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足月时膝胸卧位下阴道臀位分娩的技术。

The art of vaginal breech birth at term on all fours.

作者信息

Wildschut Hajo I J, van Belzen-Slappendel Hinke, Jans Suze

机构信息

Department of Obstetrics and Gynecology Erasmus MC University Medical Center Rotterdam The Netherlands.

Independent Midwifery Practice De Vooroever Medemblik The Netherlands.

出版信息

Clin Case Rep. 2017 Jan 23;5(2):182-186. doi: 10.1002/ccr3.808. eCollection 2017 Feb.

DOI:10.1002/ccr3.808
PMID:28174647
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5290512/
Abstract

Despite a shift in clinical practice favouring cesarean section for breech presentation, adequate skills are still needed for a safe vaginal breech birth. This case report illustrates the physiological mechanism of vaginal breech birth. The accompanying pictures are a testimony to the "hands-off" approach and could be used for educational purposes.

摘要

尽管临床实践已转向倾向于对臀位进行剖宫产，但安全的阴道臀位分娩仍需要足够的技能。本病例报告阐述了阴道臀位分娩的生理机制。所附图片证明了“不干预”方法，可用于教学目的。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/727a/5290512/4d99093114bf/CCR3-5-182-g009.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/727a/5290512/dc2327fe32eb/CCR3-5-182-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/727a/5290512/06300ff1cc17/CCR3-5-182-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/727a/5290512/96578d10539c/CCR3-5-182-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/727a/5290512/3e829c0e8fbe/CCR3-5-182-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/727a/5290512/5b80aebc420a/CCR3-5-182-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/727a/5290512/ca8d30731cc1/CCR3-5-182-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/727a/5290512/9f1ab332b868/CCR3-5-182-g007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/727a/5290512/e634e40f613f/CCR3-5-182-g008.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/727a/5290512/4d99093114bf/CCR3-5-182-g009.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/727a/5290512/dc2327fe32eb/CCR3-5-182-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/727a/5290512/06300ff1cc17/CCR3-5-182-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/727a/5290512/96578d10539c/CCR3-5-182-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/727a/5290512/3e829c0e8fbe/CCR3-5-182-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/727a/5290512/5b80aebc420a/CCR3-5-182-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/727a/5290512/ca8d30731cc1/CCR3-5-182-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/727a/5290512/9f1ab332b868/CCR3-5-182-g007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/727a/5290512/e634e40f613f/CCR3-5-182-g008.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/727a/5290512/4d99093114bf/CCR3-5-182-g009.jpg

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本文引用的文献

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Detecting Breech Presentation Before Labour: Lessons From a Low-Risk Maternity Clinic.
J Obstet Gynaecol Can. 2015 Aug;37(8):702-706. doi: 10.1016/S1701-2163(15)30174-2.
2
Informed consent to breech birth in New Zealand.
N Z Med J. 2015 Aug 7;128(1418):85-92.
3
The risks of planned vaginal breech delivery versus planned caesarean section for term breech birth: a meta-analysis including observational studies.计划性阴道臀位分娩与择期剖宫产术用于足月臀位分娩的风险：一项包含观察性研究的荟萃分析。
BJOG. 2016 Jan;123(1):49-57. doi: 10.1111/1471-0528.13524. Epub 2015 Jul 29.
4
Planned caesarean section for term breech delivery.足月臀位分娩计划剖宫产。
Cochrane Database Syst Rev. 2015 Jul 21;2015(7):CD000166. doi: 10.1002/14651858.CD000166.pub2.
5
Pregnancy outcomes in breech presentation analyzed according to intended mode of delivery.根据预期分娩方式分析臀位妊娠结局。
Acta Obstet Gynecol Scand. 2015 Oct;94(10):1102-4. doi: 10.1111/aogs.12703. Epub 2015 Jul 27.
6
Breech delivery in the all fours position: a prospective observational comparative study with classic assistance.四肢着地姿势臀位分娩：一项采用传统助产方式的前瞻性观察性对照研究。
J Perinat Med. 2015 Nov;43(6):707-13. doi: 10.1515/jpm-2014-0048.
7
Term breech deliveries in the Netherlands: did the increased cesarean rate affect neonatal outcome? A population-based cohort study.荷兰的臀位分娩：剖宫产率的增加是否影响新生儿结局？一项基于人群的队列研究。
Acta Obstet Gynecol Scand. 2014 Sep;93(9):888-96. doi: 10.1111/aogs.12449.
8
Does pregnancy and/or shifting positions create more room in a woman's pelvis?怀孕和/或变换姿势会使女性骨盆产生更多空间吗？
Am J Obstet Gynecol. 2014 Dec;211(6):662.e1-9. doi: 10.1016/j.ajog.2014.06.029. Epub 2014 Jun 17.
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The dilemma of vaginal breech delivery worldwide.全球阴道臀位分娩的困境。
Lancet. 2014 May 31;383(9932):1863-4. doi: 10.1016/S0140-6736(14)60618-8.
10
Shoulder dystocia: management and documentation.肩难产：处理方法和记录。
Semin Perinatol. 2014 Jun;38(4):194-200. doi: 10.1053/j.semperi.2014.04.004.