Department of Obstetrics & Gynecology, PGIMER, Chandigarh, and the Department of Anaesthesiology and Critical Care, Jawaharlal Institute of Post Graduate Medical Education and Research (JIPMER), Puducherry, India.
Obstet Gynecol. 2019 May;133(5):971-974. doi: 10.1097/AOG.0000000000003235.
Amelia, the complete absence of a limb, presents various management issues in pregnancy and delivery.
A woman with amelia of both lower limbs and flipper-like upper limb buds (phocomelia) presented in her first pregnancy at 19 weeks of gestation. Challenging issues encountered in the care of the patient included venous access, reliable blood pressure measurement, recommendations regarding mode of delivery, and preparation for caring for the child. The patient had abnormalities of the pelvis but an adequate midpelvis, so she was able to deliver vaginally without complication.
Careful planning to allow necessary modification of intrapartum management can allow for normal vaginal birth for a patient with severe limb reduction abnormalities such as amelia and phocomelia.
阿米莉亚完全没有四肢，在怀孕和分娩时会出现各种管理问题。
一名下肢缺失且上肢呈鳍状芽（海豹肢畸形）的女性在怀孕 19 周时首次怀孕。在照顾患者时遇到的具有挑战性的问题包括静脉通路、可靠的血压测量、关于分娩方式的建议以及照顾孩子的准备。患者骨盆异常，但中骨盆足够，因此她能够无并发症地经阴道分娩。
仔细计划允许必要的分娩期管理修改，可以使严重肢体减少畸形（如阿米莉亚和海豹肢畸形）的患者能够正常经阴道分娩。
