227

(Vacuum Extraction)

Task analysis

1.
1.1

1.1.1 2 2 . 1 .

1.1.2
1.1.3

1.1.4
(deep
transverse arrest) (persistent occuput posterior)
1.1.5 (fetal distress)
1.2
1.2.1
(absolute CPD)
1.2.2
1.2.3 (fetal distress)
1.2.4
1.2.5
1.3
1.3.1
-
-
-
-
- +2
1.3.2

1.3.3
(5 % Dextrose in half strength normal saline solution)

1.3.4

Oxytocin
1.3.5
Lithotomy

**1.1.3, 1.1.4, 1.1.5

OA

**

**

228

Task analysis

2.
2.1
Malstrom Bird
2.1.1 20 .
40, 50 60 .

(artificial caput succedaneum chignon)

16 .
Malstrom

occiput Bird

(traction bar) occiput
2.1.2 Malstrom (metal plate)
(chain)


Bird
2.1.3
(traction bar handle)
screw cap
Bird
2.1.4
(suction tube)
15-30 . 90 .
2.1.5

2.2 (vacuum cup)

50 . ( 5)
2.3 Traction handle

Traction
handle

2.4

**

**

229

Task analysis
2.5 G/M
3.
3.1
3.2 Pudendal nerve block 5

3.3
3.4
3.5

3.6
3.6.1 Hibitane cream
3.6.2

Occiput sagittal suture

Occiput
3.7

3.8 0.2 kg/cm2 2

0.8kg/cm2
3.9
3.10
3.10.1 trial traction

3.10.2

3.10.3 subocciput symphysis pubis

3.11
3.12 save perineum

**1.
Block

2.

3.

4.

5.

6.

caput
succedaneum

7. Trial
traction

8.

230

Task analysis
3.13
3.14

4.

4.1
4.1.1

4.1.2

4.1.3
6 .
4.2 (chignon)
2 3
5.
. .
, . : ..
, 2541: 533 -544.
.
. , .
:
.. , 2544: 241-254.
. Vacuum extraction
-. , ,
, , . :
, 2534 : 18-21.
.
-. , ,
, , ,
. : , 2525: 35-9.
. . ,
, , , .
: .. , 2538: 291-301.
Cunningham FG, MacDonald PC, Gant NF, Leveno KJ, Gilstrap LC III, Hankins

231

Task analysis
GDV, Clark SL. Williams obstetrics. 20th ed. Connecticut : Appleton &
Lange, 1997: 490-2.
Hankins GDV,Clark SL, Cunningham FG, Gilstrap LC III. Operative obstetrics.
Norwalk : Appleton & Lange 1995: 173-89.