肩难产的急诊科处理
Emergency department management of shoulder dystocia.
作者信息
Del Portal Daniel A, Horn Amanda E, Vilke Gary M, Chan Theodore C, Ufberg Jacob W
机构信息
Department of Emergency Medicine, Temple University School of Medicine, Philadelphia, Pennsylvania.
Department of Emergency Medicine, University of California, San Diego Medical Center, San Diego, California.
出版信息
J Emerg Med. 2014 Mar;46(3):378-82. doi: 10.1016/j.jemermed.2013.08.110. Epub 2013 Dec 19.
BACKGROUND
Precipitous obstetric deliveries can occur outside of the labor and delivery suite, often in the emergency department (ED). Shoulder dystocia is an obstetric emergency with significant risk of adverse outcome.
OBJECTIVE
To review multiple techniques for managing a shoulder dystocia in the ED.
DISCUSSION
We review various techniques and approaches for achieving delivery in the setting of shoulder dystocia. These include common maneuvers, controversial interventions, and interventions of last resort.
CONCLUSIONS
Emergency physicians should be familiar with multiple techniques for managing a shoulder dystocia to reduce the chances of fetal and maternal morbidity and mortality.
背景
急产可发生在产房之外，通常是在急诊科。肩难产是一种产科急症，具有显著的不良结局风险。
目的
回顾在急诊科处理肩难产的多种技术。
讨论
我们回顾了在肩难产情况下实现分娩的各种技术和方法。这些包括常用手法、有争议的干预措施以及最后手段的干预措施。
结论
急诊医生应熟悉处理肩难产的多种技术，以降低胎儿和产妇发病及死亡的几率。
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