阴道分娩后严重会阴裂伤：这是麻醉医生的问题吗？
Severe perineal lacerations after vaginal delivery: are they an anesthesiologist's problem?
作者信息
Peralta Feyce, Bavaro Joseph Bradley
机构信息
Department of Anesthesiology, Northwestern University Feinberg School of Medicine, Chicago, Illinois, USA.
出版信息
Curr Opin Anaesthesiol. 2018 Jun;31(3):258-261. doi: 10.1097/ACO.0000000000000599.
PURPOSE OF REVIEW
Perineal tears or lacerations are common occurrences after vaginal delivery. Understanding the degree of severity of these tears and the immediate and long-term complications of severe perineal lacerations can assist anesthesiologists with the management of these patients in the immediate postpartum period.
RECENT FINDINGS
Severe perineal lacerations have a high degree of association with postpartum depression. The presence of neuraxial labor analgesia decreases the odds of severe perineal lacerations.
SUMMARY
Neuraxial labor analgesia does not directly predispose parturients to the development of perineal lacerations, and may even be protective against these injuries.
综述目的
会阴撕裂是阴道分娩后的常见情况。了解这些撕裂的严重程度以及严重会阴撕裂的近期和远期并发症，有助于麻醉医生在产后即刻对这些患者进行管理。
最新发现
严重会阴撕裂与产后抑郁高度相关。椎管内分娩镇痛可降低严重会阴撕裂的几率。
总结
椎管内分娩镇痛不会直接使产妇易发生会阴撕裂，甚至可能对这些损伤具有保护作用。
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