产妇在正常分娩中出现肩难产的临床特征及治疗方法研究

Research on the clinical characteristics and treatment methods of shoulder dystocia in parturients during normal delivery

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DOI 10.12208/j.ijcr.20260093
刊名
International Journal of Clinical Research
年,卷(期) 2026, 10(2)
作者
作者单位

广西钦州市钦北区大直镇中心卫生院 广西钦州

摘要
目的 该研究以对照形式展开,重点分析、探讨产妇在正常分娩过程中出现肩难产的临床特征及治疗方法,希望能将所有研究理论应用于实践中,为临床研究提供有效参照。方法 研究开展期限(2023年8月-2024年8月),研究对象(100例分娩产妇),参照组(n=50,正常分娩中出现肩难产的产妇),研究组(n=50,顺利分娩的产妇),并对正常分娩产妇出现肩难产的征象及治疗方法实施分析。结果 统计学分析后发现,巨大儿、过期妊娠、盆骨狭窄、妊娠期糖尿病是主要诱发原因,其占比数值依次为54.00%(27/50)、20.00%(10/50)、22.00%(11/50)、4.00%(2/50)。结论 在本项试验中,有针对性地分析正常分娩中出现肩难产的临床特征,旨在为制定针对性解决方案提供有效数据。结果所得明确,巨大儿、过期妊娠、盆骨狭窄等是导致肩难产出现的主要原因,需在正常分娩期间实施严密监测,方可最大程度减少其发生率。同时,要加强助产士综合能力的培养,便于能够及时、有效、专业地处理突发状况,保障母婴平安。
Abstract
Objective This study is conducted in a controlled format, focusing on the analysis and discussion of the clinical characteristics and treatment methods for shoulder dystocia during normal delivery, aiming to apply all research theories to practice and provide effective references for clinical studies. Methods The study was carried out over a period of 2023.8-2024.8 years, with 100 delivery mothers as subjects, including a control group (n=50, mothers with shoulder dystocia during normal delivery) and a study group (n=50, mothers with smooth delivery). The signs and treatment methods for shoulder dystocia in normal delivery mothers were analyzed. Results Statistical analysis revealed that macrosomia, post-term pregnancy, pelvic stenosis, and gestational diabetes were the main causes, accounting for 54.00% (27/50),20.00% (10/50),22.00% (11/50), and 4.00% (2/50) respectively. Conclusion In this trial, the targeted analysis of clinical characteristics of shoulder dystocia during normal delivery aims to provide effective data for formulating targeted solutions. The results clearly show that macrosomia, post-term pregnancy, and pelvic stenosis are the primary causes of shoulder dystocia, which require close monitoring during normal delivery to minimize their occurrence. Additionally, it is necessary to enhance the comprehensive skills of midwives to ensure timely, effective, and professional handling of emergencies, safeguarding the safety of both mother and baby.
关键词
产妇正常分娩;肩难产;临床特征;治疗方法
KeyWord
Normal delivery; Shoulder dystocia; Clinical features; Treatment
基金项目
页码 130-132
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黄玉娟. 产妇在正常分娩中出现肩难产的临床特征及治疗方法研究 [J]. 国际临床研究杂志. 2026; 10; (2). 130 - 132.

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