Sandbox: Difference between revisions

Revision as of 01:26, 18 May 2019

Stage	Info	Picture
1st stage'	Latent Passage of cervical mucous plug Slow dilation to 3 cm Active *Rapid cervical dilation from 3 cm to 10 cm ~8 hours in primiparous and ~5 hours in multiparous
2nd stage'	Cervix fully dilated Urge to push Expulsion of infant ~20 - 50 minutes
3rd stage'	Placental delivery ~20 minutes ***>18 minutes increases risk of postpartum hemorrhage with >30 minutes conferring very increased risk
4th stage'	1st hour after placental delivery Period of time with highest risk for postpartum hemorrhage

Authors:

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-{| class="wikitable" style="float:right; margin-left: 10px;"
+{| {{table}}
-| align="center" style="background:#f0f0f0;"|'''Le Fort Fracture'''
+| align="center" style="background:#f0f0f0;"|'''Stage'''
-| align="center" style="background:#f0f0f0;"|'''Description'''
+| align="center" style="background:#f0f0f0;"|'''Info'''
-| align="center" style="background:#f0f0f0;"|'''Front View'''
+| align="center" style="background:#f0f0f0;"|'''Picture'''
-| align="center" style="background:#f0f0f0;"|'''Side View'''
-| align="center" style="background:#f0f0f0;"|'''Stability'''
 |-
-|Type I||
+| ''1st stage'''||**Latent ***Passage of cervical mucous plug ***Slow dilation to 3 cm **Active ***Rapid cervical dilation from 3 cm to 10 cm **~8 hours in primiparous and ~5 hours in multiparous||
-*Transverse fracture separating body of maxilla from pterygoid plate and nasal septum<ref name="tintinalli">Tintinalli 7th Edition, pgs 1730-1738</ref>
-*Only hard palate and teeth move (when rock hard palate while stabilizing forehead)
-||[[File:LeFort1e.png|120px]]||[[File:LeFort1a.png|150px]]||Stable
 |-
-|Type II||
+| ''2nd stage'''||**Cervix fully dilated **Urge to push **Expulsion of infant **~20 - 50 minutes||
-*Pyramidal fracture through central maxilla and hard palate
-*Movement of hard palate and nose occurs, but not the eyes
-||[[File:LeFort2b.png|120px]]||[[File:LeFort2a.png|150px]]||Can be stable or unstable fracture
 |-
-|Type III||
+| ''3rd stage'''||**Placental delivery **~20 minutes ***>18 minutes increases risk of [[postpartum hemorrhage]] with >30 minutes conferring very increased risk||
-*Craniofacial dysjunction (fracture through frontozygomatic sutures, orbit, nose, ethmoids)
-*Entire face shifts with globes held in place only by optic nerve)
-*Dish face deformity on lateral view
-||[[File:LeFort3b.png|120px]]||[[File:LeFort3a.png|150px]]||Unstable
 |-
-|Type IV||
+| ''4th stage'''||**1st hour after placental delivery  **Period of time with highest risk for [[postpartum hemorrhage]]||
-*Le Fort III plus involvement of frontal bone
-||||||Unstable
 |}