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目的探讨胎儿脐带绕颈在分娩过程中对胎儿、新生儿的影响及分娩方式的选择。方法将2004年1~12月在我院头位分娩316例胎儿脐带绕颈与随机抽取316例头位分娩无胎儿脐带绕颈产妇的产程及其分娩情况作对比观察。结果有胎儿脐带绕颈的产妇胎儿宫内窘迫、新生儿窒息、死亡及剖宫产率增高,且与绕颈周数成正比。结论加强产前B超检查和监护,重视脐带绕颈这一因素,选择适当分娩方式,以降低胎儿宫内窘迫发生率和新生儿窒息、死亡率。
Objective To investigate the effects of fetus umbilical cord around the neck on fetus and newborn during childbirth and the choice of delivery mode. Methods A total of 316 cases of fetal umbilical cord wound around the neck from January 2004 to December 2004 in our hospital were randomly selected from 316 cases of labor without umbilical cord around the neck and compared with labor. Results of fetal umbilical cord around the neck fetus fetal distress, neonatal asphyxia, death and increased cesarean section rate, and is proportional to the number around the neck. Conclusion To strengthen prenatal B-ultrasound and monitoring, attention to the umbilical cord around the neck of this factor, select the appropriate mode of delivery to reduce the incidence of fetal distress and neonatal asphyxia, mortality.