r- San+-rari pa ca0- 5a+ina0a HTAi#d&s$0$.$+$t$ d" s$!i#$3

    :2 F%" s"+""

    72 F%" %"dii !$" #& $& $ss i# 5-=

    1i'" '$ t$t$%"#t&' ""!t&$t d" %"di!&'s"!i$'ist O-G

    I8/i(ni8ar- (at-rn/7-ta0a An-(i- +ra5a(H/>9.0d')

    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

    S&$+".""

    i# SPITAL

    d" !$t" %"di!&' d"

    s"!i$'it$t" O-G,di# %%"#t&'

    d"ist$ii is!&'&i,

    "#t& di$.#sti!

    si t$t$%"#t

    R-tar6 6- cr-,t-r- intrat-rina a7at0i(s&/ :; "!"#ti'")

    A7-ctini +-n-ra0- 6-c/(p-n,at-s$&!$" #& $& $ss '$ t$t$%"#t&'""!t&$t

    D&$ int-r5-ntii c4irr+ica0- p- c/r6'5a,-' p0a(ani' rinic4i' /p-ratiip0a,tic- in ,7-ra +-nita0a ( t&'/&$i d"st$ti!$, ist&'", %$'%$tii)

    Dia-t 8a4arati#di""#t d" %$

    B/0i -n6/crin- c (ani7-,tari c0inic- C/n,( 6- 6r/+ri