胎心监护异常的相关因素及处理

目的：探讨胎心监护异常的相关因素及处理。方法回顾分析2007年1月-2008年12月2062例骨盆正常孕妇的异常产程监护及其相关因素，分娩方式，羊水胎粪污染及Apgar氏评分的比较。结果第一产程胎心监护异常以高危妊娠多见，胎心监护异常发生率为64．9％，而第二产程中脐带异常则上升为胎心监护异常的主要原因，胎心监护异常发生率为36．1％。高危妊娠导致新生儿窒息发生率为57．9％，明显高于脐带异常导致的新生儿窒息率12．8％（P〈0．01）。结论产程中胎心监护十分必要，对提高围生期质量有重大意义。

Related factor and management of abnormal fetal heart rate monitoring

Objective To study Related factor and management of abnormal fetal heart rate monitoring.Methods A retrospective analysis in January 2007-2008 year in December 2 062 cases of normal pregnant women pelvis abnormal birth process monitoring and its related factors,mode of delivery,meconium stained amniotic fluid and Apgar’s score comparison was processed.Results The first stage of labor to high-risk pregnancy,abnormal fetal heart rate monitoring multiple pieces of abnormal fetal heart rate monitoring was 64.9%,while the second stage of labor in the umbilical cord abnormalities rose to the main reason for abnormal fetal heart rate monitoring,the incidence of abnormal fetal heart rate monitoring was 36.1 %,high-risk pregnancy group of neonatal asphyxia occurred in 57.7%,significantly higher than the 12.8% abnormal cord rent.Conclusion Fetal heart rate monitoring during labor is necessary to improve the quality of perinatal significance.