[与肩难产相关的新生儿并发症]
[Neonatal complications related to shoulder dystocia].
作者信息
Lopez E, de Courtivron B, Saliba E
机构信息
Réanimation néonatale, hôpital Clocheville, CHU de Tours, 49, boulevard Béranger, 37044 Tours cedex 9, France.
Chirurgie orthopédique pédiatrique, hôpital Clocheville, CHU de Tours, 49, boulevard Béranger, 37044 Tours cedex 9, France.
出版信息
J Gynecol Obstet Biol Reprod (Paris). 2015 Dec;44(10):1294-302. doi: 10.1016/j.jgyn.2015.09.049. Epub 2015 Oct 31.
OBJECTIVE
To describe neonatal complications related to shoulder dystocia.
METHODS
This systematic evidence review is based on PubMed search, Cochrane library and experts' recommendations.
RESULTS
The risks of brachial plexus birth injury, clavicle and humeral fracture, perinatal asphyxia, hypoxic-ischemic encephalopathy and perinatal mortality are increased after shoulder dystocia. The medical team should be able to provide neonatal resuscitation in the delivery room in case of perinatal asphyxia following shoulder dystocia, according to national and international guidelines. The initial clinical examination should search for complications such as brachial plexus birth injury or clavicle fracture.
CONCLUSION
The risk of perinatal complications is increased in newborn after shoulder dystocia. The medical team should be able to manage these complications.
目的
描述与肩难产相关的新生儿并发症。
方法
本系统证据综述基于PubMed搜索、Cochrane图书馆及专家建议。
结果
肩难产之后，臂丛神经产伤、锁骨和肱骨骨折、围产期窒息、缺氧缺血性脑病及围产期死亡率的风险增加。根据国家和国际指南，医疗团队应能够在产房为肩难产之后出现围产期窒息的情况提供新生儿复苏。初始临床检查应排查臂丛神经产伤或锁骨骨折等并发症。
结论
肩难产之后新生儿发生围产期并发症的风险增加。医疗团队应能够处理这些并发症。
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