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目的探讨脐绕颈分娩方式的选择及对围产儿的影响。方法住院分娩的776例脐带绕颈孕妇为观察组,抽取同期无脐带绕颈的孕妇500例为对照组,分析比较脐带绕颈与胎儿窘迫、新生儿窒息的发生率以及孕妇的分娩方式的关系。结果脐带绕颈1周观察组与对照组比较胎儿窘迫、新生儿窒息的发生率、剖宫产率无明显差异(P>0.05);脐带绕颈2周和以上者与对照组比较其胎儿窘迫发生率、剖宫产率有显著性差异(P<0.05)。结论孕妇若不伴有其他剖宫产指征,在严密观察产程持续胎心电子监护下,脐带绕颈1周者,可鼓励孕妇首选阴道试产。脐带绕颈2周级以上者,可适当放宽剖宫产指征。
Objective To explore the choice of the mode of delivery around the umbilical cord and its effects on perinatal children. Methods 776 cases of umbilical cord wound around the neck in hospital were selected as observation group. 500 pregnant women without umbilical cord around the neck were selected as control group. The relationship between umbilical cord around neck and fetal distress, neonatal asphyxia and pregnant women ’s mode of delivery were analyzed. . Results There was no significant difference in fetal distress, neonatal asphyxia and cesarean section rate between the observation group and the control group (P> 0.05). The umbilical cord around the neck for more than two weeks and the control group were compared with the fetal distress The incidence of cesarean section rate was significantly different (P <0.05). Conclusion If pregnant women are not associated with other indications for cesarean section, strict observation of labor during fetal heart fetal electronic monitoring, umbilical cord around the neck for 1 week, may encourage pregnant women preferred vaginal trial. Umbilical cord around the neck more than 2 weeks, may be appropriate to relax cesarean indications.