Middlemore Hospital, Private Bag 93311, Otahuhu, Auckland 1640, New Zealand.
Midwifery. 2012 Aug;28(4):E461-8. doi: 10.1016/j.midw.2011.05.007. Epub 2011 Jun 17.
to explore expert practitioners' methods of managing shoulder dystocia.
a qualitative interpretive study enabled a descriptive, hermeneutic analysis of data collected. Data were collected via tape recorded interviews, transcribed and analysed to explore themes and meanings.
five clinicians (four midwives and one obstetrician) who have significant experience in the management of shoulder dystocia and work in high risk maternity practice.
the results of this study demonstrate that the actions to be taken in the event of shoulder dystocia should be further examined and possibly reviewed. The three simple steps of McRoberts Manoeuvre - Suprapubic Pressure - Axillary Traction could revolutionise the way in which shoulder dystocia is managed.
探索专家从业者处理肩难产的方法。
一项定性解释性研究使我们能够对收集的数据进行描述性、解释学分析。数据通过录音采访收集，转录并分析以探索主题和意义。
五位临床医生（四位助产士和一位产科医生），他们在肩难产的管理方面具有丰富的经验，并在高风险产科实践中工作。
这项研究的结果表明，肩难产时应采取的行动应进一步检查并可能进行审查。McRoberts 手法 - 耻骨上施压 - 腋窝牵引这三个简单步骤可以彻底改变肩难产的处理方式。
