Breech traction

Hip traction means that all parts of the fetus are delivered by the operator. Hip traction surgery precautions: 1. Umbilical prolapse rate of umbilical cord prolapse is higher than cephalic prolapse, which mainly occurs in incomplete buttocks. However, because the exposed part of the breech is mostly soft tissue, the threat to the fetus is not as urgent as in the head position. As long as it is found in time and handled properly, it can avoid death. In order to prevent umbilical cord prolapse, the fetal heart should be closely observed after delivery, and the fetal membrane should be kept as complete as possible. Pay attention to the presence of umbilical cord during vaginal examination. Vaginal examination and umbilical cord compression should be performed immediately when abnormal fetal heart or natural rupture is found. The management principle is to end childbirth as soon as possible, and at the same time reach out to protect the umbilical cord from compression and correct fetal hypoxia. ① If the uterine opening is full, if the pelvic floor is exposed and there is no pelvic inferiority, gluteal traction is feasible; ② If the uterine opening is not full, cesarean section should be performed immediately; ③ If the productivity is good, the labor process progresses Quickly, the umbilical cord is not protruded much, there is no obvious pressure, and the fetal heart is good, you can fight for vaginal delivery while preparing for cesarean section; ④ If the cesarean section is performed, the mother should take the buttocks high, vulva After disinfection, the assistant wears sterile gloves inside the vagina, protects the umbilical cord from falling, blocks the limbs from compressing the umbilical cord, and senses the tension and pulsation of the umbilical cord for the operator's reference. Generally, umbilical cord is not accepted. 2. When the tire arm is lifted, one or both arms are embedded in the birth canal with the child's head. Unless the fetus is extremely small, it is not possible to give birth naturally. The main reasons for raising the fetal arm are: ① the traction of the carcass is too fast; ② the cervix is ​​not fully open; ③ the pelvis is narrow or the soft birth canal is not stretchable.

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