Steyn W, Pieper C
Department of Obstetrics & Gynaecology, Tygerberg Hospital, Republic of South Africa.
Am J Perinatol. 1994 Sep;11(5):348-9. doi: 10.1055/s-2007-994551.
A 16-year-old primigravida woman presented in advanced labor with a singleton breech presentation. Vaginal delivery was considered to be possible, but entrapment at the level of the fetal thorax occurred. The Zavanelli maneuver was attempted unsuccessfully. A cesarean section was performed immediately but was complicated by lateroflexion of the fetus. The attending pediatrician proceeded to endotracheal intubation and ventilation of the partially born baby. Repositioning of the mother facilitated delivery. The fetus survived without any complications. This case illustrates the lack of scientific data to support decision-making in the case of patients presenting with breech presentation late in labor, as well as the unconventional steps sometimes needed in these situations.
一名16岁初产妇，临盆时为单胎臀位。考虑经阴道分娩，但胎儿胸部水平出现嵌顿。尝试行扎瓦内利手法未成功。立即行剖宫产，但因胎儿侧屈而出现并发症。主治儿科医生对部分娩出的婴儿进行气管插管和通气。产妇重新定位后顺利分娩。胎儿存活，无任何并发症。该病例表明，对于临盆晚期出现臀位的患者，缺乏科学数据支持决策制定，以及在这些情况下有时需要采取非常规步骤。
