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1977年至1991年15年间,我院分娩总数28420次,共发生显性脐带脱垂77例,发生率为0.27%,围产儿病死率为223.7‰.脐带脱垂的原因主要为胎位异常,以臀位足先露较多,其次为胎头高浮,脐带过长,低体重儿等.处理原则为:一旦发生脐带脱垂,应立即取臀高位,经阴道上推先露部,如不能立即分娩,确认胎儿尚存活者,即刻就地行剖宫产术,获活产儿成功率较高.对宫口已开全具备经阴道分娩条件者,立即阴道助产分娩比等待自然分娩围产儿结局要好.
Between 1977 and 1991 15 years, the total number of 28,420 childbirth in our hospital, a total of 77 cases of dominant umbilical cord prolapse occurred, the incidence was 0.27%, the perinatal mortality was 223.7 ‰. The main causes of umbilical cord prolapse fetal abnormalities to Breech foot first dew more, followed by the fetal head floating, umbilical cord is too long, low birth weight children, etc. The principle of treatment is: in the event of umbilical cord prolapse, hip height should be immediately taken to the Ministry of vaginal push the first exposed, if not Immediate delivery, confirm the survivors of the fetus, immediately cesarean section on-line, high success rate of live births. The cervix has been opened with all the conditions of vaginal delivery, vaginal delivery immediately than wait for natural childbirth perinatal The outcome is better.