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本文是我院1975年1月～1979年12月5年分娩总数18,525例中胎儿窘迫1,055例作回顾性调查分析,探讨胎儿窘迫的原因及诊治方法。资料分析一、胎儿窘迫的有关因素胎儿窘迫常因母体或胎儿各种合并症导致母体血液中含氧量不足。本文1,055例胎儿窘迫以分娩困难、脐带因素、胎盘疾病及妊娠中毒症等为主要原因。(表1) 二、分娩方式与新生儿窒息、围产儿死亡关系本文1,055例自然分娩453例(42.94%);阴道手术产528例(50.05%);剖腹产74例(7.01%)。围产儿死亡20例中阴道分娩死亡18例,剖腹产2例死亡。而新生儿窒息262例,阴道分娩241例(91.98%),剖腹产21例(8.15%)。三、临床表现根据临床胎心率改变(>160次/分或<
This article is a retrospective survey of 1,055 cases of fetal distress in 18,525 cases of childbirth in our hospital from January 1975 to December 1979, to investigate the causes and diagnosis and treatment of fetal distress. Data analysis First, the factors related to fetal distress Fetal distress often due to maternal or fetal complications caused by lack of oxygen in the maternal blood. This article 1,055 cases of fetal distress to labor difficulties, umbilical cord factors, placental disease and gestosis, etc. as the main reason. (Table 1) Second, the mode of delivery and neonatal asphyxia, perinatal mortality in this article 1,055 cases of 453 cases of natural childbirth (42.94%); 528 cases of vaginal surgery (50.05%); caesarean section in 74 cases (7.01%). Perinatal mortality in 20 cases of vaginal delivery in 18 cases of death, caesarean section in 2 deaths. Neonatal asphyxia in 262 cases, 241 cases of vaginal delivery (91.98%), caesarean section in 21 cases (8.15%). Third, the clinical manifestations according to clinical changes in fetal heart rate (> 160 beats / min or <