摘要
目的探讨脐带绕颈阴道分娩的可行性。方法选用78例经阴道试产的脐带绕颈孕妇作为观察组，产程中加强监护，同时选择因脐带绕颈择期剖宫产的50例作为对照组，回顾性分析不同绕颈周数对围生儿及分娩方式的影响，并进行比较。结果观察组75．64％自然分娩、7．69％阴道手术、16．67％剖面宫产。胎儿窘迫发生为30．77％，新生儿窒息率为7．69％，与对照组比较差异无统计学意义（P〉0．05）。结论在严密产程监护下脐带绕颈可经阴道试产、分娩。
objective Discusses feasibility of women with nuchal cord.Mothods 78 pregnant women with nuchal cord pass through the vagina trial production were selected as the observation group, the intensification guardianship in the course of childbirth, simultaneously 50cases with nuchal cord who pass through Caesarean Section choose day were selected as the control group, the retrospectively analysis the influence of different antangling neck on different delivery and perinatal infant. Results The rate of natural delivery of observation group was 75.64%, vaginas surgeries for delivery was 7.69%, and that of Caesarean section was 16.67%. The fetal distress rate of the observation group was 30.77%, The neonatal asphyxia rate was 7.69%,with comparison level compatison there were no significant differences between the two groups （P〉0. 05） Conclusions Women with nuchal cord should try to delivery through the vagina under the strictly monitoring .
出处
《国际医药卫生导报》
2007年第15期58-60,共3页
International Medicine and Health Guidance News
关键词
脐带绕颈
分娩
围生儿
Nuchal cord Delivery Perinatal infant
