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对157例足月体重≤2500g宫内发育迟缓儿的分娩方式与围产儿L转归进行了临床分析。结果表明,新生儿出生体重愈低,围产儿死亡率、新生儿窒息率和新生儿并发症的发生率愈高。剖宫产组围产儿死亡率不仅没有下降,反而增加了新生儿窒息率和并发症的发生率。胎吸和产钳助娩组新生儿并发症的发生率明显升高。臀位助娩和臀位牵引的新生儿窒息率、并发症发生率及围产儿死亡率显著高于自然分娩组,故对宫内发育迟缓儿应加强围产保健和产时监护,尽量使其自然分娩;臀位儿以剖宫产为宜。
157 cases of full-term weight ≤ 2500g intrauterine growth retardation of childbirth and perinatal L-outcome of a clinical analysis. The results showed that the lower the birth weight of newborns, the higher the incidence of perinatal mortality, neonatal asphyxia and neonatal complications. Perinatal mortality in cesarean section not only did not decline, but increased the incidence of neonatal asphyxia and complications. Tire suction and forceps delivery group neonatal complications significantly increased the incidence. Breech delivery and breech traction of neonatal asphyxia, complications and perinatal mortality was significantly higher than the natural childbirth group, so intrauterine growth retardation should strengthen perinatal care and childbirth care, try to make it Natural childbirth; breech cesarean section is appropriate.