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目的 :从产科角度探讨新生儿窒息的发病因素及防治措施。方法 :对 12 4例新生儿窒息的产科因素进行回顾性分析。结果 :早产因素 3 4例居首位 ,占 2 7 4%;羊水过少占 14 5 %;胎位异常占 10 5 %;产程异常占 9 7%;脐带因素占 8 9%;巨大儿占8 9%;胎盘早剥占 6 5 %;妊高征占 5 6%;IUGR占 3 2 %。新生儿窒息与分娩方式的关系 :①自然分娩与剖宫产相比无显著差异 ;②自然分娩与臀位产相比差异有显著性意义 ;③自然分娩与胎吸产相比差异有显著性意义 ;④剖宫产与臀位产相比差异有显著性意义。结论 :新生儿窒息由多种因素引起 ,故应做好产前保健 ,对胎儿窘迫者应尽快终止妊娠
Objective: To explore the causes of neonatal asphyxia from the obstetric point of view and prevention and treatment measures. Methods: Retrospective analysis of obstetric factors in 124 neonates with asphyxia. Results: 34 cases of premature labor ranked first, accounting for 2 74%; oligohydramnios 14 5%; fetal abnormalities accounting for 10 5%; labor abnormalities accounting for 9 7%; umbilical cord factors accounted for 8 9%; giant accounted for 8 9%; placental abruption accounted for 65%; PIH accounted for 56%; IUGR accounted for 32%. Neonatal asphyxia and mode of delivery: ① natural childbirth and cesarean section compared to no significant difference; ② natural childbirth and breech production was significantly different; ③ natural childbirth and fetal birth compared with significant differences Significance; ④ cesarean section compared with the breech production was significant. Conclusion: Neonatal asphyxia is caused by many factors, so prenatal care should be done and the pregnancy should be terminated as soon as possible for fetal distress