肩难产13例的临床分析

Clinical analysis of 13 patients of shoulder dystocia

目的:探讨肩难产的高危因素及处理方法,对肩难产进行预测、预防。方法:回顾性分析阴道分娩的肩难产13例,并与同期经阴道分娩顺产的60例进行对比。比较两组孕妇的产前、产时指标,分娩并发症及新生儿各径线、新生儿并发症的差异。结果:巨大胎儿占肩难产的61.5%,肩难产和顺产组的孕妇宫高、产程及分娩并发症比较,差异有统计学意义(P<0.01)。两组新生儿体重、胸围、头围及新生儿并发症比较,差异有统计学意义(P<0.01)。结论:巨大胎儿易发生肩难产,产前预测巨大儿是预防肩难产的关键,正确处理肩难产可有效减少母婴并发症的发生。

Objective To explore the risk factors of difficult labor shoulder and processing method of shoulder during childbirth predicted, prevention.Methods Retrospective analysis from January 2007 to December 2011 the vaginal delivery shoulder 13 of the same period and childbirth vaginal delivery of natural labor 60 cases clinical data.Compare two sets of pregnant women, and production of prenatal index, childbirth complications and newborn babies, the diamer line of the complications of difference. Results The fetus dystocia of huge shoulder 61.5 %. Shoulder during childbirth and natural labor group of pregnant women palace high, and premature birth complications are statistically significant difference（ P 〈 0.01 ）.Two groups of neonatal weight, chest eireumferenee, head clreumferenee and of the complications of newborn statistical significance was found between（ P 〈 0.01 ）. Conclusion Huge fetal vulnerable to shoulder during childbirth, prenatal forecast huge son is the key to prevent shoulder during childbirth. Correct treatment can effectively reduce the shoulder during childbirth maternal and infant eomplicalions.