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目的了解难产的发生率、并发症、处理方法及高危因素,探讨其临床价值。方法回顾分析30例肩难产病例,分析巨大儿、过期妊娠、产程异常等高危因素在肩难产的比率,评价松解胎肩的方法。结果肩难产组和对照组在新生儿体重、身长、头围、胸围以及2组孕妇的宫高和腹围差异均有统计学意义。结论肩难产是产科少见的并发症,巨大儿发生肩难产的比例最高,根据高危因素仍很难预测肩难产,正确处理肩难产是降低围生儿并发症的重要措施。
Objective To understand the incidence of dystocia, complications, treatment methods and risk factors to explore its clinical value. Methods A retrospective analysis of 30 cases of shoulder dystocia, analysis of macrosomia, overdue pregnancy, birth defects and other high-risk factors in the shoulder dystocia ratio evaluation of the method of loosening the shoulder. Results The differences of body height and abdominal circumference between the two groups were statistically significant in terms of body weight, body length, head circumference, chest circumference, and the control group. Conclusions Shoulder dystocia is a rare complication of obstetrics. The incidence of shoulder dystocia in giant children is the highest. According to the high risk factors, it is still very difficult to predict shoulder dystocia. To correctly handle shoulder dystocia is an important measure to reduce the complications of perinatal complications.