LMS公司推出计算机辅助分娩控制系统

 
一种新型工具可以预测肩先露难产，这种情况发生在婴儿头已经分娩出来但是肩膀仍然卡在产道之内。

在头部分娩出来之后，阴道分娩胎儿的难度增加，特别是当肩膀的大小和位置不佳的时候，在医学上是一种急症。脐带被压缩，减少了胎儿的氧气供应。除此之外，产科医师或许会使用一系列危险的方法，可能会牵拉或者损伤连接胳膊的神经。与严重肩先露难产相关的新生儿损伤包括：臂丛神经损伤，锁骨骨折，以及非常罕见的大脑损伤或者死亡。检测率较低或者假阳性率较高，导致了目前的检查效果并不能够令人满意。

这种新型CALM (computer-assisted labor management，计算机辅助分娩控制)肩先露筛查是以能够提高预测成功率改进检查结果的软件为基础的。这套系统是由LMS医疗系统(Montreal, Canada)研制开发的。

LMS公司首席医疗官和创始人Emily Hamilton说：“我们公司的新型预测模型，能够改进早期预测和假阳性率，从而增加了严重生殖并发症患者获得良好预后的机会以及患者的安全性。使用CALM肩先露筛查系统，医疗保健团队能够获得经验性的信息，可以制定干预措施、设计临床方案，给妊娠妇女和临床医生提供有价值的选择。”

LMS计算机辅助分娩控制产品为医生和护理人员提供了创新性的产科决策支持和风险控制工具，能够与各种临床信息系统整合，设计用于改善预后并提高分娩妇女和婴儿在分娩过程中的安全。

Tool for Predicting Shoulder Dystocia
 
A new tool predicts shoulder dystocia, which happens when a baby’s head has been born but the shoulders are still trapped in the birth canal.

The difficulty of delivering a baby vaginally can increase after the head is born, particularly when the size and position of the shoulders are unfavorable, creating a true emergency. The umbilical cord can become compressed, reducing the amount of oxygen supplied to the baby. In addition, the obstetrician may have to use a series of risky maneuvers that may stretch or injure the nerves leading to the arm. Neonatal injuries associated with severe shoulder dystocia can include brachial plexus injury, clavicular fracture, and, very rarely, brain damage or death. Low detection rates or unduly high false-positive rates have made current detection methods unsatisfactory.

The new CALM (computer-assisted labor management) Shoulder Screen is based on software that improves prediction and results in better outcomes. The system was developed by LMS Medical Systems (Montreal, Canada).

“Our new predictive model has the capacity to improve both early prediction and false-positive rates, resulting in an opportunity to improve outcomes and patient safety from this serious birth complication,” stated Dr. Emily Hamilton, chief medical officer and founder of LMS. “With CALM Shoulder Screen, healthcare teams will have empirical information upon which to base policies of intervention, design clinical protocols, and empower women and clinicians to make informed choices.”

The LMS Computer-Assisted Labor Management parent product provides doctors and nursing staff with innovative obstetrical decision-support and risk-management tools integrated into robust clinical information systems designed to improve outcomes and patient care for mothers and their infants during delivery.