Analysis of 82 cases of fetal distress.docVIP

 PAGE \* MERGEFORMAT 11 Analysis of 82 cases of fetal distress [Keywords:] discussion of fetal distress asphyxia Perinatal asphyxia is caused by one major cause of death, long-term effects on the newborn is more evident. Asphyxia and complications as a continuation of fetal distress, so the cause of fetal distress, early accurate diagnosis and timely and effective treatment is essential. In this paper, 82 cases of fetal distress diagnosis and treatment of the cause to make a retrospective analysis. 1 Clinical data and methods Our hospital in June 2006 -2008 delivery in June a total of 604 cases, 82 cases of fetal asphyxia, the occurrence rate of 13.5%. The 82 cases of neonatal asphyxia in 28 cases (34.14%), of which 23 cases with mild asphyxia and severe asphyxia 5 cases. 1 case of neonatal death, stillbirth, intrauterine asphyxia and severe in 1 case. The diagnosis of fetal distress that we often auscultation (fetal heart rate lt;120 beats / min or fetal heart rategt; 160 beats / min) for the diagnosis The main indicators of fetal distress. meconium-stained amniotic fluid head position - ) decreased fetal movement (lt;3 times / h) or disappear, B-monitoring fetal heart rate abnormalities or decreased amniotic fluid volume (lt;300ml) as the diagnosis standards. The criteria for neonatal asphyxia Apgar score 7, which is divided into the mild 4-7, 3 points severe asphyxia. 2 Results 2.1 The relevant factors causing fetal distress. A combination of factors in 24 cases, 18 cases of umbilical cord factors, pregnancy-induced hypertension in 8 cases, 6 cases of fetal abnormalities, premature rupture of membranes, prolonged second stage of labor and unknown in 5 cases each for active phase arrest, premature , great children, oligohydramnios, prolonged pregnancy in 2 cases, 1 case of intrauterine infection. The incidence of fetal distress and cord around neck, a combination of factors is more common, followed by pregnancy induced hy