X-plain...من فضلك!

el salamo 3alekom
gazakom Allah kol 7'er
I want to ask about ttt of dusfunction uterine bleeding,if the famale presented with active bleeding,what to do in steps??
thanx

gazakom allah kol 7'er

W 3ALEKOM ELSALAM W RA7MATO ALLAH W BARAKATONORMALLY THE UTERINE CONTRACTION DOSEN'T AFFECT THE FHR ALTHOGHT IT COMPRESSES THE PLACENTAL B.V AND THAT IS DUE TO THE HIGH AFFINITY OF Hb.F TO O2 SO NO FETAL HYPOXIA AND NO DECCELERATION.
SOMETIMES THE UT CONTRACTION MAY CAUSE VAGAL STIMULATION IN FETUS AND SO BRADYCARDIA WHICH KNOWN AS EARLY DEC. W' CONSIDERED AS NORMAL FINDING (EARLY DEC:THE ONSET OF DEC STARTS W' THE CONTRACTION AND ENDS E' IT
THE LATE DEC:THE ONSET OF DEC STARTS AFTER THE UT CONTRACTION IN THIS CONDITION THE CONTRACTION CAUSES FETAL HYPOXIA DUE TO ALREADY PREEXISTING CAUSE OF FETAL HYPOXIA eg:preeclampsia
ma3na keda en el3ayl asln 3ando hypoxia wel o2 ely 3ando yadobk mekafeh wbeltaly lma te7sal contraction te2alel elplacental blood flow hay7salo more hypxia and dec
the variable dec: IT'S DUE TO CORD PROLAPSE OR CORD AROUND THE NECK IN W' THE CONTRACTION CAUSES COMPRESSES THE UMBLICAL VIEN,AND DECREASES EL BLD FLOW,SO TACHYCARDIA AND E' MORE CONTRACTION COMPRESSES THE ARTERY AND CAUSES INCREASE IN THE FETAL BP AND REFLEX BRADYCARDIA
THE LATE AND VARAIBLE DEC ARE ABNORMAL FINDINGS W' MEAN FETAL DISTRESS
I HOPE THAT U WANT