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目的探讨胎儿脐带绕颈与产妇分娩方式、围产儿并发症的关系,以此严格掌握分娩方式,从而降低临床剖宫产率。方法对280例头位妊娠脐带绕颈的孕妇分娩进行观察,发生胎儿宫内窘迫时经阴道分娩与剖宫产对新生儿影响进行比较。结果头位脐带绕颈有65.5%经阴道顺利分娩。当孕妇在产程中出现胎儿窘迫,剖宫产比经阴道分娩对新生儿的影响小。结论单纯头位脐带绕颈,无其他剖宫产指征,应在严密监护下行阴道试产,出现胎儿窘迫时应及时手术,会明显降低剖宫产率及新生儿病残率。
Objective To investigate the relationship between fetus umbilical cord around the neck and maternal delivery, complications of perinatal children, in order to strictly control the mode of delivery, thereby reducing the rate of clinical cesarean section. Methods 280 pregnant women with umbilical cord around the neck at the first delivery were observed for childbirth. The effects of transvaginal delivery and cesarean delivery on neonates were compared when fetal distress occurred. The results of the first umbilical cord around the neck 65.5% of vaginal delivery. When pregnant women have fetal distress during labor, cesarean delivery has less impact on newborns than vaginal delivery. Conclusion The head of umbilical cord only around the neck, no other indications for cesarean section, vaginal trial should be carried out under close supervision, fetal distress should be timely surgery, will significantly reduce the rate of cesarean section and neonatal morbidity.