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目的:探讨肩难产的助产体会。方法:对在我院分娩的5例肩难产者进行了回顾性分析,其中,1例采用肩难产屈大腿助产法、2例采用肩难产压前肩法、1例肩难产旋肩法、1例采取采用先牵出后肩娩出后肩法。结果:1例产妇会阴Ⅱ度裂伤;2例会阴Ⅱ度裂伤、新生儿轻度窒息;1例产后出血、会阴Ⅱ度裂伤;1例新生儿轻度窒息、颅内出血。结论:在临床工作中,应对肩难产的高危因素有充分的认识,肩难产的助产要积极预防和处理合并症,做好抢救准备,防止出现新生儿骨折和产妇不良结局。
Objective: To discuss the midwifery experience of shoulder dystocia. Methods: A retrospective analysis was conducted on 5 cases of shoulder labor in our hospital. Among them, 1 case had shoulder-dystocia midwifery midwifery, 2 cases shoulder dystocia, 1 shoulder dystocia, 1 case taken after the first pull out shoulder back shoulder method. Results: 1 case of perineal second degree laceration; 2 cases of perineal second degree laceration, neonatal mild asphyxia; 1 case of postpartum hemorrhage, perineal laceration Ⅱ; 1 case of mild asphyxia, intracranial hemorrhage. Conclusion: In clinical work, we should fully understand the high risk factors of shoulder dystocia. Midwifery of shoulder dystocia should actively prevent and manage comorbidities, prepare for rescuing and prevent the occurrence of neonatal fractures and maternal adverse outcomes.