器械助产与新生儿产伤  

Instrumental delivery and neonatal birth injuries

作　　者：李璐瑶[1] 赵扬玉[1] LI Lu-yao;ZHAO Yang-yu(Department of Obstetrics and Gynecology,Peking University Third Hospital,Bejing 100191)

机构地区：[1]北京大学第三医院妇产科,北京100191

出　　处：《中国实用妇科与产科杂志》2022年第8期798-801,共4页Chinese Journal of Practical Gynecology and Obstetrics

基　　金：“国家重点研发计划资助”重点专项(项目编号:2021YFC2701500,课题编号:2021YFC2701501)。

摘　　要：器械助产包括产钳和胎头吸引器助产,对降低剖宫产率、处理难产并提高阴道分娩率起重要作用。充分的临床经验和对操作人员的适当培训对安全执行手术分娩至关重要。但应用不当可能会造成严重母儿损伤,严重者甚至导致新生儿永久性伤害和致残。助产人员应根据孕妇-胎儿-自身经验等进行决策,充分评估是否具备器械助产的成功条件,强调降低母体及新生儿并发症的发生至关重要。Instrumental delivery,including forceps delivery and vacuum extraction,makes a great contribution to decreasing caesarean delivery rate and increasing vaginal delivery rate,as well as handling dystocia. Experienced care providers with appropriate training are the keys to a successful vaginal delivery.Inappropriate operations could do severe maternal and neonatal harms,and even cause permanent birth injuries to newborns. Obstetrician should make thoughtful judgements by fetal and maternal conditions,along with their experience,to come to a conclusion whether an instrumental delivery is doable. It is with great importance to decrease maternal and neonatal morbidity rate.

关 键 词：器械助产 产钳 胎头吸引器 新生儿产伤 

分 类 号：R717.3[医药卫生—妇产科学]