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新生儿窒息是产科常见的新生儿危象,是围产儿死亡的主要原因之一.本文通过对比、分析,充分表明窒息的发生与分娩方式有密切关系.选择适当的分娩方式,对提高产科质量、降低窒息发生率具有重要意义.1 临床资料与结果1.1窒息发生率与分娩方式关系 1996年我院分娩及院外转来新生儿2189例,自然分娩(自产)1583例,剖宫产分娩545例,产钳助产42例,臀助产9例,胎吸助产8例,臀牵引1例,胎吸失败致产钳助产1例.此期,发生新生儿窒息133例.窒息发生率与分娩方式的关系见表1.其中自产的窒息发生率为3.85%,剖宫产的窒息发生率为8.81%,相比有显著性差异(X～2=19.47,P<0.005);产钳助产的窒息发生率为33.33%,与剖宫产相比有显著性差异(x～2=22.30,P<0.005);胎吸助产的窒息发生率为50.0%,与剖宫产相比有显著性差异(X～2=11.24,P<0.005);臀助产的窒息发生率为44.44%,与剖宫产相比有显著性差异(X～2=9.36,P<
Neonatal asphyxia is a common neonatal crisis in obstetrics, is one of the main causes of perinatal death.This article by contrast, analysis, fully shows that the occurrence of suffocation and delivery are closely related to the mode of choice of delivery, to improve obstetric quality , Reduce the incidence of asphyxia is of great significance.1 Clinical data and results1.1 Relationship between the incidence of asphyxia and mode of deliveryIn 1996, 2189 newborns in our hospital from childbirth and hospital transfer, natural childbirth (1583 cases), cesarean delivery 545 Cases, forceps midwifery in 42 cases, 9 cases of hysterosonography, 8 cases of fetal aspiration, hip traction in 1 case, fetal failure caused by forceps delivery in 1 case.In this period, 133 cases of neonatal asphyxia occurred.The incidence of asphyxia and The mode of delivery is shown in Table 1. Among them, the rate of self-produced asphyxia was 3.85%, and the incidence of cesarean asphyxia was 8.81% (X ~ 2 = 19.47, P <0.005) The incidence of asphyxia was 33.33%, which was significantly different from that of cesarean section (x ~ 2 = 22.30, P <0.005). The incidence of asphyxiation was 50.0% (X ~ 2 = 11.24, P <0.005). The incidence of asphyxia of hip birth was 44.44%, which was significantly different from that of cesarean section (X 2 = 9.36, P <