Cord around the neck of the mode of delivery and perinatal prognosis.docVIP

 PAGE \* MERGEFORMAT 5 Cord around the neck of the mode of delivery and perinatal prognosis [Keywords:] Umbilical Cord Around Neck Cord around the neck can cause fetal distress, improper handling can cause asphyxia and even death. Recent years, many patients and medical staff found that cord around the neck, choose a cesarean section before labor, the cesarean section rate significantly increase. This study demonstrates: umbilical cord around neck in electronic fetal monitoring of pregnant women under the vaginal trial production, abnormal, in time, can control the cesarean section rate, but also prevention of neonatal asphyxia. 1 Clinical data 1.1 General Information January 2005 ~ September 2007 deliveries at our hospital from 3750 cases of prenatal ultrasound examination of pregnant women were divided into two groups: with and without cord around the neck cord around neck group. Two groups of pregnant women for caesarean section rate, neonatal asphyxia were compared. 1.2 method [1] (1 labor after cesarean section and neonatal rescue ready to do. (2 groups of pregnant women in the cervix before a large 3cm hear fetal heart rate 30 min 1, after opening a large 3 cm continuous electronic fetal monitoring and have a hand observation. (3 Exception graphics types: ① mild variable deceleration: the duration of fetal heart rate decreased less than 60 s, amplitude decreased level of not less than 60 bpm. ② severe variable deceleration: continuous fetal heart rate decreased longer than 60 s, amplitudes lower than 60 bpm. ③ late deceleration: the starting point of fetal heart rate curve rises behind the starting point of contraction, peak contraction at the beginning of many in the fetal heart rate deceleration trough behind the house shrinkage curve at about the time difference 30 ~ 60 s, decreased the amplitude of different sizes, restored to original levels required a longer time. ④ severe bradycardia: fetal heart rate at 100 bpm below lasts more than