摘要
目的探讨产前预测失败的肩难产发生相关因素及处理方法,降低肩难产的并发症。方法回顾性分析2006-01/2014-12日作者医院院进行阴道分娩发生肩难产病例16例,对其处理方法及结局分析总结。结果 16例中9例轻度窒息,3例重度窒息,3例新生儿锁骨骨折,无新生儿缺血缺氧性脑病及脑瘫等,产妇无会阴Ⅲ度裂伤及产后出血。结论产时及时正确处理,可有效减少肩难产母婴并发症的发生。
Objective To explore expert practitioners＇ methods of managing unpredictable shoulder dystocia and evaluate the consequence to the patients and their infants.Methods Retrospective study of 16 cases with shoulder dystocia from2006 to 2014.The maneuvers,labor complications and neonatal outcome were analyzed.Results No patients developed postpartum hemorrhage and third-degree perineal tear.Neonate mild asphyxiation occurred in 9 of 16 infants,sever asphyxiation in 3,and clavicle fracture in 3,no brachial plexus injury and hypoxic was chaemic encephalopathy occured.Conclusion Clinicians shall utilize the maneuver most likely to result in successful delivery.
出处
《华南国防医学杂志》
CAS
2015年第9期679-681,共3页
Military Medical Journal of South China
关键词
肩难产
屈大腿
压前肩
手膝位
Shoulder dystocia
Bending thigh
Pressing forearm
Hand-Knee posture
