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目的:探讨阴道助产术后发生新生儿窒息的相关因素以及预防措施。方法:对我院650例第二产程阴道助产病例进行回顾性分析。结果:650例阴道助产中发生新生儿窒息104例,发生率16%,其中产钳术和胎吸术并用,新生儿窒息发生率高于分别手术。胎儿宫内窘迫、妊娠期高血压、过期妊娠等因素增加窒息发生率。结论:应严格掌握阴道助产适应症和必备条件,提高助产技术,加强产程监护,必要时行剖宫产,尽量避免困难的阴道助产,降低新生儿窒息的发生。
Objective: To investigate the related factors and preventive measures of neonatal asphyxia after vaginal delivery. Methods: A retrospective analysis of 650 cases of second stage vaginal delivery in our hospital. Results: Among the 650 cases of vaginal delivery, 104 cases of neonatal asphyxia occurred, the incidence rate was 16%. The combined use of obstetric forceps and fetal suction had a higher incidence of neonatal asphyxia than that of the separate operation. Fetal distress, pregnancy-induced hypertension, prolonged pregnancy and other factors increase the incidence of asphyxia. Conclusion: Vaginal and midwifery indications and prerequisites should be strictly controlled, midwifery techniques should be improved, labor monitoring should be strengthened, cesarean section should be conducted if necessary, and difficult vaginal midwifery should be avoided to reduce neonatal asphyxia.