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临床肩难产是指在胎儿头部分娩出之后,由于各种相关因素而致使胎儿的前肩被嵌顿于产妇耻骨联合的上方,在应用了常规的临床助产手法之后,仍旧不能够娩出胎儿双肩的一种分娩情况[1]。肩难产重在产前预测及预防,同时要不断探究助产方式方法,以新的研究引导急救措施,确保产妇和胎儿的安全。本文将总结肩难产的经验和最新进展,回顾分析发生肩难产患者的临床记录,从临床相关工作和有效助产方法两方面进行肩难产学术论证。
Clinical shoulder dystocia refers to the fetus after the first part of the delivery, due to a variety of related factors that led to the fetus’s anterior shoulder was implanted in the maternal pubic symphysis above, in the application of conventional clinical midwifery, still can not be delivered A situation of shoulder delivery [1]. Shoulder dystocia in prenatal prediction and prevention, while continuing to explore midwifery methods, with new research to guide emergency measures to ensure the safety of mothers and fetuses. This article will summarize the experience and the latest progress of shoulder dystocia, review the clinical records of patients with shoulder dystocia, shoulder arrhythmia academic argument from both clinical work and effective midwifery methods.