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目的探讨胎儿宫内窘迫的相关因素。方法回顾2004-01-2008-12河北省承德县妇幼保健院分娩的2300名孕产妇中,140例发生胎儿宫内窘迫的相关临床资料。结果胎儿宫内窘迫发生率占6.09%,在140例胎儿宫内窘迫中,导致新生儿窒息36例,死亡4例。其中脐带因素、羊水因素、胎盘因素、产程异常、胎位异常、药物(麻醉剂、镇静剂、缩宫素等)因素等导致胎儿宫内窘迫占主要因素。结论做好孕期和产程监护,及时发现并积极处理胎儿宫内窘迫,避免新生儿窒息和死亡的发生。
Objective To investigate the related factors of fetal distress. Methods The clinical data of 140 fetuses with fetal distress in 2300 pregnant women who were delivered at Maternal and Child Health Hospital of Chengde County, Hebei Province during 2004-01-2008-12 were retrospectively reviewed. Results The incidence of fetal distress was 6.09%. Among 140 cases of fetal distress, 36 cases were neonatal asphyxia and 4 died. Umbilical cord factors, amniotic fluid factors, placental factors, labor process abnormalities, fetal position abnormalities, drugs (anesthetics, sedatives, oxytocin, etc.) factors lead to fetal distress accounted for the main factors. Conclusion Good pregnancy and labor care, timely detection and treatment of fetal distress, to avoid neonatal asphyxia and death.