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本文总结我科12年中臀位分娩423例,分娩过程发生新生儿产伤占1.42%,围产儿死亡占4.23%。两者发生率最高者为臀牵引组,剖宫产组无产伤及围产儿死亡,臀助产组胎儿娩出过程死亡4例,均系儿手上举及儿头嵌顿。指出降低臀位分娩期新生儿创伤率及围产儿死亡率,关键是接产过程要严格遵守操作常规,对于妊娠期不能纠正的臀位,要尽早估计头盆关系以决定分娩方式,严防盲目试产。
This article summarizes 423 cases of breech delivery in our department in 12 years. The incidence of neonatal births was 1.42% in delivery and 4.23% of perinatal deaths. The highest incidence of both the hip traction group, cesarean section group without injury and perinatal death, hip cesarean delivery group 4 cases of fetal delivery process, are the Department of hand-held children and incarcerated. Pointed out that the reduction of breech delivery during neonatal trauma and perinatal mortality rate, the key is the process of taking birth to strictly abide by routine practice, for uncorrectable gestational breech, early assessment of the relationship between the first basin to determine the mode of delivery, to prevent blind test Production.