Naef R W, Morrison J C
Department of Obstetrics and Gynecology, University of Mississippi Medical Center, Jackson 39216-4505.
J Perinatol. 1994 Nov-Dec;14(6):435-41.
Shoulder dystocia is an unpredictable obstetric emergency that occurs in approximately 0.5% of all vaginal deliveries. It appears to result from size discrepancy between the shoulder girdle and the maternal pelvis, abnormal labor mechanics, or both. Many maneuvers have been suggested to free the impacted anterior shoulder, but no specific maneuver or sequence of manipulations has been proved superior. This represents a difficult clinical problem for the obstetrician because it occurs without warning and can result in serious consequences for the infant and increased morbidity in the parturient. This report offers a descriptive review of the various maneuvers that can be used to resolve shoulder dystocia and outlines a suggested sequence that has been successful for these manipulations.
肩难产是一种不可预测的产科急症，约占所有阴道分娩的0.5%。它似乎是由肩带与母体骨盆大小不符、异常分娩机制或两者共同导致的。人们提出了许多手法来松解嵌顿的前肩，但没有一种特定的手法或操作顺序被证明更具优势。这对产科医生来说是一个棘手的临床问题，因为它毫无预兆地发生，可能会给婴儿带来严重后果，并增加产妇的发病率。本报告对可用于解决肩难产的各种手法进行了描述性综述，并概述了一种已成功应用于这些操作的建议顺序。
