Rodríguez-Díaz Luciano, Fernández Carrasco Francisco Javier, García-Iglesias Juan Jesús, Antolí Jover Ana María, Gómez-Salgado Juan, Vázquez-Lara Juana María
Servicio de Partos. Hospital Universitario de Ceuta. Ceuta. España.
Servicio de Partos. Hospital Punta Europa. Cádiz. España.
Rev Esp Salud Publica. 2020 Nov 30;94:e202011143.
Nowadays, care for a breech delivery in the out-of-hospital environment through the vaginal route can be a frequent process caused by the change in the scientific literature favoring the free evolution of the delivery of a breech presentation compared to the previous literature where the Caesarean section scheduled at week 37 of gestation, avoiding its free evolution. Furthermore, among the statistical data consulted at the INE (Instituto Nacional de Estadística), there is an increase in preterm deliveries outside the hospital, which increases the presentation of buttocks more frequently, between 25-32 weeks, around 42%. Therefore, the objective of this manuscript was to instruct the health professionals of the out-of-hospital emergency services in the event of imminent delivery in breech presentation. This type of training would consist of maintaining an expectant attitude during the expulsion period until the lower angle of the newborn's scapula is visible, followed by manual assistance by detaching the shoulders while gently and slowly removing the fetal head.
如今,由于科学文献的变化,与之前倾向于在妊娠37周安排剖宫产以避免臀位分娩自然进展的文献相比,现在更支持臀位分娩自然进展,因此在院外环境中经阴道处理臀位分娩可能是一个常见的过程。此外,在国家统计局(INE)查阅的统计数据中,院外早产有所增加,这使得在25至32周之间,臀位出现的频率更高,约为42%。因此,本手稿的目的是指导院外急救服务的医护人员在臀位分娩即将发生时如何处理。这种培训包括在胎儿娩出期保持观察态度,直到新生儿肩胛骨下角可见,然后在缓慢轻柔地娩出胎头的同时,通过分离肩部进行人工辅助。