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目的:探讨产妇顺产中转剖腹产的临床分析及处理。方法:选择2011年4月~2014年4月之间在我院分娩的产妇40例,均因胎儿脐带绕颈而由顺产转剖腹产,观察分娩结果,总结正确的处理方式。结果:全部产妇均顺利完成生产,没有发生新生儿窒息情况,新生儿评分超过8分。结论:胎儿脐带绕颈的产妇通过顺产方式分娩时,如果发生宫口未全开、胎儿宫内窘迫等现象应及时转为剖腹产,但是若绕颈低于2周,或情况不严重时可选择顺产方式,有利于产妇恢复与胎儿成长,临床医师应密切观察、分析绕颈程度与产妇状况,选择最为合适的分娩方式。
Objective: To investigate the clinical analysis and treatment of maternal labor with Caesarean section. Methods: From April 2011 to April 2014, 40 maternal women were delivered in our hospital. All of them were delivered by cesarean section due to fetal umbilical cord around the neck. The delivery results were observed and the correct treatment was summarized. Results: All the mothers completed their birth successfully. No neonatal asphyxia occurred and the neonatal score exceeded 8 points. CONCLUSIONS: Maternal fetus with umbilical cord around the neck when delivered by birth should be switched to caesarean section in time if the uterine cervix is not fully open and fetal distress is present. However, if the cervix is below 2 weeks or the condition is not serious Abortion, is conducive to maternal recovery and fetal growth, clinicians should be closely observed, analysis of the degree around the neck and maternal condition, choose the most appropriate mode of delivery.