摘要
目的:探讨脐带绕颈对难产的影响及其与新生儿预后的关系。方法:对2004年1月1日～2008年12月31日足月剖宫产分娩的238例脐带绕颈患者进行回顾性分析。结果:脐带绕颈组的剖宫产指征中,最多见为胎儿窘迫及胎方位和产程进展异常。随着脐带绕颈周数的增加,出现胎儿窘迫及新生儿窒息的几率明显增加。结论:脐带绕颈1周并不直接增加胎儿窘迫和新生儿窒息发生率,但应重视其对产程进展和胎方位产生的不良影响。
Objective ： To explore the effect of cord around neck on dystocia and relationship with prognosis of neonates. Methods ： 238 full term and cesarean section delivery neonates with cord around neck from January 1,2004 to December 31, 2008 were analyzed retrospectively. Results： The most common indications of cesarean section in cord around neck group were fetal distress, abnormal fetal position and progress of labor. With the increase of loops, the incidences of fetal distress and neonatal asphyxia increased. Conclusion ： Cord around neck only with one loop dont increase the incidences of fetal distress and neonatal asphyxia directly, but its adverse effect on progress of labor and fetal position should be paid more attention to.
出处
《中国妇幼保健》
CAS
北大核心
2010年第12期1649-1650,共2页
Maternal and Child Health Care of China
关键词
脐带绕颈
剖宫产
指征
难产
Cord around neck
Cesarean section
Indication
Dystocia
