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本文引用的文献

1
Birth weight and incidence of surgical obstetric brachial plexus injury.出生体重与产科臂丛神经损伤手术发生率
Eplasty. 2015 Apr 28;15:e14. eCollection 2015.
2
Posterior axilla sling traction for shoulder dystocia: case review and a new method of shoulder rotation with the sling.腋后吊带牵引治疗肩难产：病例回顾及一种新的吊带辅助肩部旋转方法
Am J Obstet Gynecol. 2015 Jun;212(6):784.e1-7. doi: 10.1016/j.ajog.2015.02.025. Epub 2015 Feb 28.
3
Two-step delivery may avoid shoulder dystocia: head-to-body delivery interval is less important than we think.两步分娩法可能避免肩难产：头体娩出间隔比我们想象的更不重要。
J Obstet Gynaecol Can. 2014 Aug;36(8):716-720. doi: 10.1016/S1701-2163(15)30514-4.
4
Complications of shoulder dystocia.肩难产的并发症。
Semin Perinatol. 2014 Jun;38(4):201-4. doi: 10.1053/j.semperi.2014.04.005.
5
Evaluation of fetal anthropometric measures to predict the risk for shoulder dystocia.评估胎儿人体测量指标以预测肩难产的风险。
Ultrasound Obstet Gynecol. 2014 Jan;43(1):77-82. doi: 10.1002/uog.12560. Epub 2013 Nov 27.
6
Severe brachial plexus palsy in women without shoulder dystocia.女性臂丛神经麻痹且无肩难产。
Obstet Gynecol. 2012 Sep;120(3):539-41. doi: 10.1097/AOG.0b013e318264f644.
7
Outcomes associated with a structured prenatal counseling program for shoulder dystocia with brachial plexus injury.与肩难产伴臂丛神经损伤的结构化产前咨询计划相关的结局。
Am J Obstet Gynecol. 2012 Aug;207(2):123.e1-5. doi: 10.1016/j.ajog.2012.05.023. Epub 2012 Jun 1.
8
Outcomes associated with introduction of a shoulder dystocia protocol.肩难产处理规程引入后的相关结局。
Am J Obstet Gynecol. 2011 Dec;205(6):513-7. doi: 10.1016/j.ajog.2011.05.002. Epub 2011 May 7.
9
Reducing the risk of shoulder dystocia and associated brachial plexus injury.降低肩难产及相关臂丛神经损伤的风险。
Obstet Gynecol Clin North Am. 2011 Jun;38(2):247-69, x. doi: 10.1016/j.ogc.2011.02.015.
10
A comparison of obstetric maneuvers for the acute management of shoulder dystocia.肩难产的急性处理中产科手法的比较。
Obstet Gynecol. 2011 Jun;117(6):1272-1278. doi: 10.1097/AOG.0b013e31821a12c9.

肩难产：预测与处理

Shoulder dystocia: prediction and management.

作者信息

Hill Meghan G, Cohen Wayne R

机构信息

Department of Obstetrics & Gynecology, University of Arizona College of Medicine, Tuscon, AZ 85724, USA.

出版信息

Womens Health (Lond). 2016;12(2):251-61. doi: 10.2217/whe.15.103. Epub 2016 Feb 22.

DOI:10.2217/whe.15.103
PMID:26901875
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5375046/
Abstract

Shoulder dystocia is a complication of vaginal delivery and the primary factor associated with brachial plexus injury. In this review, we discuss the risk factors for shoulder dystocia and propose a framework for the prediction and prevention of the complication. A recommended approach to management when shoulder dystocia occurs is outlined, with review of the maneuvers used to relieve the obstruction with minimal risk of fetal and maternal injury.

摘要

肩难产是阴道分娩的一种并发症，也是与臂丛神经损伤相关的主要因素。在本综述中，我们讨论了肩难产的危险因素，并提出了一个预测和预防该并发症的框架。概述了肩难产发生时推荐的处理方法，并回顾了用于解除梗阻且胎儿和产妇受伤风险最小的手法。