Anderson Joy, Hampton R Moss, Lugo Jonathan
Texas Tech Health Sciences Center at the Permian Basin, United States.
Department of Obstetrics and Gynecology, Texas Tech Health Sciences Center at the Permian Basin, United States.
Case Rep Womens Health. 2017 Mar 7;14:6-7. doi: 10.1016/j.crwh.2017.03.001. eCollection 2017 Apr.
Shoulder dystocia is an obstetric emergency which occurs in 0.2-3% of all births ACOG Committee on Practice Bulletins-Obstetrics and The American College of Obstetrician and Gynecologists (2002) . Symphysiotomy is a treatment option reserved primarily for developing countries where mortality rates of Cesarean delivery are 1-2% Monjok et al. (2013) .
A G3P2002 with a history of two prior vaginal deliveries had a term delivery complicated by a severe shoulder dystocia. She underwent emergent symphysiotomy at an outside institution, with delivery of a dead macrosomic infant. She was transferred to our tertiary care center for further care.
Symphysiotomy is rarely performed in the United States. We submit our postoperative management to add to the literature of this rarely performed obstetric intervention.
PRÉCIS: Symphysiotomy for severe shoulder dystocia is rarely utilized in the United States. We describe a case of symphysiotomy done for severe shoulder dystocia at an outside institution, and the patient's subsequent care at our institution.
肩难产是一种产科急症，在所有分娩中发生率为0.2%-3%（美国妇产科医师学会实践公告委员会及美国妇产科医师学会，2002年）。耻骨联合切开术主要是发展中国家采用的一种治疗选择，这些国家剖宫产死亡率为1%-2%（蒙乔克等人，2013年）。
一名孕3产2002、有两次经阴道分娩史的孕妇足月分娩，并发严重肩难产。她在外院接受了紧急耻骨联合切开术，分娩出一名死亡的巨大儿。她被转至我们的三级医疗中心接受进一步治疗。
在美国，耻骨联合切开术很少实施。我们报告术后管理情况，以丰富这种很少实施的产科干预措施的文献资料。
在美国，严重肩难产很少采用耻骨联合切开术。我们描述了一例在外院因严重肩难产实施耻骨联合切开术的病例，以及该患者随后在我院的治疗情况。
