Gherman Robert B
Department of Obstetrics and Gynecology, Division of Maternal-Fetal Medicine, Washington Adventist Hospital, 7600 Carrou Avenue, 3rd floor, Takoma Park, MD 20912, USA.
Obstet Gynecol Clin North Am. 2005 Jun;32(2):297-305, x. doi: 10.1016/j.ogc.2004.12.006.
Knowledge of the maneuvers used for the alleviation of shoulder dystocia is relevant not only for obstetric residents and attending house staff but also for family practitioners, nurses, and nurse midwives. The performance of shoulder dystocia "drills" can be helpful not only to coordinate a teamwork approach to this obstetric emergency but also to provide an opportunity to practice the maneuvers. Shoulder dystocia continues to represent an immense area of clinical interest because it typically occurs without prediction. All patients in labor should be considered at risk for the development of shoulder dystocia.
了解用于缓解肩难产的手法不仅对产科住院医师和主治住院医生很重要，对家庭医生、护士和助产士也同样重要。进行肩难产“演练”不仅有助于协调团队应对这一产科急症，还能提供练习手法的机会。肩难产仍然是一个极具临床研究价值的领域，因为它通常毫无预兆地发生。所有临产患者都应被视为有发生肩难产的风险。
