宫内发育迟缓儿的分娩方式与围产儿转归

对１５７例足月体重≤２５００ｇ宫内发育迟缓儿的分娩方式与围产儿Ｌ转归进行了临床分析。结果表明，新生儿出生体重愈低，围产儿死亡率、新生儿窒息率和新生儿并发症的发生率愈高。剖宫产组围产儿死亡率不仅没有下降，反而增加了新生儿窒息率和并发症的发生率。胎吸和产钳助娩组新生儿并发症的发生率明显升高。臀位助娩和臀位牵引的新生儿窒息率、并发症发生率及围产儿死亡率显著高于自然分娩组，故对宫内发育迟缓儿应加强围产保健和产时监护，尽量使其自然分娩；臀位儿以剖宫产为宜。

DELIVERY MODE OF GROWTH RETARDED INFANT AND RESULTS OF PERINATAL INFANT

A retrospective analysis of the delivery mode and the perinatal results of 157 cases in which infant;were full term intrauterine growth retardation(IUGR).Results:The lower the neonatal birth weight was,the higher the rate of neonatal asphyxia,morbidity and perinatal mortality were,Cesarean section could not decrease the perinatal mortality of IUGR infant,but increased the neonatal morbidity and asphyxia rate. The neonatal morbidity of obstetric forceps was significantly higher than natural delivery. The rates of the neonatal asphyxia,morbidity and perinatal mortality assisted breech delivery and breech extraction were significantly higher than those of natural delivery in normal vertex. Conclusion:We should pay much attention to perinatal care and monitoring fetus and make efforts to let it be delivered naturally in normal vertex,Cesarean section should be selected for breech presentation of IUGR infants.