阴道助产安全重塑之决策评估、技巧创新与风险管控
Decision-making evaluation,skill innovation,and risk management in safe assisted vaginal delivery
摘要
Abstract
Globally,the cesarean section rate continues to rise,which is expected to reach 28.5％by 2030.Meanwhile,the rate of assisted vaginal delivery is on the decline,and there are significant regional differences.This results from the combined effects of various factors including medical technology,social concepts,and medical environments.Under appropriate indications,skilled and safe assisted vaginal delivery remains an effective measure for saving lives,as it can accelerate the delivery process and avoid or reduce the short and long-term complications associated with second-stage cesarean sections.How to enhance the skills of obstetricians in assisted vaginal birth while ensuring safety has become an important issue that needs urgent attention and resolution in the field of obstetrics.This article reviews the current best evidence on assisted vaginal delivery and proposes the following good recommendations on practice,including:the prerequisites for assisted vaginal delivery,high-risk factors,the feasibility of difficult delivery procedures,technological innovations,standard operating procedures,training of operators' qualifications,and the use of a safety checklist for assisted vaginal delivery to reduce the risk of complications,etc.It is suggested that all obstetric healthcare providers,including obstetricians and midwives at all levels,should receive training and possess the team collaboration ability to perform assisted vaginal deliveries(including forceps delivery and vacuum extraction),which will help slow down the rising trend of cesarean section rate,and thus decrease the adverse outcomes caused by inappropriate delivery modes.关键词
阴道助产/产钳术/胎头吸引术Key words
assisted vaginal delivery/forceps delivery/vacuum extraction分类
医药卫生引用本文复制引用
乔萍,应豪..阴道助产安全重塑之决策评估、技巧创新与风险管控[J].中国实用妇科与产科杂志,2026,42(4):413-419,7.基金项目
上海市优秀学术带头人(23XD1402700) （23XD1402700）
上海东方英才拔尖人才 （）
市级医院新兴前沿技术联合攻关项目(SHDC2024150) （SHDC2024150）
上海市临床能力促进与提升产科专科联盟(SHDC22025309) （SHDC22025309）
上海市卫生健康委员会卫生行业临床研究专项(202440190) （202440190）
浦东新区卫生健康委员会研究者发起的临床研究项目建设(医企融合)(2025-PWYC-07) Outstanding Academic Leader of Shang-hai City(23XD1402700) （医企融合）
Shanghai Oriental Talent Out-standing Talents and Municipal Hospital Emerging Fron-tier Technology Joint Research Projects(SHDC2024150) （SHDC2024150）
Shanghai Obstetrics Specialized Alliance for Clinical Com-petency Promotion and Enhancement(SHDC22025309) （SHDC22025309）
Clinical Research Special Project for Health Industry of Shanghai Municipal Health Commission(202440190) （202440190）
Clinical research project construction initiated by research-ers from Pudong New Area Health Commission(medical en-terprise integration)(2025-PWYC-07) （medical en-terprise integration）
