| Objective:Through retrospective analysis of the characteristics of the fetal heart rate deceleration pattern of the fetal heart rate monitoring pattern of the newborn with metabolic acidosis during delivery,it can provide reference for the clinician in dealing with the fetal heart rate deceleration pattern during delivery and minimize the occurrence of adverse delivery outcomes.Methods:From September 2009 to September 2019,299 cases of neonatal metabolic acidosis after parturition were collected.186 cases in group A,73 cases in group B and40 cases in group C were analyzed and compared.The correlation between the three indexes and metabolic acidosis was analyzed.Results:There was no significant difference between group A and group B?P=0.716?,and between group C and groups A and B?P<0.05?.The lowest fetal heart rate of group A,B and C after deceleration was?75.94±7.28?bpm,?72.81±7.43?bpm and?70.68±5.43?bpm,respectively.The differences among the three groups were statistically significant?P<0.05?.The duration of deceleration in group A,B and C was?29.33±1.21?min,?28.43±1.23?min,?27.51±1.33?min,respectively.There was no significant difference among the three groups?P1=0.788,P2=0.767,P3=0.777?.There was no significant difference among the three groups?P1=0.785,P2=0.791,P3=0.782?.Conclusions:In the case of no significant difference in the duration of deceleration and the proportion of deceleration to uterine contraction,the metabolic acidosis of newborn caused by variant deceleration combined with late deceleration is more serious than that caused by variant deceleration and late deceleration.At the same time,when the rate of mutation deceleration,late deceleration,mutation deceleration combined with late deceleration accounts for 35%of uterine contraction,it may cause serious neonatal metabolic acidosis,which should be paid great attention to by clinicians,and the delivery should be ended as soon as possible to avoid the occurrence of adverse delivery outcomes. |
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