活跃期频繁变异减速与新生儿窒息及分娩方式的关系

The Correlation of Frequent Variable Deceleration during the Active Period with Neonatel Asphyxia and Delivery Mode

目的探讨在第一产程的活跃期胎心监护出现频繁变异减速与新生儿窒息及分娩方式的关系。方法将2012年5月至2013年3月在南昌市第一医院妇产科经阴道试产的600例产妇,根据胎心监护活跃期出现频繁变异减速与否分为2组,出现频繁变异减速者为观察组,未出现变异减速者为对照组,每组300例。对2组新生儿进行Apgar评分,并对2组产妇分娩方式及新生儿窒息情况进行比较。结果观察组新生儿窒息、剖宫产及阴道助产的发生率均明显高于对照组,阴道分娩低于对照组(均P<0.05)。结论在活跃期胎心监护出现频繁变异性减速须严密观察,及早发现胎儿缺氧情况,给予及时处理,可减少新生儿窒息的发生。

Objective To investigate the correlation between deceleration during the first stage of labor and neonatal asphyxia. rate monitoring results, 600 women who tried to deliver vaginall active period of frequently variable Methods According to fetal heart y in the first hospital of Nanchang between May 2012 and March 2013 were divided into two groups： active period of frequently variable deceleration group （observation group） and control group, with 300 women in each groups. Apgar score was used for the assessment of newborn infants. Delivery type and neonatal asphyxia were compared between the two groups. Results Compared with control group, the incidences of neonatal asphyxia, cesarean section and vaginal midwifery significantly increased but the incidence of vaginal delivery significantly decreased in observation group （P〈0.05）. Conclusion Active period of frequently variable deceleration must be closely observed for early detection and treatment of fetal hypoxia, which can reduce the incidence of neonatal asphyxia.