David M, Ruhmland B
Geburtshilflich-gynäkologische Abteilung, Freie Universität Berlin, Universitätsklinikum Rudolf Virchow.
Zentralbl Gynakol. 1995;117(3):144-7.
The incidence of umbilical cord entanglements is about 30-35%. Their role for the fetal outcome and the obstetrical management (in case the entanglement has been detected antenatally) has been assessed differently. In this retrospective study we compared maternal and neonatal parameters of all monozygotic deliveries in 1990 with newborns with twisted fetal umbilical cord around the neck. No higher rate of forceps/VE, cesarean section or umbilical artery acidemia < 7.10 has been found. An exspectative obstetrical management with good fetal monitoring should be sufficient, because in most cases cord entanglements are harmless.
脐带缠绕的发生率约为30%-35%。对于胎儿结局和产科管理（如果产前检测到脐带缠绕），其作用的评估结果各异。在这项回顾性研究中，我们比较了1990年所有单卵分娩且新生儿有脐带绕颈的产妇和新生儿参数。未发现产钳助产/阴道检查、剖宫产或脐动脉血酸碱度<7.10的发生率更高。进行良好胎儿监测的期待性产科管理应该就足够了，因为在大多数情况下，脐带缠绕是无害的。
