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目的:探讨脐带缠绕对产程和分娩方式的影响。方法:对2008年6月至2009年10月间无妊娠合并和并发症的216例脐带缠绕产妇进行回顾性分析。结果:脐带缠绕组胎儿窘迫,产程异常,胎位异常的发生率明显高于对照组,差异有显著统计学意义(P<0.01),第二产程中出现急性胎儿窘迫占61.7%,脐带缠绕组自然分娩,阴道助产与对照组比较差异有显著统计学意义(P<0.01),剖宫产与对照组差异有统计学意义(P<0.05)。结论:脐带缠绕是引起头位难产和胎儿窘迫的一个重要因素,第二产程易出现急性胎儿窘迫,因此,脐带缠绕产妇临产后应严密观察产程,及时处理异常分娩,正确处理第二产程。
Objective: To investigate the effect of umbilical cord winding on labor process and delivery mode. Methods: A retrospective analysis of 216 cases of umbilical cord wound maternal without pregnancy complications and complications from June 2008 to October 2009 was performed. Results: The incidence of fetal distress, labor process abnormalities and abnormal fetal position in umbilical cord wound group was significantly higher than that in control group (P <0.01). The incidence of acute fetal distress in the second stage of labor was 61.7% Childbirth, vaginal delivery and control group, the difference was statistically significant (P <0.01), cesarean section and the control group, the difference was statistically significant (P <0.05). Conclusion: Umbilical cord entanglement is one of the most important causes of head dystocia and fetal distress. The second stage of labor is prone to acute fetal distress. Therefore, the umbilical cord entwined women should observe the labor process closely after labor, treat the abnormal delivery in time and correctly handle the second stage of labor.