Tukur J, Omale A O, Abdullahi H, Datti Z
Department of Obstetrics and Gynaecology, Aminu Kano Teaching Hospital, Kano, Nigeria.
Ann Afr Med. 2007 Dec;6(4):194-6. doi: 10.4103/1596-3519.55697.
The use of fundal pressure to assist a woman in labor is a controversial procedure. Its benefits are yet to be scientifically confirmed and it is associated with complications such as perineal lacerations, uterine rupture and uterine inversion. A case is reported of a 28year old Gravida 5 Para ?? (3 Alive) who presented to Aminu Kano Teaching Hospital, (AKTH) Kano, Nigeria with uterine prolapse following fundal pressure done in the first stage of labor in a peripheral hospital. She was delivered by Cesarean section and the prolapse successfully reduced under general anesthesia. Health workers need education on the risks associated with fundal pressure. Alternative methods of aiding women in labor should be promoted.
使用子宫底加压来协助产妇分娩是一个存在争议的操作。其益处尚未得到科学证实，并且它与诸如会阴撕裂、子宫破裂和子宫内翻等并发症相关。本文报告了一例28岁、孕5产？（存活3胎）的病例，该患者在尼日利亚卡诺的阿米努·卡诺教学医院（AKTH）就诊，她在一家基层医院分娩第一产程时接受子宫底加压后出现了子宫脱垂。她通过剖宫产分娩，脱垂在全身麻醉下成功复位。医护人员需要接受关于子宫底加压相关风险的教育。应推广帮助产妇分娩的替代方法。
