| 标题： | 臀位难产孕产期干预指南 |
| title： | Guidelines for pregnancy and childbirth intervention in breech dystocia |
| 版本： | 原创版 |
| version： | Original |
| 分类： | 标准指南 |
| classification： | Standard guideline |
| 领域： | 综合 |
| field： | Comprehensive guideline |
| 国家和地区： | 中国 |
| Country and region： | China |
| 指南使用者： | 产科医生，护士，助产士 |
| Guide users： | Obstetrician, midwives，nurses |
| 证据分级方法： | 在本指南的制订过程中，我们将运用GRADE工具对干预性系统评价中检索和综合的证据进行质量评价，形成并报告推荐意见，证据质量分为高、中、低以及极低。采用CERQual方法对质性研究系统评价进行证据评价，并对推荐意见进行分级。应用AMSTAR（Assessment of Multiple Systematic Reviews）对系统评价和Meta分析的方法学质量进行评价。应用AGREEＩＩ对纳入的指南进行质量评价。 |
| Evidence grading method： | During the development of this guide, we will use the grade tool to quality evaluation, formation and reporting advice on the intervention system evaluation, forming and reporting the recommended advice, the quality of the evidence is high, low, and very low. Evidence evaluations were used to evaluate quality research system using CERQUAL approach and graded the recommended opinion. The methodology quality of system evaluation and Meta analysis is evaluated by using AMSTAR (Assessment of Multiple Systematic Reviews). Apply AGREEＩＩ for quality evaluation of the included guidelines. |
| 制定单位： | 南方医科大学 |
| Formulating unit： | Southern Medical University |
| 注册时间： | 2021-10-02 |
| Registration time： | |
| 注册编号： | IPGRP-2021CN313 |
| Registration number： | |
| 指南制订的目的： | 臀位难产在单胎妊娠中的发生率约为 3% ～ 4%，可增加脐带脱垂、胎膜早破及胎儿窘迫等并发症的发生率，导致多数臀位难产产妇最终选择剖宫产分娩。在孕晚期对胎位进行头位纠正，分娩期正确处理臀位难产，可减少臀产儿发生窒息的风险，是改善臀产儿预后、降低臀产儿死亡率的关键。通过本指南的制定，能够给医务工作者和孕产妇提供一个清晰的臀位难产操作指引，预期能够降低臀位难产对母婴所带来的不良结局。 |
| Purpose of the guideline： | The incidence of breech dystocia in singleton pregnancies is about 3% to 4%, which can increase the incidence of complications such as umbilical cord prolapse, premature rupture of membranes, and fetal distress, leading most women with breech dystocia to choose cesarean section. childbirth. Correcting the fetal position in the third trimester of pregnancy and correctly handling breech dystocia during delivery can reduce the risk of asphyxia in gluteal infants, which is the key to improving the prognosis of gluteal infants and reducing the mortality of breech infants. Through the development of this guideline, it is possible to provide medical workers and pregnant women with a clear operation guideline for breech dystocia, which is expected to reduce the adverse outcome of breech dystocia for mothers and babies. |
