一种用于严重肩难产时娩出后臂的改良技术。
A modified technique to deliver the posterior arm in severe shoulder dystocia.
作者信息
Menticoglou Savas M
机构信息
Department of Obstetrics, Gynaecology and Reproductive Sciences, University of Manitoba, Women's Hospital, Health Sciences Centre, Winnipeg, Manitoba, Canada.
出版信息
Obstet Gynecol. 2006 Sep;108(3 Pt 2):755-7. doi: 10.1097/01.AOG.0000232505.65290.04.
BACKGROUND
Posterior arm delivery resolves almost all cases of severe shoulder dystocia. However, if the posterior arm is extended or lies under the fetus's body, the usually described technique for its delivery may not be practicable.
CASE
A young, multiparous woman with type II diabetes had a low-midcavity vacuum delivery. Severe shoulder dystocia was encountered. The usual maneuvers, including the usual technique described for delivery of the posterior arm, were unsuccessful. A modified technique for delivery of the posterior arm was used.
CONCLUSION
Posterior axillary traction will deliver the posterior arm when it is not accessible by the usual technique.
背景
后臂娩出法几乎能解决所有严重肩难产病例。然而，如果后臂伸展或位于胎儿身体下方，通常描述的娩出后臂的技术可能不可行。
病例
一名患有II型糖尿病的年轻经产妇进行了低中位产钳助产。发生了严重肩难产。包括通常描述的娩出后臂的技术在内的常规操作均未成功。采用了一种改良的娩出后臂技术。
结论
当常规技术无法娩出后臂时，腋后牵引法可娩出后臂。
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