脐带绕颈经阴道分娩150例临床回顾分析

目的探讨胎儿脐带绕颈产妇的适宜分娩方式。方法选择单胎头位足月妊娠、胎儿脐带绕颈、具备阴道分娩条件的150例产妇为研究组进行回顾性分析,选同期胎儿脐带正常、其余条件相同的产妇150例为对照组,比较两组间胎儿窘迫、新生儿窒息及分娩方式的差异。结果研究组胎儿窘迫发生率明显高于对照组,差异有统计学意义（P〈0.05）;新生儿窒息、分娩方式两组差异无统计学意义（P〉0.05）。结论脐带绕颈在严密监护下可采用经阴道分娩方式,不增加剖宫产的概率;加强监护及适宜的产科处理,是降低新生儿窒息的有效措施。

Retrospective analysis of vaginal spontaneous labor with circulor of umbilical cord in 150 cases

Objective To study the fit delivery mode for vaginal spontaneous labor with umbilical cord around neck.Methods The data from 150 cases with single girth,cephalic presentation,umbilical cord around neck and having the condition to be vaginal spontaneous labor in study group was analyzed retrospectively.At the same time the other 150 cases were in control group with the normal umbilical cord and other same conditions.Results Fetal distress,neonatal asphyxia and delivery mode were compared between two groups.The incidence of fetal distress in study group was significantly higher than that in control group（P0.05）.The incidence of neonatal asphyxia and delivery mode were no significance difference between two groups（P0.05）.Conclusion The pregnant women with umbilical cord around neck could have the vaginal spontaneous labor under the careful monitoring which could not increase the incidence of cesarean section.Strengthening supervision and appropriate obstetric treatment did the effective measures to reduce the incidence of neonatal asphyxia.