肩难产

McRoberts手法及Woods手法处理肩难产效果的评价

Evaluation of effectiveness of McRoberts maneuver and Woods maneuver in the management of shoulder dystocia

结论超声测量胎儿腹围可鉴别巨大儿，了解胎儿腹围测量的两个界值（35CM，38CM）有助于临床医生避免或处理如肩难产等与巨大儿相关的产科问题。

Conclusion Fetal AC is of great benefit to identify potential macrosomic infants . Fetal AC measurements of 35 and 38 cm have useful predictive value in helping to avoid and manage shoulder dystocia of having a macrosomic infant .

单用McRoberts手法处理非巨大儿及巨大儿肩难产的成功率分别为75%和25%，差异有统计学意义（P<0.01）。

Seventy-five per cent and 25 per cent of should dystocia with non-fetal macrosomia and fetal macrosomia were successful in vaginal delivery , respectively , by McRoberts maneuver alone ( P < 0.01 ) .

肩难产相关因素及防范对策探讨

Study on Related Factors of the Shoulder Dystocia and Preventive Measures

肩难产相关决定因素的人群研究

Determining factors associated with shoulder dystocia : a population-based study

肩难产发生的相关因素及其并发症探索

Clinical Exploration of Factors in Relation to Shoulder Dystocia and Its Complications

肩难产21例回顾性分析

Shoulder dystocia : a retrospective analysis of 21 cases . Sex education

糖尿病孕妇生育巨大胎儿及发生肩难产的危险性增加。

Maternal diabetes increases the risk of fetal macrosomia and shoulder dystocia .

肩难产4例临床分析

Clinical Analysis of 4 Cases of Shoulder Dystocia

肩难产的预防及处理

Prevention and Management of Shoulder Dystocia

正确处理肩难产是降低围生儿并发症的重要措施。

Dealing with shoulder dystocia correctly is very important in decreasing the complications of perinatal babies .

预测肩难产对于防治妊娠并发症及新生儿损伤有重要意义。

Prediction of shoulder dystocia is important for the prevention of gestation complications and newborn damage .

【目的】探讨肩难产发生的相关因素及防范措施。

【 Objective 】 Investigation on the high risk factors related to shoulder dystocia and preventive measures .

探讨预见性护理方法在肩难产中的临床应用价值。

Objective : To probe into the clinical application value of predictive nursing method for parturient with shoulder dystocia .

目的：了解肩难产发生的相关因素，并探讨其臂丛神经麻痹并发症的主要机制。

Objective : To explore factors in relation to shoulder dystocia and how did the injure of brachial plexus happened .

目的探讨肩难产发生的危险因素和处理方法及预后。

Objective To investigate the risk of shoulder dystocia and find out the obstetric maneuvers to reduce the likelihood of injury .

实施预见性护理可以显著降低肩难产的发生率及产后并发症的发生率。

Conclusion : To carry out predictive nursing for parturient can remarkably decrease the incidence of shoulder dystocia and the incidence of postpartum complications .

另一方面，胎儿体重估计错误，可能导致肩难产、臂丛神经损伤及新生儿窒息等严重并发症的发生。

In the other hand , the inaccurate prediction for fetal weight will induce some serious complications , such as dystocia 、 brachial plexus injury and neonatal asphyxia .

结果妊娠期肥胖孕妇上述产科并发症的发生率普遍高于正常体重孕妇，除肩难产及先兆子痫数据少不具有统计学意义外，其余均有统计学差异。

Results The complications of obese pregnant women were higher than non-obese pregnant women , excepted of too little datas of shoulder dystocia and preeclampsia-eclampsia syndrome to statistics , other complications have statistic significance .

胎儿过大会增加难产的风险——产道撕裂、大出血、剖腹产以及婴儿肩难产和锁骨骨折的几率增大。

A large baby can pose risks for a difficult delivery -- increasing the chances of vaginal tearing , bleeding , and Caesarian-sections for the mother and the risk of stuck shoulders and broken collar bones for the baby .

【方法】1994年8月至2004年8月发生的76例肩难产病例中随机抽取30例，并抽取同期正常分娩30例做对照。

【 Methods 】 From August 1994 to August 2004 , using the random and double-blind method , 30 from 76 shoulder dystocia cases were used as shoulder dystocia group and 30 cases of normal labours as matched control .