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分娩致会阴裂伤,虽与胎儿大小、娩出速度及会阴体的伸展性、高度、水肿等诸多因素有关,但与助产人员保护会阴的方法和技巧也有直接关系。我科多年来采用握拳式保护会阴法,可大幅度的降低会阴裂伤率,现介绍如下: 待产程进展需保护会阴时,右手握拳,除拇指外,余四指第二指节抵住会阴体部,露出会阴上缘约1.0cm,力的方向垂直向内,左手配合胎儿娩出的速度及机转,至胎儿全部娩出。 过去,传统的托肛法保护会阴是手掌按压会阴体,由于接触面积过大,而且力的方向是向上向内,不但影响了会阴体的扩张,而且人为的把胎先露推向骨盆出口前三角的上端。而握拳式保护会阴法,即克服了与会阴体接触面过大的缺点,使
Due to the birth of perineal laceration, although with the size of the fetus, the speed of delivery and perineal body extensibility, height, edema and many other factors, but with midwifery methods and techniques to protect the perineum is also directly related. Our department for many years using the fist-type protection perineal method, can greatly reduce the rate of perineal laceration, are as follows: to be progress of labor to protect the perineum, the right hand fist, except the thumb, the remaining four fingers against the perineum Body, exposing the upper edge of the perineum about 1.0cm, the direction of force vertical inward, left hand with the fetus delivered the speed and rotation, to the fetus all delivered. In the past, the traditional anal anal method to protect the perineum is pressed by the palm of the perineal body, due to the contact area is too large, but the direction of force is upward and inward, not only affects the expansion of the perineal body, but also to the fetus to the human exposed before the pelvic export The top of the triangle. The fist-type protection perineal method, that overcome the shortcomings of the contact surface with the perineal body too large