顺应宫缩连续娩肩法与传统娩肩法在预防肩难产新生儿产伤中的应用

Application of uterine contraction-conforming continuous shoulder delivery and traditional shoulder delivery in prevention of birth injuries due to shoulder dystocia

目的:观察顺应宫缩连续娩肩法与传统娩肩法在预防肩难产新生儿产伤中的应用效果。方法:回顾性分析2017年5月至2019年5月收治的82例自然分娩高危肩难产产妇作为研究对象,根据助产方式的不同分为研究组和对照组各41例。对照组采用传统娩肩法分娩,研究组采用顺应宫缩连续娩肩法分娩,比较两组新生儿窒息情况、产伤发生情况及并发症发生情况。结果:研究组新生儿窒息率为26.8%(11/41),明显低于对照组的48.8%(20/41),差异有统计学意义(P<0.05);研究组新生儿产伤发生率及产后并发症发生率均明显低于对照组,差异均有统计学意义(P<0.05)。结论:顺应宫缩连续娩肩法可有效降低肩难产新生儿的新生儿窒息率、产伤发生率及产后并发症发生率,其效果优于传统娩肩法。

Objective:To compare application effects of uterine contraction-conforming continuous shoulder delivery and traditional shoulder delivery in prevention of birth injuries due to shoulder dystocia.Methods:82 cases of high-risk shoulder dystocia with natural childbirth from May 2017 to May 2019 were taken as the research objects and retrospectively analyzed.According to the methods of midwifery,they were divided into study group and control group,41 cases in each.The control group was given the traditional shoulder delivery,while the study group accepted the uterine contraction-conforming continuous shoulder delivery.Then,the neonatal asphyxia,birth injuries and complications were compared between the two groups.Results:The neonatal asphyxia rate in the study group was 26.8%(11/41),which was significantly lower than the control group of 48.8%(20/41),and the difference was statistically significant(P<0.05).The incidence of neonatal birth injuries and the incidence of postpartum complications in the study group were significantly lower than those in the control group,and the differences were statistically significant(P<0.05).Conclusions:The uterine contraction-conforming continuous shoulder delivery can effectively reduce the neonatal asphyxia rate,the incidence of neonatal birth injuries and the incidence of postpartum complications for the cases with shoulder dystocia.Moreover,it is more effective than the traditional shoulder delivery.