臀先露及肩先露者剖宫产时取胎的临床体会

目的：探讨臀先露及肩先露者剖宫产时取胎的方法，减少或避免新生儿股骨骨折和髋关节脱位的发生。方法以顺胎体滑出方向用力行臀牵引方法取胎。结果臀先露及肩先露剖宫产者436例中发生新生儿骨折者2例，发生率为0．46％。结论行臀牵引取胎时避免暴力，顺胎体滑出方向用力可减少新生儿股骨骨折及髋关节脱位的发生。

Clinical experience of fetal extraction during caesarean section for breech presentation and shoulder presentation

Objective To study the method of fetal extraction during caesarean section for breach presenta -tion and shoulder presentation , reducing or avoiding femoral fracture and hip joint dislocation in neonates .Methods Fetuses were extracted via breech extraction along the fetus sliding direction with strength .Results Among 436 cases of breach presentation and shoulder presentation , fracture occurred in 2 cases of neonates , with the rate of 0.46%. Conclusion During breech extraction , it is necessary to avoid violence and extract fetus along the fetus sliding di-rection with proper strength in order to reduce the occurrence of femoral fracture and hip joint dislocation in neonates .