Intrapartum fetal heart rate monitoring waveform analysis of 200 cases of fetal umbilical cord around neck.docVIP

 PAGE \* MERGEFORMAT 8 Intrapartum fetal heart rate monitoring waveform analysis of 200 cases of fetal umbilical cord around neck [Abstract] Objective To investigate the B-Tip fetal cord around the neck when the fetal heart rate monitoring of pregnant women there are different waveforms and the influence of perinatal children. Methods A retrospective analysis of our hospital in September 2005 -2006 in September in the prenatal B- diagnosis of 200 cases of pregnant women for the cord around the neck, outside monitoring method used to enter the incubation period of continuous fetal heart rate monitoring. Results 21 cases of normal wave, accounting for 10.5% (21/200, mild change in deceleration (VD140 cases, accounting for 70% (140 / 200, bad wave [re VD, VD combined light late decelerations (LD] 39 cases, accounting for 19.5% (39/200. in the delivery of 179 cases, 1min Apgar scoregt; 7 points 166 cases, 7 points in 13 cases, of which , mild VD rate of 1.4% of neonatal asphyxia (2 / 140, adverse waveform asphyxia 28.2% (11/39, the difference was statistically significant (2 = 32.4, P lt;0.005, cesarean section rate of 10.7% with mild VD (15 / 140, adverse waveform cesarean section rate 87.2% (34/39, the difference was statistically significant (2 = 90.8, P lt;0.005, mild VD occurred in the active phase and the second stage of 14.3% (20/140, poor waveform active period and the second stage of labor was 92.3% (36/39, the difference was statistically significant (2 = 86.3, P lt;0.005. Conclusion VD in the cord around the neck of the most common occurrence of mild asphyxia low VD, and bad new wave high rate of child choking, poor waveform with mild VD prone to fetal distress. [Keywords:] fetal heart rate monitoring; cord around the neck; change gear; negative wave In recent years, B-in the wide spread of prenatal care, prenatal diagnosis of cord around the neck more, intrapartum fetal heart rate monitoring is an important and commonly used in perinatal monit