论文部分内容阅读
脐带绕颈、绕体、缠肢在无合并症分娩中占20～38%,其中以前者多见,占70～80%,是胎死宫内、死产的重要原因之一,也是第二产程中胎儿窘迫最常见的原因。有人统计脐带绕颈1周者占分娩总数的20.6%,2周占2.5%,3周占0.5%,甚至可绕颈8周、9周。某些病例有临床迹象,可引起产科医生的注意,但有时产前检查未见明显异常,而突然发生胎死宫内或临产时胎心消失,以后证实系脐带绕颈所致。若能早诊断,选择适当的分娩方式,可减少围产儿病率、死亡率。
Umbilical cord around the neck, around the body, unwound limb complications in childbirth accounted for 20 to 38%, of which the former is more common, accounting for 70 to 80%, is one of the important reasons for fetal death and stillbirth, but also the second The most common cause of fetal distress during labor. Some statistics of the umbilical cord around the neck 1 week accounted for 20.6% of the total number of deliveries, 2 weeks accounted for 2.5%, 3 weeks accounted for 0.5%, and even around the neck for 8 weeks, 9 weeks. In some cases there are clinical signs that can cause obstetrician’s attention, but sometimes no significant abnormalities in prenatal examination, and sudden loss of fetal heart during fetal or labor abortion, confirmed after the Department of the umbilical cord around the neck. If diagnosed early, choose the appropriate mode of delivery, can reduce perinatal morbidity and mortality.