仙桃新年首例!高危双胞胎顺产……
<div class="wx_rich_media_content" id="jsWxContainer"><section class="mp_profile_iframe_wrp" nodeleaf=""><mp-common-profile class="js_uneditable custom_select_card mp_profile_iframe" data-pluginname="mpprofile" data-nickname="红辣椒传媒" data-alias="xtweekly" data-from="0" data-headimg="http://mmbiz.qpic.cn/mmbiz_png/bfOudia0OnxsJZR3ImEQ6Z6tCNN9SsA4zkmUMic7vFVFm4Ce4p7oK7CQjW17FpIILC5icA0EetmEh62fnpVctyCeA/0?wx_fmt=png" data-signature="红辣椒传媒是《仙桃周刊》新媒体品牌。我已加入“维权骑士”(rightknights.com)的版权保护计划。" data-id="MzA5MDEwNjgwOQ==" data-is_biz_ban="0" data-service_type="1" data-verify_status="2"></mp-common-profile></section><section nodeleaf="" data-pm-slice="0 0 []" style='-webkit-tap-highlight-color: rgba(0, 0, 0, 0); outline: 0px; max-width: 100%; color: rgba(0, 0, 0, 0.9); font-family: "PingFang SC", system-ui, -apple-system, BlinkMacSystemFont, "Helvetica Neue", "Hiragino Sans GB", "Microsoft YaHei UI", "Microsoft YaHei", Arial, sans-serif; font-size: 17px; letter-spacing: 0.544px; text-align: center; visibility: visible; box-sizing: border-box !important;'><br></section><section data-role="paragraph" style='-webkit-tap-highlight-color: transparent; outline: 0px; max-width: 100%; color: rgba(0, 0, 0, 0.9); font-family: "PingFang SC", system-ui, -apple-system, BlinkMacSystemFont, "Helvetica Neue", "Hiragino Sans GB", "Microsoft YaHei UI", "Microsoft YaHei", Arial, sans-serif; font-size: 17px; letter-spacing: 0.544px; text-align: justify; visibility: visible; box-sizing: border-box !important;'><section data-role="outer" style='-webkit-tap-highlight-color: transparent; margin-bottom: -13px; outline: 0px; max-width: 100%; letter-spacing: 0.544px; visibility: visible; box-sizing: border-box !important;'><p data-pm-slice="0 0 []" style='-webkit-tap-highlight-color: transparent; outline: 0px; max-width: 100%; clear: both; min-height: 1em; letter-spacing: 0.544px; visibility: visible; line-height: normal; font-family: system-ui, -apple-system, BlinkMacSystemFont, Arial, sans-serif; text-align: center; box-sizing: border-box !important;'></p><section data-role="outer" label="edit by 135editor" data-pm-slice="0 0 []"><section data-tools="135编辑器" data-id="166412"><section style='margin: 10px auto;'><section style='border: 1px solid #ff6840;padding: 6px;box-sizing:border-box;'><section style='background-color: #fdf5e3;padding: 15px 10px;box-sizing:border-box;'><section data-autoskip="1" style='line-height: 1.75em; letter-spacing: 1.5px; font-size: 14px; color: rgb(51, 51, 51); background-color: transparent;'><section data-role="scale-fix" data-pm-slice="6 10 },namespaceURI:http://www.w3.org/1999/xhtml},para,{tagName:section,attributes:{data-role:outer,label:edit by 135editor,style:margin-bottom: 0px;},namespaceURI:http://www.w3.org/1999/xhtml}]"><p><span style='font-size:17px;'><span leaf="">近日,仙桃市第一人民医院产科团队凭借精湛技术与周密协作,成功帮助一位35岁高龄高危双胎足月孕妇,经自然分娩顺利诞下两名健康男婴。据介绍,这一成功实践,充分展现了医院在高危双胎阴道分娩方面成熟的技术能力,并将“以家庭为中心”的产科服务理念与高效的多学科协作模式落到实处。</span></span></p><p><span leaf=""><br></span></p><p><span style='font-size:17px;'><span leaf="">产妇吴女士(化名)35岁,此次系双绒双羊双胎妊娠,孕38周+1天时,她因活动受限入院待产。超声检查显示,两个胎儿均为头位,估重分别为3076克与3232克,且均伴有脐带绕颈一周。尽管吴女士有两次自然分娩史,产道及宫颈条件评估良好,具备阴道试产的生理基础,但考虑到双胎妊娠本身存在双头交锁、脐带脱垂等特有风险,加之孕妇属高龄,临床决策需极为审慎。</span></span></p><p><span leaf=""><br></span></p><p><span style='font-size:17px;'><span leaf="">经该院产科主任刘铭团队全面评估,并与孕妇及家属深入沟通后,团队最终决定在严密监护下尝试阴道催引产。</span></span></p><p><span leaf=""><br></span></p><span leaf=""><span class="wxart_image" wx-style='display:inline-block;vertical-align:baseline;'></span></span><p><span leaf=""><br></span></p><p><span style='font-size:17px;'><span leaf="">为确保母婴安全,刘铭带领团队制定了周密的四级应急保障预案,包括组织产科、麻醉科、新生儿科及输血科等多学科协同待命,实施全程智能监护与三维超声动态评估,并在产房内同时备妥剖宫产与产后抢救器械设备,使用智能催产素泵精准调控产程并结合分娩镇痛技术,制定“第二胎儿快速娩出”专项标准化操作流程等,以应对各类突发风险。</span></span></p><p><span leaf=""><br></span></p><span leaf=""><span class="wxart_image" wx-style='display:inline-block;vertical-align:baseline;'></span><span class="wxart_image" wx-style='display:inline-block;vertical-align:baseline;'></span></span><p><span leaf=""><br></span></p><p><span style='font-size:17px;'><span leaf="">在团队全程护航下,分娩过程进展顺利。第一产程借助自由体位,宫口开全仅用时5小时20分钟。进入第二产程后,团队娴熟运用助产技术,在未行会阴切开的情况下,协助吴女士成功娩出第一名男婴,体重2700克,脐带绕颈两周,新生儿阿氏评分8-9-9分。</span></span></p><p><span leaf=""><br></span></p><p><span style='font-size:17px;'><span leaf="">约15分钟后,第二名男婴也顺利娩出,体重2580克,评分同样良好。整个分娩过程有效规避了双胎分娩的常见风险。产后,团队及时使用宫缩剂加强子宫收缩预防产后大出血。产妇产后2小时阴道出血量仅300毫升,母婴状况平稳。</span></span></p><p><span leaf=""><br></span></p><span leaf=""><span class="wxart_image" wx-style='display:inline-block;vertical-align:baseline;'></span></span><p><span leaf=""><br></span></p><p><span style='font-size:17px;'><span leaf="">刘铭介绍,随着产科支持技术的不断进步,约60%符合条件的双胎妊娠有望实现阴道分娩。成功的关键在于严格评估宫颈条件、胎儿体重差异及胎位,并在具备完备应急预案和专业团队支持的前提下审慎开展。对于符合指征的产妇而言,阴道分娩对其产后恢复更具优势。</span></span></p><p><span leaf=""><br></span></p><span leaf=""><span class="wxart_image" wx-style='display:inline-block;vertical-align:baseline;'></span></span><p><span leaf=""><br></span></p><p><span style='font-size:17px;'><span leaf="">目前,吴女士与两名新生儿均已顺利出院。此例高危双胎的顺利分娩,为面临类似情况的家庭带来了信心,也直观印证了市一医处理复杂产科病例的雄厚综合实力。</span></span></p></section><p><span leaf=""><br></span></p></section></section></section><section style='width: 65px;margin-left: auto;margin-top: -5px;box-sizing:border-box;transform: rotateZ(0deg);-webkit-transform: rotateZ(0deg);-moz-transform: rotateZ(0deg);-o-transform: rotateZ(0deg);' nodeleaf=""><span class="wxart_image" wx-style='display:inline-block;width: 100%;display: block;vertical-align:baseline;box-sizing:border-box;max-width:100% !important;'></span></section></section></section></section><p><br></p></section></section><section data-pm-slice="0 0 []" style='-webkit-tap-highlight-color: rgba(0, 0, 0, 0); outline: 0px; max-width: 100%; box-sizing: border-box; font-family: "PingFang SC", system-ui, -apple-system, BlinkMacSystemFont, "Helvetica Neue", "Hiragino Sans GB", "Microsoft YaHei UI", "Microsoft YaHei", Arial, sans-serif; letter-spacing: 0.544px; widows: 1; caret-color: rgba(0, 0, 0, 0);'><p style='color: rgb(0, 0, 0); font-size: 16px; -webkit-tap-highlight-color: rgba(0, 0, 0, 0); outline: 0px; max-width: 100%; box-sizing: border-box; clear: both; min-height: 1em; line-height: 1.6em;'><span style='-webkit-tap-highlight-color: rgba(0, 0, 0, 0); outline: 0px; max-width: 100%; color: rgb(136, 136, 136); font-size: 14px; font-family: mp-quote, "PingFang SC", system-ui, -apple-system, BlinkMacSystemFont, "Helvetica Neue", "Hiragino Sans GB", "Microsoft YaHei UI", "Microsoft YaHei", Arial, sans-serif; letter-spacing: 0.034em; box-sizing: border-box !important;'><span leaf="" style='-webkit-tap-highlight-color: rgba(0, 0, 0, 0); outline: 0px; max-width: 100%; box-sizing: border-box !important;'><br></span></span></p><p style='-webkit-tap-highlight-color: rgba(0, 0, 0, 0); outline: 0px; max-width: 100%; box-sizing: border-box; clear: both; min-height: 1em; line-height: 1.6em;'><span leaf="" style='-webkit-tap-highlight-color: rgba(0, 0, 0, 0); outline: 0px; max-width: 100%; box-sizing: border-box !important;'><span textstyle='' style=''><font size="1" style='' color="#c0c0c0">来源/仙桃市第一人民医院</font></span></span></p></section><section data-pm-slice="0 0 []" style='-webkit-tap-highlight-color: rgba(0, 0, 0, 0); outline: 0px; max-width: 100%; box-sizing: border-box; font-family: "PingFang SC", system-ui, -apple-system, BlinkMacSystemFont, "Helvetica Neue", "Hiragino Sans GB", "Microsoft YaHei UI", "Microsoft YaHei", Arial, sans-serif; letter-spacing: 0.544px; font-size: 16px; color: rgb(0, 0, 0); widows: 1; caret-color: rgba(0, 0, 0, 0);'><br></section><section><span leaf=""><br></span></section><p style='display: none;'><mp-style-type data-value="3"></mp-style-type></p></div><div class="wx_rich_media_content" id="jsWxContainer"></div><p></p>
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