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目的:为适时采取妥善处理来降低围产儿病死率、减少新生儿窒息发生率。方法:通过对分娩期产程中羊水污染的临床观察,并与胎心监护相结合,综合评估胎儿在宫内的安危。结果:1 493例分娩数中有398例羊水污染,占26.7%,其中Ⅰ度污染9%,Ⅱ度污染9.84%,Ⅲ度污染为16.67%。经临床观察,羊水Ⅱ度、Ⅲ度污染时新生儿Apgar评分低值者增多,若羊水Ⅱ度、Ⅲ度污染出现在潜伏期、伴胎心率异常、变异消失则新生儿窒息发生率明显增高。结论:适时妥善处理胎儿宫内窘迫是降低新生儿病死率窒息率的关键。
OBJECTIVE: To reduce the perinatal mortality and reduce the incidence of neonatal asphyxia in a timely and appropriate manner. Methods: The clinical observation of amniotic fluid contamination in the labor process during labor and combined with the fetal heart rate monitoring, a comprehensive assessment of the safety of the fetus in the uterus. Results: There were 398 cases of amniotic fluid contamination in 1 493 cases, accounting for 26.7%, of which 9% were Grade I, 9.84% were Grade II and 16.67% were Grade III. The clinical observation, amniotic fluid Ⅱ degree, Ⅲ degree pollution neonatal Apgar score were low, if the amniotic fluid Ⅱ degree, Ⅲ degree of pollution in the incubation period, with abnormal fetal heart rate, the disappearance of variation neonatal asphyxia was significantly higher incidence. Conclusion: Proper and proper treatment of fetal distress is the key factor to reduce neonatal mortality rate.