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本文分析了四年(1919—1982)臀产407例与围产儿的关系。臀位发生率6％,臀位剖腹产率19.2％,臀位围产儿死亡率11.2％比同期头位围产儿死亡率3.32％高3.3倍。臀位分娩方式对围产儿死亡率有明显影响,阴道分娩死亡率11.24％远比剖腹产儿死亡率2.56％高4.4倍。新生儿窒息率阴道分娩的比剖腹产的窒息率明显增高(P<0.001)。产围儿死亡原因早产儿居首位,其次是脐带脱垂,因此对体重3500g以上胎儿适当放宽剖腹产指征可以进一步降低围产儿死亡率。为降低臀位发生率必须要建立保健网,这是重要的一环。
This article analyzes the four year (1919-1982) 408 cases of hip and perinatal relationship. Incidence of breech 6%, cesarean section 19.2%, breech perinatal mortality 11.2% over the same period the first perinatal mortality 3.32% 3.3 times higher. Breech delivery mode of perinatal mortality has a significant impact on the vaginal delivery mortality rate of 11.24% far more than 2.56% of caesarean section mortality 4.4 times higher. Neonatal asphyxia vaginal delivery was significantly higher than that of caesarean section (P <0.001). Causes of death due to births Survival of children in the first place, followed by umbilical cord prolapse, so appropriate weight loss of more than 3500g fetal cesarean indications can further reduce perinatal mortality. To reduce the incidence of breech must establish health care network, which is an important part.