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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 investigate the related factors and treatment of shoulder dystocia with failure of prenatal prediction to reduce the complications of shoulder dystocia. Methods A retrospective analysis of 16 cases of shoulder dystocia with vaginal delivery in the author hospital from January 2006 to December 2014 was conducted and the treatment methods and outcome were summarized. Results Of the 16 cases, 9 were mild asphyxia, 3 were severe asphyxia and 3 were neonatal with clavicular fracture. There was no neonatal hypoxic-ischemic encephalopathy and cerebral palsy. The maternal had no perineal third-degree laceration and postpartum hemorrhage. Conclusion The correct and timely treatment during delivery can effectively reduce the incidence of maternal and fetal complications of shoulder dystocia.