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近10年来,尽管围产医学获得显著进展,但对于脐带脱垂的处理仍有争议,围产期死亡率为9～49%.脐带脱垂病例的关键是尽快娩出胎儿,如宫口已开全可经阴道分娩,但大多数病例要剖宫产.实际上,脐带脱垂到分娩的时间长短是胎儿存活的关键,故处理应分秒必争.为减低分娩期间对脐带的压迫曾采用如垂头仰卧位或膝胸卧位;经阴道用两个手指协助将胎儿先露部推出盆腔及生理盐水充盈膀胱等方法,但因子宫继续收缩迫使胎头抵压脐带,故仍不足.
In the past 10 years, despite the remarkable progress in perinatal medicine, the treatment of umbilical cord prolapse is still controversial with a perinatal mortality rate of 9-49%. The key to umbilical cord prolapse cases is to deliver the fetus as soon as possible, All vaginal delivery, but in most cases to caesarean section.In fact, the length of the umbilical cord prolapse to childbirth is the key to survival of the fetus, it should be dealt with every second.In order to reduce the pressure on the umbilical cord during childbirth had adopted such as down Supine or knee-chest position; vaginal with two fingers to help the fetus first exposed part of the pelvic cavity and saline filling the bladder and other methods, but the uterus continues to force the fetal head to press the umbilical cord contraction, it is still not enough.