【摘要】：目的觀察足月妊娠臍帶纏繞在產(chǎn)程中引起胎兒窘迫、新生兒窒息、圍生兒死亡的發(fā)生率,選擇合適的分娩方式。方法選擇528例臍帶纏繞的孕婦作為觀察組,同期分娩的981例無臍帶纏繞的孕婦作為對照組,比較2組孕婦新生兒窒息、圍生兒死亡的發(fā)生率,臍帶纏繞周數(shù)與新生兒窒息的關(guān)系以及孕婦的分娩方式。結(jié)果觀察組胎兒窘迫的發(fā)生率為47.35%,高于對照組的21.10%,2組比較差異顯著;新生兒窒息及圍生兒病死率觀察組為16.28%和1.89%,而對照組為8.97%和0.41%,2組比較差異有顯著性;觀察組正常分娩率為54.55%,對照組正常分娩率為83.38%(P0.01)。結(jié)論臍帶纏繞使胎兒窘迫、新生兒窒息、圍生兒死亡的危險性增加,使陰道正常分娩率降低,剖宮產(chǎn)率增加。
[Abstract]:Objective to observe the incidence of fetal distress, neonatal asphyxia and perinatal death caused by umbilical cord winding in term pregnancy. Methods 528 pregnant women with umbilical cord winding were selected as observation group and 981 pregnant women without umbilical cord winding as control group. The incidence of neonatal asphyxia and perinatal death was compared between the two groups. Relationship between umbilical cord winding weeks and neonatal asphyxia and delivery patterns of pregnant women. Results the incidence of fetal distress in the observation group was 47.35, which was significantly higher than that in the control group (21.1010), the neonatal asphyxia and perinatal mortality were 16.28% and 1.89% in the observation group, and 8.97% and 0.41% in the control group. The normal delivery rate was 54.55% in the observation group and 83.38% in the control group (P0.01). Conclusion umbilical cord winding can cause fetal distress, neonatal asphyxia and perinatal death, decrease the rate of normal vaginal delivery and increase the rate of cesarean section.
【作者單位】： 臨縣婦幼保健院;
【分類號】：R714.7

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