Anderson Jane E
Department of Family Medicine, University of Wisconsin School of Medicine and Public Health, 1100 Deleplaine Ct. Madison, WI 53715-1896, USA.
Prim Care. 2012 Mar;39(1):135-44. doi: 10.1016/j.pop.2011.12.002. Epub 2012 Jan 4.
This article reviews one of the less common but most dreaded complications of labor and delivery, shoulder dystocia, an infrequent but potentially devastating event that results from impaction of the fetal shoulders in the maternal pelvis. Shoulder dystocia occurs most commonly in patients without identified risk factors, and can result in both maternal and fetal morbidity. Because the vast majority of cases of shoulder dystocia are unpredictable, obstetric care providers must be prepared to recognize dystocia and respond appropriately in every delivery. Detailed documentation is essential after any delivery complicated by shoulder dystocia.
本文回顾了分娩过程中较少见但最可怕的并发症之一——肩难产，这是一种不常见但可能具有毁灭性的事件，是由于胎儿肩部嵌顿在母体骨盆中所致。肩难产最常发生在无明确危险因素的患者中，可导致母婴发病。由于绝大多数肩难产病例无法预测，产科护理人员必须随时准备识别难产情况并在每次分娩时做出适当反应。在任何并发肩难产的分娩后，详细记录至关重要。
