Lutgendorf Monica A, Schindler Lynnett L, Hill James B, Magann Everett F, O'Boyle John D
Department of Obstetrics and Gynecology, Naval Medical Center Portsmouth, 620 John Paul Jones Circle, Portsmouth, VA 23708, USA.
Mil Med. 2011 Jun;176(6):702-4. doi: 10.7205/milmed-d-10-00438.
Retained sponges (gossypiboma) following vaginal delivery are an uncommon occurrence. Although significant morbidity from such an event is unlikely, there are many reported adverse effects, including symptoms of malodorous discharge, loss of confidence in providers and the medical system, and legal claims.
To report a protocol intended to reduce the occurrence of retained sponges following vaginal delivery.
After identification of limitations with existing delivery room protocols, we developed a sponge count protocol to reduce occurrence of retained vaginal sponges. We report our experience at Naval Medical Center Portsmouth, a large tertiary care military treatment facility with our efforts to implement a sponge count protocol to reduce retained sponges following vaginal delivery.
With appropriate pre-implementation training, protocols which incorporate post-delivery vaginal sweep and sponge counts are well accepted by the health care team and can be incorporated into the delivery room routine.
阴道分娩后纱布残留（棉绒瘤）并不常见。虽然此类事件导致严重发病的可能性不大，但有许多报道称其存在诸多不良影响，包括恶臭分泌物症状、对医护人员和医疗系统信心的丧失以及法律索赔。
报告一项旨在减少阴道分娩后纱布残留发生率的方案。
在确定现有产房方案存在的局限性后，我们制定了一项纱布清点方案以减少阴道纱布残留的发生。我们报告了在朴茨茅斯海军医疗中心的经验，该中心是一家大型三级军事医疗设施，我们努力实施纱布清点方案以减少阴道分娩后的纱布残留。
通过适当的实施前培训，结合产后阴道探查和纱布清点的方案能被医疗团队很好地接受，并可纳入产房常规操作。
