凌萝达头位难产学
凌萝达头位难产学
2006年，86岁高龄的凌教授在撰写后一部专著《难产理论与实践（中英文对照）》的前言中阐述了50余年产科临床、科研、教学一直致力于难产研究的心路历程：20世纪50年代初，上海医学院附属妇产科医院每周一次的疑难病例讨论大多是产科病人，难产处理不当发生严重母婴并发症的教训让她立志难产研究，并在常年的基层巡回医疗中坚定了信念。凌教授从研究中国女性骨盆着手，借鉴前人、国外的经验，分析总结多年的临床实践，创立“头位难产理论”；并通过...
2006年，86岁高龄的凌教授在撰写后一部专著《难产理论与实践（中英文对照）》的前言中阐述了50余年产科临床、科研、教学一直致力于难产研究的心路历程：20世纪50年代初，上海医学院附属妇产科医院每周一次的疑难病例讨论大多是产科病人，难产处理不当发生严重母婴并发症的教训让她立志难产研究，并在常年的基层巡回医疗中坚定了信念。凌教授从研究中国女性骨盆着手，借鉴前人、国外的经验，分析总结多年的临床实践，创立“头位难产理论”；并通过举办“全国难产学习班”进行临床推广，与全国同行交流；总结反馈意见并不断进行修订。凌教授传承给我们的不仅仅是“头位难产”系列研究成果，更多的是如何真正、踏实地做临床研究，解决临床问题，为病患服务。 分娩虽是生理过程但具有复杂性。产程进展中可能出现产程停滞、胎头下降阻滞、胎儿宫内异常等各种难产。就像凌教授在1990年出版的《头位难产》前言所讲：“难产，尤其是头位难产，是分娩三大因素异常的综合结果，诊断及处理都较复杂，因此特别需要产科工作者审慎的观察、动态的分析，才能及时作出正确的判断。” 《凌萝达头位难产学》是在保留凌萝达教授、顾美礼教授主编的《头位难产》与《难产头位难产修订版》的“头位难产学说”精髓的框架下，由重庆医科大学附属第二医院胡丽娜教授、董晓静主任医师、孙江川教授团队，陆军军医大学常青教授、李力教授、李真教授团队，中南大学湘雅二院丁依玲教授团队，昆明医科大学附属医院马润玫教授团队，华中科技大学附属同济医院冯玲教授团队，重庆医科大学附属儿童医院史源教授、黎海芪教授团队和四川大学华西二院毛萌教授、李华凤教授，以及美国芝加哥大学石应珊医生（凌萝达教授女儿、原重庆医科大学附属第二医院妇产科医生，早期参加大量难产研究）共同努力，结合近20年产科学、儿科学、影像学、麻醉学及助产学进展，从精神心理因素、分娩疼痛与镇痛对分娩影响、头位分娩产时综合判断、瘢痕子宫经阴道分娩（VBAC）、产房分娩安全核查、降低剖宫产率综合举措等方面进行了详细介绍。凌教授旧作中部分内容，如难产儿尸检、毁胎术等编写非常经典，近期临床上尚无新的内容增减，故予保留以供参考。 在我国人口出生率明显下降的当下，希望通过《凌萝达头位难产学》，让更多的产科医生、助产士了解“头位难产学说”，用“头位分娩评分”及“头位难产的诊断和处理”等理论和实践更好地指导产科临床工作，在保障母婴安全前提下，推动和促进自然分娩，有效降低剖宫产率，提高分娩安全、降低母儿创伤。
献词 /1
曹序 /5
马序 /6
前言 /7
章 绪论
节 概述 /2
一、头位难产的研究历史 /2
二、头位难产定义 /3
三、头位难产发生率 /3
第二节 头位难产发病原因 /4
“头位难产学说”是在为满足中国临床医学实际需求的形势下创立的。从《难产与围产》《头位难产》《难产》到《难产理论与实践（中英文对照）》，凌萝达教授将研究聚焦在占难产80%以上的头位难产。她在收集中国女性骨盆临床特征的基础上，通过大量详实的临床数据，针对难产问题开展了深入细致的研究，创立了“头位分娩评分法”、简易平行产程图表、分娩期综合评估法及枕横位中前不均倾位等“头位难产理论”。凌教授的系列原创研究成果在20世纪80年代风靡全国产科，她还受国家卫生部委托举办了5期全国难产学习班，培养了数代产科医生及专家。这也使得《头位难产》成为一部集教科书、专著于一体，且与临床实践紧密结合的产科经典著作。
分娩虽是生理过程，但其具有复杂性。分娩不仅是胎儿在产力的推动下通过产道的过程；分娩也被定义为心理、生理综合反应的复杂动力学过程，是充满变化的动态神经内分泌调节过程。产程进展中可能出现产程停滞、胎头下降阻滞、胎儿宫内异常等各种难产情形。就像凌教授在《头位难产》前言所讲：“难产，尤其是头位难产，是分娩三大因素异常的综合结果，其诊断及处理都较复杂，因此特别需要产科工作者进行审慎的观察、动态的分析，才能及时做出正确的判断。”
我在2006年曾经为凌萝达教授编写的《难产理论与实践》作序，如今凌萝达教授的弟子胡丽娜教授主编的《凌萝达头位难产学》也即将问世。看到编者们致敬大师、传承经典，编纂关于凌萝达教授“头位难产”研究历程的书，我感到很欣慰。
“头位难产”是所有难产中常见的，《凌萝达头位难产学》是在保留凌萝达教授“头位难产理论”精髓的框架下，从精神心理因素、分娩疼痛与镇痛对分娩的影响、头位分娩产时综合判断、瘢痕子宫经阴道分娩、产房分娩安全核查、降低剖宫产率综合举措等多方面结合近30年的临床新进展撰写而成。
希望读者从本书中可以学到凌萝达教授强调的理论联系实践的精神，运用“头位难产理论”解决临床问题，降低我国剖宫产率，造福母儿。
曹泽毅
2021年4月
Shipping Overview:
• Shipping: Standard Domestic Shipping within the United States charges USD 4.99. Standard International Shipping from United Kingdom and Germany to the United States charges 14.99.
• Order Processing: Please allow 1-2 business days for order processing and preparation before shipment.
• Domestic Shipping: Orders within the U.S. are shipped via USPS or FedEx, depending on the origin of the product. The average transit time is 3-7 business days.
• International Shipping: Currently, we only ship within the USA.
• Tracking Information: Every order is trackable. You will receive a tracking number once your order has been shipped. Products may be shipped from various global fulfillment centers.
Shipping Delays:
Please note that shipping times may vary due to factors beyond our control, such as weather conditions, natural disasters, or peak holiday periods. While we strive to ensure timely delivery, the exact arrival time cannot be guaranteed and is managed by the shipping carrier.
Shipping Options:
-
Standard Delivery: Most orders are shipped within 3-7 business days. Larger items may utilize LTL shipping for safe handling.
-
Handling Time: We handle shipments on business days (Monday - Friday), with a preparation time of 1-2 days.
-
Additional Charges: Some items require additional shipping charges due to their size, weight, or special handling. These charges are specified on the product pages and are not eligible for shipping discounts.
-
Exclusions: Gift cards, packaging, taxes, and prior purchases do not count toward the minimum purchase requirement for free shipping. This offer is valid only for shipments to U.S. addresses, including Puerto Rico.
Delivery Details:
-
Estimates: Standard shipping within the US typically takes 3-7 business days. These are estimates and not guarantees.
-
Shipping Restrictions: We ship to all 50 states, Washington, DC, U.S. territories, and APO/FPO/DPO addresses. Shipping options vary based on the delivery address.
-
Remote Areas: Shipments to remote areas may incur additional charges or require pickup from a nearby shipping partner’s location.
Shipping Confirmation:
You will receive a shipping confirmation email with a tracking number as soon as your order is dispatched. If you do not receive this email immediately, please be assured that your items will arrive within the estimated delivery window provided at checkout.
Order Modifications:
If you need to cancel or modify your order, please contact our customer support immediately.
Issues with Delivery:
If your order shows as delivered but you have not received it, please contact the shipping carrier directly to resolve the issue. For persistent problems, contact our customer service at cs@everymarket.com.
Customer Support:
Our team is available 24/7 to assist you with any questions or concerns regarding your order. We are committed to ensuring a smooth shopping experience.
Return & Refund Policy Overview
Please review our return and refund policies below to ensure a smooth transaction process.
Return Policy
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Duration: You have 30 days from receiving your item to initiate a return.
-
Condition: Items must be unworn, unwashed, with original tags and packaging intact.
-
Shipping Costs: Customers are responsible for return shipping costs.
-
Packaging: Ensure returned items are well-packaged to avoid damage during transit.
-
Tracking: Use a trackable and insured shipping method as we are not liable for items lost or damaged on return.
-
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Email: cs@everymarket.com
2006年，86岁高龄的凌教授在撰写后一部专著《难产理论与实践（中英文对照）》的前言中阐述了50余年产科临床、科研、教学一直致力于难产研究的心路历程：20世纪50年代初，上海医学院附属妇产科医院每周一次的疑难病例讨论大多是产科病人，难产处理不当发生严重母婴并发症的教训让她立志难产研究，并在常年的基层巡回医疗中坚定了信念。凌教授从研究中国女性骨盆着手，借鉴前人、国外的经验，分析总结多年的临床实践，创立“头位难产理论”；并通过举办“全国难产学习班”进行临床推广，与全国同行交流；总结反馈意见并不断进行修订。凌教授传承给我们的不仅仅是“头位难产”系列研究成果，更多的是如何真正、踏实地做临床研究，解决临床问题，为病患服务。 分娩虽是生理过程但具有复杂性。产程进展中可能出现产程停滞、胎头下降阻滞、胎儿宫内异常等各种难产。就像凌教授在1990年出版的《头位难产》前言所讲：“难产，尤其是头位难产，是分娩三大因素异常的综合结果，诊断及处理都较复杂，因此特别需要产科工作者审慎的观察、动态的分析，才能及时作出正确的判断。” 《凌萝达头位难产学》是在保留凌萝达教授、顾美礼教授主编的《头位难产》与《难产头位难产修订版》的“头位难产学说”精髓的框架下，由重庆医科大学附属第二医院胡丽娜教授、董晓静主任医师、孙江川教授团队，陆军军医大学常青教授、李力教授、李真教授团队，中南大学湘雅二院丁依玲教授团队，昆明医科大学附属医院马润玫教授团队，华中科技大学附属同济医院冯玲教授团队，重庆医科大学附属儿童医院史源教授、黎海芪教授团队和四川大学华西二院毛萌教授、李华凤教授，以及美国芝加哥大学石应珊医生（凌萝达教授女儿、原重庆医科大学附属第二医院妇产科医生，早期参加大量难产研究）共同努力，结合近20年产科学、儿科学、影像学、麻醉学及助产学进展，从精神心理因素、分娩疼痛与镇痛对分娩影响、头位分娩产时综合判断、瘢痕子宫经阴道分娩（VBAC）、产房分娩安全核查、降低剖宫产率综合举措等方面进行了详细介绍。凌教授旧作中部分内容，如难产儿尸检、毁胎术等编写非常经典，近期临床上尚无新的内容增减，故予保留以供参考。 在我国人口出生率明显下降的当下，希望通过《凌萝达头位难产学》，让更多的产科医生、助产士了解“头位难产学说”，用“头位分娩评分”及“头位难产的诊断和处理”等理论和实践更好地指导产科临床工作，在保障母婴安全前提下，推动和促进自然分娩，有效降低剖宫产率，提高分娩安全、降低母儿创伤。
献词 /1
曹序 /5
马序 /6
前言 /7
章 绪论
节 概述 /2
一、头位难产的研究历史 /2
二、头位难产定义 /3
三、头位难产发生率 /3
第二节 头位难产发病原因 /4
“头位难产学说”是在为满足中国临床医学实际需求的形势下创立的。从《难产与围产》《头位难产》《难产》到《难产理论与实践（中英文对照）》，凌萝达教授将研究聚焦在占难产80%以上的头位难产。她在收集中国女性骨盆临床特征的基础上，通过大量详实的临床数据，针对难产问题开展了深入细致的研究，创立了“头位分娩评分法”、简易平行产程图表、分娩期综合评估法及枕横位中前不均倾位等“头位难产理论”。凌教授的系列原创研究成果在20世纪80年代风靡全国产科，她还受国家卫生部委托举办了5期全国难产学习班，培养了数代产科医生及专家。这也使得《头位难产》成为一部集教科书、专著于一体，且与临床实践紧密结合的产科经典著作。
分娩虽是生理过程，但其具有复杂性。分娩不仅是胎儿在产力的推动下通过产道的过程；分娩也被定义为心理、生理综合反应的复杂动力学过程，是充满变化的动态神经内分泌调节过程。产程进展中可能出现产程停滞、胎头下降阻滞、胎儿宫内异常等各种难产情形。就像凌教授在《头位难产》前言所讲：“难产，尤其是头位难产，是分娩三大因素异常的综合结果，其诊断及处理都较复杂，因此特别需要产科工作者进行审慎的观察、动态的分析，才能及时做出正确的判断。”
我在2006年曾经为凌萝达教授编写的《难产理论与实践》作序，如今凌萝达教授的弟子胡丽娜教授主编的《凌萝达头位难产学》也即将问世。看到编者们致敬大师、传承经典，编纂关于凌萝达教授“头位难产”研究历程的书，我感到很欣慰。
“头位难产”是所有难产中常见的，《凌萝达头位难产学》是在保留凌萝达教授“头位难产理论”精髓的框架下，从精神心理因素、分娩疼痛与镇痛对分娩的影响、头位分娩产时综合判断、瘢痕子宫经阴道分娩、产房分娩安全核查、降低剖宫产率综合举措等多方面结合近30年的临床新进展撰写而成。
希望读者从本书中可以学到凌萝达教授强调的理论联系实践的精神，运用“头位难产理论”解决临床问题，降低我国剖宫产率，造福母儿。
曹泽毅
2021年4月
Shipping Overview:
• Shipping: Standard Domestic Shipping within the United States charges USD 4.99. Standard International Shipping from United Kingdom and Germany to the United States charges 14.99.
• Order Processing: Please allow 1-2 business days for order processing and preparation before shipment.
• Domestic Shipping: Orders within the U.S. are shipped via USPS or FedEx, depending on the origin of the product. The average transit time is 3-7 business days.
• International Shipping: Currently, we only ship within the USA.
• Tracking Information: Every order is trackable. You will receive a tracking number once your order has been shipped. Products may be shipped from various global fulfillment centers.
Shipping Delays:
Please note that shipping times may vary due to factors beyond our control, such as weather conditions, natural disasters, or peak holiday periods. While we strive to ensure timely delivery, the exact arrival time cannot be guaranteed and is managed by the shipping carrier.
Shipping Options:
-
Standard Delivery: Most orders are shipped within 3-7 business days. Larger items may utilize LTL shipping for safe handling.
-
Handling Time: We handle shipments on business days (Monday - Friday), with a preparation time of 1-2 days.
-
Additional Charges: Some items require additional shipping charges due to their size, weight, or special handling. These charges are specified on the product pages and are not eligible for shipping discounts.
-
Exclusions: Gift cards, packaging, taxes, and prior purchases do not count toward the minimum purchase requirement for free shipping. This offer is valid only for shipments to U.S. addresses, including Puerto Rico.
Delivery Details:
-
Estimates: Standard shipping within the US typically takes 3-7 business days. These are estimates and not guarantees.
-
Shipping Restrictions: We ship to all 50 states, Washington, DC, U.S. territories, and APO/FPO/DPO addresses. Shipping options vary based on the delivery address.
-
Remote Areas: Shipments to remote areas may incur additional charges or require pickup from a nearby shipping partner’s location.
Shipping Confirmation:
You will receive a shipping confirmation email with a tracking number as soon as your order is dispatched. If you do not receive this email immediately, please be assured that your items will arrive within the estimated delivery window provided at checkout.
Order Modifications:
If you need to cancel or modify your order, please contact our customer support immediately.
Issues with Delivery:
If your order shows as delivered but you have not received it, please contact the shipping carrier directly to resolve the issue. For persistent problems, contact our customer service at cs@everymarket.com.
Customer Support:
Our team is available 24/7 to assist you with any questions or concerns regarding your order. We are committed to ensuring a smooth shopping experience.
Return & Refund Policy Overview
Please review our return and refund policies below to ensure a smooth transaction process.
Return Policy
-
Duration: You have 30 days from receiving your item to initiate a return.
-
Condition: Items must be unworn, unwashed, with original tags and packaging intact.
-
Shipping Costs: Customers are responsible for return shipping costs.
-
Packaging: Ensure returned items are well-packaged to avoid damage during transit.
-
Tracking: Use a trackable and insured shipping method as we are not liable for items lost or damaged on return.
-
Initiating a Return: Contact us at cs@everymarket.com to start your return. We will provide a return shipping label and instructions upon approval. Returns without prior approval will not be accepted.
How to Return
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Method: Returns must be sent back by mail to the address provided in the return instructions.
Return Label
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Defective Products: Return labels are provided for defective items.
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Non-Defective Returns: Customers are responsible for obtaining their return shipping label.
Product Conditions for Return
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Eligible Products: Returns are only accepted for items in new condition.
Nonreturnable Items
Certain items are not eligible for return:
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Electronic devices after 30 days (e.g., computers, laptops, Kindles)
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Gift cards, prepaid game cards
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Perishable goods, live insects, some jewelry, some health and personal care items
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Customized or personalized products
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Items with special shipping restrictions
Refund Policy
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Window: Eligible products may be returned within 30 days of delivery for a refund.
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Refund Method: Refunds are processed to the original payment method or as store credit for items purchased with gift cards.
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Processing Time: Refunds are processed within 3-5 business days after we receive the return; please allow additional time for shipping and bank processing.
Claims
Inspect your order upon arrival and report any defects, damages, or incorrect items immediately to allow us to address the issue. For claims, contact our support team with details of the issue.
Exchange Policy
For the quickest service, return your original item and place a new order for the desired product once your return is accepted.
Return Address
EveryMarket Customer Service 2101 E Terra Ln, O'Fallon, MO 63366
Customer Support
Available 24/7 for any questions or assistance needed:
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Phone: +1 636-312-5925
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Email: cs@everymarket.com
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