181例新生儿窒息的产科因素分析

目的分析新生儿窒息的产科因素，并探讨其防治措施。方法对181例新生儿窒息的产科资料进行回顾性分析。结果脐带因素是新生儿窒息的首要原因；产程异常、高危妊娠、胎儿宫内窘迫是新生儿窒息的主要原因；自然分娩与剖宫产的新生儿窒息发生率无显著性差异，阴道助产的新生儿窒息发生率明显高于前两者（p〈0．05）。结论加强孕期保健及产时监护，积极治疗妊娠合并症和并发症，正确选择分娩方式，提高产科技术，可避免或减少新生儿窒息的发生。

ANALYSIS OF THE OBSTETRICAL FACTORS OF NEONATAL ASPHYXIA IN 181 CASES

Objective To investigate the obstetric factors,prognosis and treatment methods of asphyxia of the newborn.Methods Retrospectively analyze the obstetric materials of 181 cases newborn asphyxia.Results Umbilical cord factor are the chief one.Abnormal labor,high risk pregnancy,and fetal distress are the major factors.No significant difference between nature delivery and cesarean section.But newborn asphyxia rate was highly increased in vaginal assisted delivery,p<0.05.Conclusion It will avoid and reduce the newborn asphyxia rate to strengthen pregnancy health care and labor monitoring,correct the complications and improve the obstetric technique.