420 cases of umbilical cord abnormalities on the i -

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420 cases of umbilical cord abnormalities on the impact of perinatal

Family planning services Yinchuan 750004 Su Xiang Ning Xia Helan County People's Hospital of Love 750004 Shen Yan-Chun [Article ID] 1562-9031 (2002) 24-0046-01 umbilical cord is the fetal and maternal nutrition and metabolism for the exchange channel, a variety of clinical umbilical cord blood flow can be caused by abnormal delay caused by fetal distress or perinatal death. This retrospective analysis of 5 years in our hospital 420 cases of abnormal umbilical cord, to investigate the effects of perinatal. 1.1 1 The incidence of clinical data in January 1997 in December 2001, the total number of 3750 cases of hospital deliveries, the occurrence of 420 cases of abnormal umbilical cord, the occurrence rate of 11.2%. The group of gestational age 28-44 weeks, 37-42 Zhou Fasheng the highest rate of pregnancy. 350 cases of primipara, 70 cases by mothers, except in 4 cases of twin pregnancy, the rest were singleton pregnancies. Birth weight 1600-4500g. 1.2 abnormal cord factor in Table 1. Table 1 Factors of umbilical cord around neck in this group up to 4 weeks, the umbilical cord length 100cm. Umbilical cord is too short by the shortest 25cm. Some umbilical cord around the neck or too long with true knot with prolapse. 8 patients with premature rupture of umbilical cord prolapse, in the cervix> ~ 3cm or anus during vaginal examination to check, before the fetal umbilical cord or umbilical cord pulsation hit vaginal prolapse; 2 cases to the artificial cervix all break membrane, umbilical cord prolapse of the vagina. 10 cases of umbilical cord prolapse occurred in the first place in 5 cases, 4 cases of breech presentation, transverse position in 1 case. Table 286 cases of neonatal asphyxia and prognosis of 1.3 abnormal cord birth process can cause different levels of labor extended or prolonged labor. Tendency to extend the first stage occurred 62 cases, 23 cases of prolonged second stage of labor, are associated with secondary uterine inertia, abnormal fetal position. Factors of various abnormal fetal umbilical blood flow blocked, resulting in fetal hypoxia caused by the amniotic fluid turbidity, the occurrence of II or III. Turbidity of 162 cases. 121 cases of fetal monitor showed abnormal graph, which variable deceleration in 8 cases. B-picture display on the cord around the neck of fetal umbilical cord compression U-neck track. 1.4 Influence of perinatal factors in 420 cases of umbilical cord,[link widoczny dla zalogowanych], 86 patients had neonatal asphyxia, Table 2.420 cases, the apnea number (except for 10 cases of fetal death) was 76 cases; no umbilical cord factor in 3330 cases of birth, asphyxia the number of 160 cases, the difference between them was significant (P <0.01), illustrate the threat to the newborn umbilical cord are greater factors. The group of l4 cases of perinatal death, including still births l0 cases, 3 cases of stillbirth, neonatal death l cases. 2 to discuss the vast majority of umbilical cord abnormalities, and perinatal adverse outcomes are due to occur, directly or indirectly caused by umbilical cord compression or stretch tight due to the obstruction of blood flow. Appropriate length of the umbilical cord, can the normal delivery; such as the umbilical cord is too long, too short, winding, can cause prolonged labor, the first dew fall block, causing fetal distress and neonatal asphyxia. Umbilical cord abnormalities in a variety of factors, umbilical cord prolapse is a serious complication of childbirth, there are ... given the viability of the fetus, cesarean section is the most security measures, especially when the cervix part of the expansion, such as timely as cesarean section is most of the fetus can survive. All of the cervix or near full, fetal those already under the ischial spine can be used tire suction, forceps delivery or hip traction, due to umbilical cord compression in a short time, fetal survival rate. This article first 14 cases of umbilical cord prolapse, or exposed in different degrees, although slow fetal heart rate changes, but there is still urgent cesarean section in 8 cases, 4 cases of vaginal delivery technique, all the live births. This paper argues that: standing on the edge of postpartum fetal head or feet first exposed the high float were prone to premature rupture of membranes when the umbilical cord prolapse, should be vigilant; of polyhydramnios underwent artificial rupture of membranes, in order to prevent a large number of amniotic fluid flow out of the umbilical cord high rupture of membranes should be taken to the tip, after rupture of pregnant women with high supine hip and immediately listen to fetal heart tones, in order to detect fetal heart rate changes induced by umbilical cord compression. Enhance self-care in late pregnancy, pregnant 36 weeks pregnant fetal movement can be self-taught its count, if found abnormal fetal movement, that is to the hospital examination, early diagnosis of fetal distress. In this paper 10 cases fetal death, were the week before admission decreased fetal movement consciously, because no timely treatment, and then disappear until the fetal movement during treatment, have been on intrauterine fetal death. That fetal movement earlier than the fetal heart rate can indicate the possibility of fetal hypoxia, fetal movement counting method is simple, without any equipment, and to reduce mortality heir births have some help.

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