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目的:通过脐带绕颈圈数产程中导致胎儿窘迫、新生儿窒息的发生率,选择合适的分娩分式。方法:就我院942例临床分析孕妇胎儿窘迫、新生儿窒息的发生率、脐带绕颈周数与胎儿窘迫、新生儿窒息的发生率以及孕妇的分娩方式。结果:观察组胎儿窘迫、新生儿窒息的发生率明显高于对照组(P<0.05);脐带绕颈1周观察组与对照组比较剖宫产率差异无统计学意(P>0.05);脐带绕颈2～3周观察组与对照组比较其剖宫产率明显升高(P<0.05)。结论:脐带绕颈1周者,可鼓励孕妇自然分娩,必要时行剖宫产。脐带绕颈2～3周者,建议孕妇剖宫产分娩。
OBJECTIVE: To select the appropriate childbirth fraction through the incidence of fetal distress and neonatal asphyxia during umbilical cord production around the collar. Methods: 942 cases of clinical analysis of our hospital fetal distress, the incidence of neonatal asphyxia, the number of cord around the neck and fetal distress, the incidence of neonatal asphyxia and the mode of delivery of pregnant women. Results: The incidence of fetal distress and neonatal asphyxia in the observation group was significantly higher than that in the control group (P <0.05). There was no significant difference in cesarean section rate between the observation group and the control group in the cord around the neck for 1 week (P> 0.05). The umbilical cord around the neck 2 to 3 weeks observation group compared with the control group, the cesarean section rate was significantly increased (P <0.05). Conclusion: The umbilical cord around the neck for 1 week may encourage pregnant women to give birth spontaneously and, if necessary, cesarean section. Umbilical cord around the neck 2 to 3 weeks, it is recommended cesarean delivery of pregnant women.