132例新生儿窒息的产科原因分析

目的探讨新生儿窒息的产科原因,提出有效的预防措施.方法对132例新生儿窒息进行回顾性分析.结果新生儿窒息的产科原因中脐带因素、胎位及产程异常为主要原因,分别占35.16%和32.58%;分娩方式中以阴道助产发生率最高,达59.85%,78例为胎儿宫内窘迫的延续.结论做好产前保健,定期产前检查,发现高危妊娠及时处理;避免早产,及早发现胎儿宫内窘迫并进行恰当处理;合理掌握手术适应证,提高产科质量,降低新生儿窒息的发生率.

Analysis of obstetric causes of asphyxia neonatorum in 132 cases

Objective] To investigate the obstetric causes of asphyxia neonatorum, and raise effective precautionary measures. Methods] Asphyxia neonatorum in 132 cases was reviewed. Results] Umbilical stalk, fetal position and birth process dysfunction were the main obstetric causes of asphyxia neonatorum, by 35.16% and 32.58% respectively; Vagina dilivery was the highest styles in accouchement, by 59.85%, and 78 cases was the lasting of fetal distiess in uterus. Conclusions] Make good antenatal care, regular antenatal examination, to discover high risk pregnancy and treat it promptly. Avoid premature birth, early discover fetal distress in uterus and treat it appropriately. Grasp the operation indicatio reasonablely, raise obstetrics quahty, cut down incidence rate of asphyxia neonatorum.