International Journal of Clinical Research

Objective To analyze the application of fetal heart monitoring and blood gas analysis in monitoring perinatal infants with abnormal umbilical cord. Methods 80 full-term singleton pregnant women who received treatment in our hospital from March 2021 to May 2022 were analyzed. All pregnant women were given fetal heart monitoring during delivery and then divided into control group and experimental group, with 40 cases in each group. All fetuses underwent umbilical artery blood gas analysis after delivery. Neonatal asphyxia, fetal distress, cesarean section, acidosis and forceps were compared between the two groups. Results There was no significant difference in the ratio of amniotic fluid pollution Ⅰ° and Ⅱ° between the two groups, but the ratio of Ⅲ° in the experimental group was higher than that in the control group (P<0.05). There were no significant differences in cesarean section, forceps and death rates between 2 groups (P>0.05). There were no significant differences in VD, LD and VD+LD ratio of perinatal infants between the two groups (P>0.05). There were no significant differences in Apgar scores of 0-3, 4-7 and 8-10 between the two groups (P>0.05). PO2 and PCO2 of the experimental group were higher than those of the control group (P<0.05), pH and BE of the experimental group were lower than those of the control group (P<0.05), and acidosis was significantly higher than that of the control group (P<0.05). Conclusion For perinatal infants with abnormal umbilical cord, fetal heart monitoring combined with blood gas analysis can effectively detect fetal hypoxia and ischemia, and also reduce the rate of neonatal asphyxia and fetal distress. The clinical survival rate of fetal is relatively high, and the clinical use value is great.

Fetal heart monitoring; Blood gas analysis; Abnormal umbilical cord; Perinatal infant