O'Leary J A
Department of Obstetrics and Gynecology, St. Luke's Hospital, Bethlehem, Pennsylvania.
Obstet Gynecol. 1993 Nov;82(5):847-50.
To describe the pertinent clinical data, outcomes, and maternal and fetal complications of cephalic replacement for the management of shoulder dystocia.
A registry for the reporting of cases of cephalic replacement was established 5 years ago. Features of the registry cases were reviewed.
Fifty-nine women underwent replacement of the fetal head following unsuccessful attempts at vaginal delivery. All but six infants were successfully replaced and delivered by cesarean without excessive maternal or fetal morbidity.
Cephalic replacement is a useful technique that need not be used as a last resort, but may be considered if any undue difficulty is encountered. It may have a place as an initial technique for those inexperienced with shoulder dystocia treatment.
描述用于处理肩难产的胎头复位的相关临床数据、结局以及母儿并发症。
5年前建立了一个用于报告胎头复位病例的登记系统。对登记病例的特征进行了回顾。
59名妇女在经阴道分娩尝试失败后接受了胎头复位。除6名婴儿外，其余所有婴儿均成功复位并通过剖宫产分娩，未出现严重的母儿并发症。
胎头复位是一种有用的技术，不必作为最后的手段，但如果遇到任何异常困难时可以考虑使用。对于那些没有肩难产处理经验的人来说，它可以作为一种初始技术。
