Baylor College of Medicine, Department of Pediatrics, Section of Neonatology, Houston, TX, USA.
Semin Fetal Neonatal Med. 2019 Dec;24(6):101047. doi: 10.1016/j.siny.2019.101047. Epub 2019 Nov 2.
Delivery room emergencies due to birth injuries are serious, usually unexpected, and can be distressing situations that necessitate immediate action to reduce neonatal morbidity and prevent neonatal mortality. Birth injuries requiring immediate, urgent care in the delivery room are uncommon, hence knowledge of obstetric risk factors and prenatal conditions linked to birth injury is an important first step in the management of affected neonates. Furthermore, immediate recognition of injury and quick action upon delivery is essential in order to achieve the best possible outcomes. This chapter briefly reviews the known risk factors associated with birth injury, and then discusses the identification and management of specific injuries that may require immediate treatment in the delivery room, or hasty management within hours after birth.
产房急症因产伤所致,较为严重,通常难以预料,可能令人痛苦,需要立即采取行动,以降低新生儿发病率并预防新生儿死亡。产房需要立即急救的产伤较为少见,因此,了解与产伤相关的产科危险因素和产前情况是处理受累新生儿的重要第一步。此外,分娩时迅速识别损伤并立即采取行动对于获得最佳结局至关重要。本章简要回顾了已知的与产伤相关的危险因素,然后讨论了需要在产房立即治疗或在分娩后数小时内迅速处理的特定损伤的识别和处理。