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在临床实践中,我们摸索出双合颤抖牵引胎盘娩出法,在预防急性子宫内翻及胎盘轻度粘连、胎盘滞留等方面取得较满意的效果,现介绍如下.操作方法:助产者立于产妇右侧操作,以右手牵引脐带,左手拇指与另外四指分开分别在耻骨联合上缘置于宫体中下段两侧,掌面贴在腹壁以感触到宫体为宜.操作过程中牵引脐带手由轻至中度力量顺产道轴方向向外作颤抖式牵引,固定宫旁的手用同等手法朝宫底方向加以按摩式颤动.本法特点:①本操作是根据子宫生理解剖形态特点及力学原理而施行的.②操作是在胎儿娩出后出现宫缩时进行和正常第三产程胎盘剥离排出一致.③固
In clinical practice, we found out the double shivering traction placenta delivery method, in the prevention of acute uterine inversion and mild placental adhesions, placental retention obtained more satisfactory results, are described below.Methods: Midwifery stand Maternal right operation, with the right hand traction umbilical cord, the left thumb and the other four fingers separately in the upper edge of the pubic symphysis placed on both sides of the lower body, the palm of your hand attached to the abdominal wall to feel the Palace appropriate .Ultracting the umbilical cord during the operation Hand from light to moderate power along the axis of the way out of the quivering traction, fixed Palace next to the hand with the same direction toward the Palace of the end to be massaged tremor.This method features: ① This operation is based on physiological anatomical features of the uterus and Mechanics and the implementation of ② operation is performed after the fetus was contracted and normal third trimester placental excretion consistent discharge.