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目的:分析研究肩难产相关高危因素和新生儿相关并发症，同时采取相对应的预防和处理肩难产的处理措施。方法：选取2013年4月-2015年3月在我院接收处理的肩难产病人一共有64例，作为研究组；而且选取同一时期经阴道分娩的孕产妇一共有64例，作为对照组，对研究组与对照组孕产妇在生产之前、生产当中的相关临床指标、生产相关并发症、新生儿各径线以及新生儿相关并发症等相关方面的差别，分析研究母亲身材矮小、骨盆解剖异常、产程异常、DM（糖尿病）以及巨大儿等相关高危因素和肩难产之间的关系，同时对肩难产采取相对应的预防和处理措施。结果：研究组与对照组孕产妇的第一产程、软产道损伤、第二产程、腹围、产后出血以及宫高之间的差异具有明显的统计学意义（P<0.05）；肩难产高危因素主要包括有巨大儿、母亲身材矮小、骨盆解剖异常、妊娠糖尿病、产程延长以及阴道助产；研究组与对照组新生儿的出生体重、头围、胸围、1分钟 Apgar评分、身长以及新生儿损伤之间的差异具有明显的统计学意义（P<0.05）；肩难产对新生儿的影响主要包括有新生儿窒息、臂丛神经损伤、锁骨骨折以及颅内出血等，甚至新生儿死亡。结论：巨大儿是导致肩难产最为重要的原因，肩难产应该按呼、切、屈、压、趴、旋等方法，分娩之前预测肩难产发生以及完善助产技术，可以使母婴生命安全得到保障。
OBJECTIVE: To analyze and analyze the risk factors related to shoulder dystocia and neonatal complications, and to take corresponding measures to prevent and deal with shoulder dystocia. Methods: A total of 64 patients with shoulder dystocia who received treatment in our hospital from April 2013 to March 2015 were selected as the study group. A total of 64 pregnant women of vaginal delivery during the same period were selected as the control group The research group and the control group maternal differences in the relevant clinical indicators before production, during production, complications related to birth, neonatal lineage and neonatal complications, analysis of the mother of short stature, abnormal pelvic anatomy, Labor abnormalities, diabetes mellitus (DM), macrosomia and other related risk factors and shoulder dystocia, and take corresponding prevention and treatment measures for shoulder dystocia. Results: The difference of the first stage of labor, the injury of soft birth canal, the second stage of labor, abdominal circumference, postpartum hemorrhage and uterine height of pregnant women in the study group and the control group were statistically significant (P <0.05). The risk factors of shoulder dystocia Including body weight, mother's short stature, abnormal pelvic anatomy, gestational diabetes, prolonged labor and vaginal delivery; birth weight, head circumference, chest circumference, 1 minute Apgar score, length and neonatal injury in study group and control group (P & lt; 0.05). The effects of shoulder dystocia on neonates include neonatal asphyxia, brachial plexus injury, clavicular fracture, intracranial hemorrhage and even neonatal death. Conclusion: Huge children are the most important causes of shoulder dystocia. Shoulder dystocia should predict the occurrence of shoulder dystocia and improve the midwifery techniques before delivery, which can make the mother and baby live safely Protection.