scalp forceps traction

The scalp pliers traction is to clamp the scalp of the fetus with a scalp forceps and continue to pull outwards, so that the first exposed part lowers the placenta and acts as a hemostasis, and can induce or strengthen the contractions and promote the expansion of the cervix. However, this method can endanger the fetus and sometimes cause cervical tears. With the improvement of cesarean section technology and safety, it has been rarely used. It is only performed when there is no cesarean section and there is an urgent need to stop bleeding. Curing disease: Indication 1, low placenta, maternal general conditions are good. 2, through the maternal marginal or partial placenta previa, vaginal bleeding is not much, the general situation is still good, the fetal head position, the cervix has been expanded or the fetus has died, it is estimated that the fetus can be delivered in a short period of time. Contraindications 1, the condition is more serious. 2. It is estimated that the childbirth cannot be terminated in a short period of time, and the fetus can survive. 3, precious fetus. Preoperative preparation 1, before the operation must be infusion, matching blood, while preparing for cesarean section. 2. Prepare a sterilized scalp pliers, a 2m long bandage and a 0.5kg weight. Surgical procedure 1. Check the expansion of the cervix and the position of the exposed part. First artificial rupture. The assistant presses the fetal head down on the abdomen. The operator's left hand shows the middle finger against the fetal head, and the right hand holds the scalp forceps of the closed clamp leaf. Under the guidance of the left hand, it extends into the scalp of the cervix to the top of the fetus (Figure 11, 2 12-2), fully open the forceps and clamp the scalp. 2, try to pull down, if there is no slip phenomenon, that is, use a bandage to connect 0, 5kg weight for continuous traction. 3. When the fetal head is lowered to the vaginal opening, remove the scalp forceps. complication 1. Damage to the fetal scalp, or even death of the fetus. 2, cervical laceration, severe bleeding. 3, puerperal infection.