臨床婦人科産科67巻2号

2013年03月発行

今月の臨床 急速遂娩の基本―トラブルを避けるために

急速遂娩の実際 鉗子分娩と吸引分娩

4．鉗子・吸引分娩の合併症と対応

著者： 山田学¹

所属機関： ¹日本赤十字社医療センター産婦人科

ページ範囲：P.291 - P.299

文献概要

●鉗子・吸引分娩では，母体の産道損傷，児の分娩損傷が自然分娩よりも多い．

●吸引分娩では鉗子分娩と比較して，母体合併症が少なく，新生児合併症はほぼ同等であるが，失敗率が高い．

●母児の合併症は鉗子・吸引分娩の失敗例において成功例よりも高頻度である．

●母児の合併症を避けるには，適応と要約の遵守および適切な手技の習熟が重要である．

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