TY -的TI -糖尿病、胎儿死亡,和肩难产:葡萄糖筛查的重要性,以防止灾难性的产科结果六世- 2020 PY - 2020 DA - 2020/03/11做- 10.1155 / 2020/8142109 UR - https://doi.org/10.1155/2020/8142109 AB -糖尿病是与死胎,肩难产的风险增加有关。与正常妊娠相比，糖尿病患者死产的风险为4-6倍，肩难产的风险为2-3倍。一例34 yo G2P0010患者为40+3 wga宫内节育器，产前血糖筛查不达标。入院检查的血红蛋白A1c为6.6。她阴道分娩并发30分钟肩难产，McRoberts、耻骨上压、Rubin II、Wood’s螺钉或后臂分娩均未缓解。在服用硝化甘油后，Wood 's Screw成功接生了一名4190克(孕龄85百分位)的婴儿。31 yo G1伴有37+1 wga宫内节育器。她的28wga 3小时GTT显著升高，1小时(216 mg/dL)。入院检查的血红蛋白A1c为6.6。在McRoberts、耻骨上压、Rubin II、Wood’s螺钉和Gaskin’s失败后，她阴道分娩并伴有30分钟的肩难产，通过后腋窝吊带缓解，导致分娩一个体重3590克的婴儿(孕龄第92个百分数)。 We present two cases of severe shoulder dystocia in patients who both presented with term IUFD and diabetic-range hemoglobin A1c. There is minimal literature on diabetic patients with pregnancies affected by both stillbirth and shoulder dystocia. These cases underscore the importance of glucose screening and control to prevent catastrophic obstetric outcomes. JF - Case Reports in Obstetrics and Gynecology SN - 2090-6684 PB - Hindawi SP - 8142109 KW - A2 - Hoesli, Irene AU - Hussain, S. Ahmed AU - Smith, Alisha M. AU - Cross, Jennifer A. ER -