中国实用妇科与产科杂志

中国实用妇科与产科杂志

• 专题笔谈 • 上一篇    下一篇

臀位剖宫产——新生儿骨折的预防

  

  1. 浙江大学医学院附属妇产科医院，浙江 杭州 310006
  • 出版日期:2019-02-02 发布日期:2019-02-01
  • 通讯作者: 贺晶

Cesarean section of breech presentation - the prevention of newborn fracture.

  1. Women's Hospital School of Medicine Zhejiang University，Hangzhou 310006，China
  • Online:2019-02-02 Published:2019-02-01

摘要：

臀位为产科常见的异常胎位，单胎足月臀位发生率为3%～5%。臀位围产儿发病率和死亡率高于头位，且臀位阴道分娩围产儿发病率和死亡率亦显著高于剖宫产者。尽管普遍报道臀位剖宫产安全，但仍有一定比例的新生儿产伤，尤其是臀位新生儿骨折。文章重点阐述臀位剖宫产新生儿产伤焦点问题及可对应采取的预防措施及处理，以达到尽可能降低新生儿损伤的目的。

关键词: 臀位, 剖宫产, 阴道分娩, 新生儿产伤, 新生儿骨折

Abstract:

The breech presentation is a common occurrence in the obstetrical practice，accounting for about 3-5% of singleton fetuses at delivery.The Term Breech Trial demonstrated the planned cesarean section to be associated with a significant reduction in perinatal mortality and short term morbidity.Although the safety of cesarean section is widely reported，there is still a certain proportion of neonatal injuries，especially fracture.This paper focuses on the neonatal birth injury by cesarean section of breech presentation and the corresponding preventive measures and treatment，in order to reduce the newborn injury as much as possible.

Key words: breech presentation, cesarean section, vaginal delivery, neonatal birth trauma, neonatal fracture

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