van der Krogt Laura, Suff Natalie, Story Lisa, Shennan Andrew
Division of Women's Health King's College London Women's Health Academic Centre St Thomas' Hospital United Kingdom.
Division of Women's Health King's College London Women's Health Academic Centre St Thomas' Hospital United Kingdom.
Eur J Obstet Gynecol Reprod Biol. 2025 Apr;307:170-174. doi: 10.1016/j.ejogrb.2025.02.019. Epub 2025 Feb 10.
Worldwide, more than 1 in 5 women give birth by cesarean delivery, and at least 5% of these births are at full dilatation. In labour and at full dilatation, a caesarean section can be technically challenging and is associated with greater risks. The fetal head is lower and can be wedged within the maternal pelvis making it more difficult to deliver, a situation known as 'impacted fetal head'. This is associated with increased maternal and neonatal morbidity including uterine extensions, haemorrhage, fetal trauma and hypoxic ischaemic encephalopathy. This review explores the scope of the issue including the evidence for prevention and management of impacted fetal head, while highlighting key areas for future research.
在全球范围内，超过五分之一的女性通过剖宫产分娩，其中至少5%的分娩发生在宫口开全时。在分娩过程中且宫口开全时进行剖宫产，在技术上具有挑战性，并且风险更大。胎儿头部较低，可能嵌顿在母体骨盆内，导致分娩更加困难，这种情况称为“嵌顿性胎头”。这会增加孕产妇和新生儿的发病率，包括子宫破裂、出血、胎儿创伤和缺氧缺血性脑病。本综述探讨了该问题的范围，包括预防和处理嵌顿性胎头的证据，同时突出了未来研究的关键领域。
