脐带绕颈阴道试产对围生儿结局的影响

目的: 探讨脐带绕颈阴道试产对分娩方式及围生儿结局的影响。方法: 回顾性分析2003年1月~2004年1月76例脐带绕颈阴道试产病例(观察组)与111例无脐带绕颈阴道试产病例(对照组)临床资料。结果: 脐带绕颈阴道分娩其胎儿宫内窘迫发生率与对照组差异无显著性(P>0.05),但在观察组中,脐带绕颈2周以上的胎儿宫内窘迫发生率高于绕颈1周者(P<0.05);观察组新生儿窒息率及难产率与对照组比较差异无显著性(P>0.05)。结论: 对脐带绕颈产妇可在加强产时监护的情况下予阴道试产,以降低脐带绕颈产妇的剖宫产率,并改善围生儿结局。

Influence of trial vaginal delivery of cord around neck foetus on the outcome of perinatal infants

Objective:To observe the influence of trial vaginal delivery in women with cord around neck foetus on the outcome of perinatal infants.Methods:Sevety-six cases with cord around neck foetus undergoing trial vaginal delivery and 111 cases controls were analyzed retrospectively.Results:The incidence of fetal distress in cases with cord around neck foetus in vaginal delivery was no significant difference compared with the control group(P<0.05),wheareas the incidence of fetal distress in foetus with cord around neck for 2 week was significantly higher than that in case with cord around neck for 1 week.The incidence of asphyxia and difficult labor in the two groups had no significant difference(P>0.05).Conclusions:The parturient with cord around neck feotus should be given trial vaginal delivery.Close monitoring in delivery and timely and effective treatment may reduce the incidence of cesarean section and improve the outcome of perinatal infants.