臀位分娩护理：分娩症状学、机制与护理综述
Breech presentation delivery care: A review of childbirth semiology, mechanism and care.
作者信息
Grillo-Ardila Carlos Fernando, Bautista-Charry Alejandro Antonio, Diosa-Restrepo Mariana
机构信息
Profesor asistente; docente de cátedra, Departamento de Obstetricia y Ginecología, Universidad Nacional de Colombia.
Profesor Asociado; director del Departamento de Obstetricia y Ginecología, Universidad Nacional de Colombia.
出版信息
Rev Colomb Obstet Ginecol. 2019 Dec;70(4):253-265. doi: 10.18597/rcog.3345.
OBJECTIVE
To review the concepts underlying breech presentation delivery as well as the semiology and the obstetric maneuvers contributing to a successful perinatal maternal outcome.
MATERIALS AND METHODS
Based on a hypothetical scenario to set the stage for a practical approach to the topic, an explanatory paper built on a narrative review is created in order to examine the principles related to diagnosis, mechanism of delivery and maternal care, emphasizing maneuvers to ease fetal extraction.
RESULTS
Breech presentation delivery must be managed through the vaginal canal when already in the expulsion phase with fetal engagement. For diagnosis and care, it is essential to know the unique semiology and physiology of this condition as well as the obstetric maneuvers to facilitate an uncomplicated delivery.
RESULTS
The mechanism of childbirth in breech presentation is complex and requires knowledge of its physiology and multiple obstetric maneuvers on the part of the obstetrician as well as the general practitioner, in order to ensure adequate care when there is no other option.
目的
回顾臀位分娩的基本概念、症状学以及有助于实现围产期母婴良好结局的产科操作。
材料与方法
基于一个假设情景为该主题的实际方法奠定基础，撰写一篇基于叙述性综述的解释性论文，以研究与诊断、分娩机制和产妇护理相关的原则，重点强调有助于胎儿娩出的操作。
结果
当胎儿入盆进入分娩期时，臀位分娩必须经阴道进行处理。对于诊断和护理而言，了解这种情况独特的症状学和生理学以及有助于实现顺利分娩的产科操作至关重要。
结果
臀位分娩机制复杂，产科医生以及全科医生需要了解其生理学知识并掌握多种产科操作，以便在别无选择时确保提供充分的护理。
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