小结
定义
病史和体格检查
关键诊断因素
- 存在的危险因素
- 臀或足为先露部
- 肋缘下触及胎头
- 胎心位置位于母体脐上
其他诊断因素
- 肋下压痛
- 盆腔或膀胱痛
危险因素
- 早产儿
- 小于胎龄儿
- 未育
- 胎儿先天畸形
- 前次臀位史
- 子宫畸形
- 羊水量异常
- 胎盘异常
- 女性胎儿
诊断性检查
首要检查
- 腹/经阴道超声
治疗流程
<37周
≥37周未临产
≥37周临产：不会紧急分娩
≥37周临产：紧急分娩
撰稿人
作者
Natasha Nassar, PhD
Associate Professor
Menzies Centre for Health Policy
Sydney School of Public Health
University of Sydney
Sydney
Australia
利益声明
NN has received salary support from Australian National Health and a Medical Research Council Career Development Fellowship; she is an author of a number of references cited in this topic.
Christine L. Roberts, MBBS, FAFPHM, DrPH
Research Director
Clinical and Population Health Division
Perinatal Medicine Group
Kolling Institute of Medical Research
University of Sydney
Sydney
Australia
利益声明
CLR declares that she has no competing interests.
Jonathan Morris, MBChB, FRANZCOG, PhD
Professor of Obstetrics and Gynaecology and Head of Department
Perinatal Medicine Group
Kolling Institute of Medical Research
University of Sydney
Sydney
Australia
利益声明
JM declares that he has no competing interests.
同行评议者
John W. Bachman, MD
Consultant in Family Medicine
Department of Family Medicine
Mayo Clinic
Rochester
MN
利益声明
JWB declares that he has no competing interests.
Rhona Hughes, MBChB
Lead Obstetrician
Lothian Simpson Centre for Reproductive Health
The Royal Infirmary
Edinburgh
Scotland
利益声明
RH declares that she has no competing interests.
Brian Peat, MD
Director of Obstetrics
Women's and Children's Hospital
North Adelaide
South Australia
Australia
利益声明
BP declares that he has no competing interests.
Lelia Duley, MBChB
Professor of Obstetric Epidemiology
University of Leeds
Bradford Institute of Health Research
Temple Bank House
Bradford Royal Infirmary
Bradford
UK
利益声明
LD declares that she has no competing interests.
Justus Hofmeyr, MD
Head of the Department of Obstetrics and Gynaecology
East London Private Hospital
East London
South Africa
利益声明
JH is an author of a number of references cited in this topic.
鉴别诊断
- 横位
更多 鉴别诊断指南
- 使用产前皮质类固醇以减少新生儿并发症发生率和死亡率
- 剖宫产
更多 指南
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