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阴道分娩时处理肩难产的技术概述。

Overview of techniques to manage shoulder dystocia during vaginal birth.

作者信息

Bothou Anastasia, Apostolidi Dimitra-Maria, Tsikouras Panagiotis, Iatrakis Georgios, Sarella Aggeliki, Iatrakis Dimitrios, Peitsidis Panagiotis, Gerente Aggeliki, Anthoulaki Xanthoula, Nikolettos Nikolaos, Zervoudis Stefanos

机构信息

Department of Midwifery, School of Health and Care Sciences, University of West Attica, Athens, Greece.

Department of Obstetrics and Gynecology, Health Sciences School, Democritus University of Thrace, Alexandroupolis, Greece.

出版信息

Eur J Midwifery. 2021 Oct 20;5:48. doi: 10.18332/ejm/142097. eCollection 2021.

DOI:10.18332/ejm/142097
PMID:34723155
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8527401/
Abstract

Shoulder dystocia is an obstetric emergency which is unpredictable and complicates approximately 0.5-1% of vaginal births. This article discusses the risk factors and the associated fetal and maternal complications, while it is also an overview of techniques and algorithms to handle shoulder dystocia.

摘要

肩难产是一种产科急症，难以预测，约0.5%-1%的阴道分娩会出现这种并发症。本文讨论了肩难产的风险因素以及相关的胎儿和母亲并发症，同时也是处理肩难产的技术和流程概述。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3e82/8527401/31243c184d75/EJM-5-48-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3e82/8527401/31243c184d75/EJM-5-48-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3e82/8527401/31243c184d75/EJM-5-48-g001.jpg

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1
Overview of techniques to manage shoulder dystocia during vaginal birth.阴道分娩时处理肩难产的技术概述。
Eur J Midwifery. 2021 Oct 20;5:48. doi: 10.18332/ejm/142097. eCollection 2021.
2
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Am J Obstet Gynecol. 2005 Jan;192(1):153-60. doi: 10.1016/j.ajog.2004.05.055.
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The ABC of shoulder dystocia management.肩难产处理要点
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引用本文的文献

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Shoulder Dystocia: A Comprehensive Literature Review on Diagnosis, Prevention, Complications, Prognosis, and Management.肩难产：关于诊断、预防、并发症、预后及处理的综合文献综述
J Pers Med. 2024 May 30;14(6):586. doi: 10.3390/jpm14060586.
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Childbearing with Hypermobile Ehlers-Danlos Syndrome and Hypermobility Spectrum Disorders: A Large International Survey of Outcomes and Complications.患有可活动型埃勒斯-当洛斯综合征和可活动型谱障碍的生育问题：一项大型国际结局和并发症调查。
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本文引用的文献

1
Does the McRoberts' manoeuvre need to start with thigh abduction? An innovative biomechanical study.麦克罗伯茨（McRoberts）氏手法是否需要从大腿外展开始？一项创新性的生物力学研究。
BMC Pregnancy Childbirth. 2020 May 4;20(1):264. doi: 10.1186/s12884-020-02952-6.
2
Diabetes, Fetal Demise, and Shoulder Dystocia: The Importance of Glucose Screening to Prevent Catastrophic Obstetric Outcomes.糖尿病、死胎与肩难产：葡萄糖筛查对预防产科灾难性结局的重要性
Case Rep Obstet Gynecol. 2020 Mar 10;2020:8142109. doi: 10.1155/2020/8142109. eCollection 2020.
3
Shoulder Dystocia during Delivery and Long-Term Neurological Morbidity of the Offspring.
分娩性肩难产与子代远期神经系统并发症
Am J Perinatol. 2021 Feb;38(3):278-282. doi: 10.1055/s-0039-1696675. Epub 2019 Sep 6.
4
Axillary traction: An effective method of resolving shoulder dystocia.腋窝牵引：一种解决肩难产的有效方法。
Aust N Z J Obstet Gynaecol. 2019 Oct;59(5):627-633. doi: 10.1111/ajo.13029. Epub 2019 Jul 10.
5
Shoulder Shrug Maneuver to Facilitate Delivery During Shoulder Dystocia.肩耸法在肩难产分娩中的应用。
Obstet Gynecol. 2019 Jun;133(6):1178-1181. doi: 10.1097/AOG.0000000000003278.
6
Maternal and neonatal complications of fetal macrosomia: systematic review and meta-analysis.胎儿巨大儿的母婴并发症：系统评价和荟萃分析。
Ultrasound Obstet Gynecol. 2019 Sep;54(3):308-318. doi: 10.1002/uog.20279. Epub 2019 Aug 2.
7
Shoulder dystocia: incidence, mechanisms, and management strategies.肩难产：发生率、机制及处理策略
Int J Womens Health. 2018 Nov 9;10:723-732. doi: 10.2147/IJWH.S175088. eCollection 2018.
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Prevention of shoulder dystocia: A randomized controlled trial to evaluate an obstetric maneuver.肩难产的预防：一项评估产科手法的随机对照试验
Eur J Obstet Gynecol Reprod Biol. 2018 Aug;227:52-59. doi: 10.1016/j.ejogrb.2018.06.002. Epub 2018 Jun 4.
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[Macrosomia, shoulder dystocia and elongation of the brachial plexus: what is the role of caesarean section?].[巨大儿、肩难产与臂丛神经损伤：剖宫产的作用是什么？]
Pan Afr Med J. 2016 Dec 6;25:217. doi: 10.11604/pamj.2016.25.217.10050. eCollection 2016.
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Clin Anat. 2017 Apr;30(3):362-372. doi: 10.1002/ca.22836.