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传统的肩难产定义为胎头娩出后胎儿前肩嵌顿于耻骨联合上方,用常规助产方法不能娩出双肩[1]1998年Beall等提出更加客观的定义,即胎头娩出至胎体娩出的时间超过60秒,或需采取产科辅助手法以娩出胎肩者为肩难产[2],肩难产是围产期引起母婴严重并发症的原因之一,为进一步提高阴道分娩质量,对我科2007年1月～2008年11月分娩的9例肩难产进行了回顾分析,现将助产体会报告如下。
Traditional shoulder dystocia is defined as the fetal head impacted after the fetus was implanted in the pubic symphysis above the top, with conventional midwifery method can not be delivered shoulders [1] Beall et al in 1998 proposed a more objective definition of the fetal head delivered to the carcass Time more than 60 seconds, or need to take obstetrics and auxiliary measures to give shoulder who shoulder shoulder dystocia [2], shoulder dystocia is one of the causes of severe complications of mother-infant during perinatal period, in order to further improve the quality of vaginal delivery, 9 cases of shoulder dystocia delivered from January 2007 to November 2008 were retrospectively analyzed. The report of midwifery experience is as follows.