电子胎心监护与剖宫产的关系

目的：探讨电子胎心监护与胎儿窘迫及剖宫产之间的关系。方法：分析３８例胎儿窘迫在第二产程或未进入第二产程但不得不终止分娩前的胎心率图形，分析其中剖宫产、产钳助产的指征与胎心率图形、羊水、新生儿评分等之间的关系。结果：５例顺产，１８例剖宫产中１０例因头位难产，只有２例是胎心图形的原因。１５例产钳分娩中８例头位难产，２例低新生儿评分者胎心图形均呈严重可变减速与晚期减速，分别因持枕后与持枕横以低位产钳分娩。无围产儿死亡。结论：常规使用电子胎心监护临床，能改善新生儿预后；在胎儿窘迫时是否剖宫产还是产程进展及羊水的性状有很密切的关系。

Outcome relationship of electronic fetal monitoring with cesarean section

Objective:To study the relationship between continuous intrapartum electronic fetal heart rate monitoring(EFM) with fetal distress and cesarean section.Methods:We reviewed 38 cases FHR patterns before birth who were obtained more complete information when they were in second stage or did not develop to second stage of labor but had to termination delivery. We investigated the relationship between the indication of cesarean section or forceps with FHR and amniotic fluid meconium stained and Apgar scores at 1 and 5 minutes.Results: In five cases had normal delivery. 18 cases had cesarean section,the indication were dystocia for ten cases and only two cases for abnormal FHR patterns. 15 patients had forceps delivery. The indication in eight cases were dystocia. Two newborns had lower Apgar score those patterns before delivery shown severe variable deceleration. No perinatal death.Conclusion:The clinical significant benefit from the use of routine EFM was the reduction of neonatal seizures.