剖宫产 4 年后宫内胎儿头皮电极取出。
Retrieval of Intra-abdominal Fetal Scalp Electrode 4 Years After Cesarean Birth.
机构信息
Department of Gynecology and Obstetrics, Emory Healthcare, Atlanta, Georgia.
出版信息
Obstet Gynecol. 2023 Nov 1;142(5):1237-1240. doi: 10.1097/AOG.0000000000005282. Epub 2023 Aug 10.
BACKGROUND
Fetal scalp electrodes are used routinely for intrapartum fetal heart rate monitoring. The electrode is typically removed from the newborn's scalp immediately after vaginal delivery. However, there is no guidance on the timing of fetal scalp electrode removal in the event of an unplanned cesarean delivery.
CASE
A 43-year-old woman with a prior cesarean delivery presented for gynecologic care with the chief symptom of chronic abdominal pain for 2 years. Imaging revealed a retained fetal scalp electrode in the abdominal cavity. The patient underwent an uncomplicated surgical extraction of the retained item, and her symptoms resolved.
CONCLUSION
A standardized protocol to manage and account for fetal scalp electrodes during an unplanned cesarean delivery is an important patient-safety measure to prevent surgical retention of fetal scalp electrodes.
背景
胎儿头皮电极常用于分娩过程中的胎儿心率监测。电极通常在阴道分娩后立即从新生儿的头皮上取下。然而，在计划外剖宫产的情况下，没有关于胎儿头皮电极移除时间的指导。
案例
一名 43 岁的妇女曾行剖宫产分娩，因 2 年慢性腹痛就诊。影像学检查显示腹部有一个遗留的胎儿头皮电极。患者行简单的手术取出遗留物，其症状缓解。
结论
在计划外剖宫产期间管理和记录胎儿头皮电极的标准化方案是预防手术中遗留胎儿头皮电极的重要患者安全措施。
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