摘要
目的 探讨晚娩肩助产法在自然分娩中预防肩难产及新生儿产伤的效果。方法 选取2015年1~9月自然分娩的病例4030例为观察组,实施晚娩肩助产法,胎头娩出后不立即娩出胎肩,而是等待胎头自然复位或下一次宫缩到来时娩肩;选取实施新法接生前的2014年1~9月自然分娩病例3977例为对照组,按常规接生方法接生。比较两组的肩难产、新生儿锁骨骨折、臂丛神经损伤、新生儿窒息发生率。结果 观察组肩难产发生率为0.67%,明显低于对照组的1.68%（P〈0.01）;观察组新生儿锁骨骨折发生率为0,明显低于对照组的0.15%（P〈0.05）;两组新生儿均未发生臂丛神经损伤（P〉0.05）;观察组、对照组新生儿窒息发生率分别为0.17%、0.30%,两组差异无统计学意义（P〉0.05）。结论 晚娩肩助产法可减少肩难产的发生,降低新生儿锁骨骨折发生率。
ObjectiveTo study the effect of late delivery of shoulder midwifery preventing shoulder dystocia and neona- tal birth injuryinnatural childbirth.Methods From January to September 2015,4030 cases with natural childbirth weres- elected observation group.Late delivery of shoulder midwifery was conducted：Not delivered shoulder immediately after the delivery of fetal head,but waiting for the delivery of fetal head shoulder reseting naturally or next contraction arriv- ing to deliver shoulder;3977 cases with natural childbirth selected before conduction of new method to deliver from Jan- uary to September 2014 were set as control group,and they were deliveried according to routine delivery method.The in- cidence rate of shoulder dystocia,neonatal clavicular fracture,brachial plexus injury,neonatal asphyxia between two groups was compared respectively.Results In the observation group,the incidence rate of shoulder dystoeia （0.67%） was significantly lower than that of the control group （1.68%） （P〈0.01）.In the observation group,the incidence rate of neona- tal clavicular fracture rate （0） was was significantly lower than that of control group （0.15%） （P〈0.05）.There was no neonatal brachial plexus injury in two groups （P〉0.05）.The incidence rate of neonatal asphyxia in the observation group and the control group,was 0.17%,0.30% respectively,and there was no statistical difference （P〉0.05）.Conclusion Late delivery of shoulder midwiferycan reduce the occurrence of shoulder dystocia,and reduce the incidence rate of neonatal clavicular fracture.
出处
《中国当代医药》
2016年第33期180-182,185,共4页
China Modern Medicine
关键词
晚娩肩
肩难产
新生儿
产伤
Late delivery of shoulder midwifery
Shoulder dystoeia
Newborn
Birth injury
