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目的:分析肩难产的临床特点、高危因素和处理措施。方法:对吉林省妇幼保健院2008～2010年17例经阴道分娩的肩难产产妇的临床资料和高危因素进行回顾性分析。结果:2008～2010年该院发生肩难产17例,高危因素有:巨大儿(47.05%)、妊娠期糖尿病(11.76%)、阴道助产(17.65%)、产程异常(11.76%)。新生儿结局中,新生儿锁骨不完全骨折1例,占5.88%,锁骨完全骨折2例,占11.76%。产妇的结局中,发生产后出血2例,占11.76%。结论:临床工作中应对肩难产的高危因素有充分的认识,做好肩难产的抢救准备,防止出现新生儿骨折和产妇的不良结局。
Objective: To analyze the clinical features, risk factors and treatment measures of shoulder dystocia. Methods: The clinical data and risk factors of 17 cases of shoulder dystocia who delivered vaginally from 2008 to 2010 in Jilin Provincial MCH were retrospectively analyzed. Results: From 2008 to 2010, 17 cases of shoulder dystocia occurred in this hospital. The risk factors were macrosomia (47.05%), gestational diabetes mellitus (11.76%), vaginal midwifery (17.65%) and labor abnormality (11.76%). Neonatal outcome, neonatal clavicular incomplete fracture in 1 case, accounting for 5.88%, 2 cases of complete clavicle fracture, accounting for 11.76%. Maternal outcome, postpartum hemorrhage occurred in 2 cases, accounting for 11.76%. Conclusion: The clinical work should be fully aware of the high risk factors of shoulder dystocia, to prepare for the rescue of shoulder dystocia, to prevent the occurrence of neonatal fractures and maternal adverse outcomes.