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会阴切开术是产科最常见的手术,我科自1990年以来,适时选择施行会阴直切术,临床效果较好。方法及体会如下:1 胎头披露2×3cm,双顶经低达骨盆出口处,宫缩时左手示指伸入会阴中心腱内侧,母指在外,用力按压,待下次宫缩时行2.5~3.0cm切口,右手握拳,示指、中指节二指关节低紧切口下缘,左手掌握胎儿娩出的速度及分娩机转,至胎儿娩出后右手方可移开。
Perineal incision is the most common obstetric surgery, our department since 1990, the timely selection of perineal resection, the clinical effect is better. Methods and experience are as follows: 1 fetal head revealed 2 × 3cm, double top by the low pelvic outlet, contractions left hand refers to the perineal medial tendon inserted into the medial, the mother finger outside, hard press until the next contractions line 2.5 ~ 3.0cm incision, right hand fist, the index finger, middle finger knuckle lower incision under the lower edge of the incision, the left hand to grasp the speed of delivery of the fetus and childbirth machine to the right hand before the fetus can be removed after delivery.