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目的：了解胎儿脐带绕颈分娩时对母婴的影响。方法：对３０８例产后确诊脐带绕颈产妇的分娩情况与９５０例无脐带绕颈者对比分析。结果：绕颈组较对照组难产率增加（Ｐ＜０．００５），临产时胎头入盆率低新生儿窒息率高（Ｐ＜０．００５），第一、二产程延长（Ｐ均＜０．００１），新生儿Ａｐｇａｒ评分低（Ｐ＜０．０５）、新生儿窒息率高（Ｐ＜０．００１）。结论：胎儿脐带绕颈对母婴均有不良影响，增加了母婴的危险，因此，考虑脐带绕颈者，临产后要严密观察产程进展，适当放宽剖宫产指针，对产程延长者，要警惕新生儿窒息及产后出血的发生。
Objective: To understand the impact of fetal umbilical cord around the mother during childbirth. Methods: 308 cases of postpartum diagnosis of umbilical cord around the neck delivery and 950 cases of non-cord around neck contrast analysis. Results: The rate of dystocia was higher in the neck group than in the control group (P <0.005). The infantile infantile fetal infancy rate was high (P <0.005), the first and second stage of labor was longer (P < 0.001). Neonatal Apgar score was lower (P <0.05) and neonatal asphyxia rate was higher (P <0.001). Conclusion: The fetal umbilical cord around the neck of maternal and child have an adverse effect, increasing the risk of mother and child, therefore, consider the umbilical cord around the neck, after labor should be closely observed progress of labor, appropriate relaxation of cesarean section pointer, Watch out for neonatal asphyxia and postpartum hemorrhage.