Miscarriage clamp difficulties in the application of cesarean section Chutou.doc

 PAGE \* MERGEFORMAT 10 Miscarriage clamp difficulties in the application of cesarean section Chutou Keywords: cesarean section Cesarean section has become an important means of dealing with one of the risk factors. Due to advances in surgical techniques, antibiotics, blood transfusion conditions improved the level of anesthesia and postoperative analgesia increase the risk of surgery has been significantly reduced, but the need to take fetal head difficult forceps delivery has also increased. In recent years, the Court will be a miscarriage clamp for cesarean section, and to effectively reduce the complications of taking the first difficult. Is difficult to use for cesarean Chutou miscarriage clamp analysis of clinical data of 58 cases reported as follows. A clinical data 1.1 General Information Our hospital from November 2005 to November 2007 alone 1302 cases of cesarean section of fetal head position, using forceps cases of miscarriage of 58 cases, accounting for 4.45%. 58 patients aged 21 to 40 years, mean 28.5 years old; gestational age 35 to 43 weeks, an average of 39 weeks; 43 cases of primipara by mothers in 15 cases (of which 6 cases of uterine scar); 26 cases of elective surgery, emergency operation in 32 cases; vertical incision in the abdominal wall in 22 cases, 36 cases of transverse incision. Using a dual-Ye forceps in 52 cases, the use of a single leaf of forceps in 6 cases. The main surgical indications for fetal distress in 21 cases, 7 cases of placenta previa, severe pre-eclampsia in 6 cases, 6 cases of uterine scar, cephalopelvic disproportion in 6 cases, the umbilical cord factor of 5 cases, 4 cases of oligohydramnios, social factors 3 cases. Difficult to take the first reason: because of placenta previa, cephalopelvic disproportion, pelvic inlet is small, a larger fetus, the umbilical cord is too short, due to umbilical cord entanglement and other high-floating fetal head in 30 cases (51.7%), because the second