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            <div class="desc">我发布了一篇文章</div>
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守护她健康︳脐带绕颈不惊慌，围产大咖来帮你

<div class="creator-platform-content"><p> 随着产科B超诊断水平的提高，产前胎儿颈部见脐带的征象在临床上较常见，这无疑会增加孕妇的担心和焦虑。其实，脐带绕颈是脐带异常最常见的一种表现。据统计，胎儿在孕妈咪肚子里成长的过程中，发生脐带绕颈的概率接近25%，而发生脐带绕颈一周的现象可高达80%。</p><p> 那么，发现了脐带绕颈怎么办呢？孕妈咪不着急，我们一起来讨论一下吧。</p><p><strong> 一、脐带究竟为何物？</strong></p><p> 脐带是将胎儿与胎盘连接起来的一条“细带”。外观呈白色，粗约2-2.5厘米，其长度随着孕的增加而延长，到孕七个月的基本维持在50-60厘米。它的外衣是羊膜，内含三条血管，一条静脉和两条动脉。血管周围充满着胶质，称为华通氏胶。它是母体给胎儿输送营养物质的唯一通道，也喻为胎儿生命线，当宝宝出生后便完成使命。</p><p> <strong>二、什么是脐带异常</strong></p><p> 脐带在怀孕初期只有几个毫米长，至怀孕晚期可生长到30-50cm。一般来说是50-70 cm。，当脐带长度小于30 cm为脐带过短，会影响胎儿的活动度和胎头的下降和入盆。如果脐带大于等于70 cm为脐带过长，易发生缠绕，多见的是脐带绕颈，其次是躯干和肢体，是最常见的脐带异常。其他还有脐带扭转、过细、打结、部分脐血管的缺如等。当脐带发生缠绕过紧或过度扭转时，会影响母儿的血液循环，易发生胎儿宫内缺氧，许多准妈咪对胎儿脐带绕颈忧心忡忡，其实不用过度担心，在医学高度发达的今天。医生会用其他检测手段，间接判断脐带的情况，确保母子平安。</p><p> <strong>三、脐带异常巧对付</strong></p><p> 数胎动是孕妈咪了解宝宝宫内安危的最简单易行的方法。需要孕妈咪每天早中、晚。都要数三次，每次一小时，宝宝12小时胎动次数可以用公式来计算。早中晚三次宝宝胎动次数之和乘以四，便是12小时的胎动次数了。正常情况下胎动不少于每小时三次，若12小时胎动小于30时则为异常，或者孕妈咪感到胎动特别激烈，则需要及时咨询专业人士或去医院就诊，进进及时检查和观察。</p><p> <strong>四、脐带绕颈一定要剖宫产吗？</strong></p><p> 答案：No。</p><p> 在分娩过程中。如果脐带绕颈不紧，脐带有足够的长度，可以自然分娩不需要剖宫产。随着医学科技的发展，大部分脐带异常在胎儿娩出前有可能做出诊断。在预产期临近时，如果出现胎头持续不入盆，或孕期检查发现胎位异常，发生头位和臀位转换，就要警惕脐带过短。脐带过长、脐带缠绕。</p><p> 如果出现脐带绕颈，可结合B超检查、胎心监护的图像来监测。当镇痛开始，可通过观察宫缩后胎心率的变化特点，综合分析脐带缠绕的程度及对胎儿的影响。一般脐带绕颈不是必须剖宫产的。只有绕颈圈数多且紧，脐带相对过短，胎头不下降、胎心有明显的异常时，才考考虑需要手术。</p><p> 一旦孕妇阵痛脐带受压，出现胎儿缺氧等情况，也会借助医学手段促使分娩迅速结束。最大限度保障母婴安全。</p><p> <strong>脐带绕颈最有效的监护策略</strong></p><p>一、&nbsp;做好产前检查，尤其是高危妊娠的孕妇，合并有羊水过多或过少，胎位不正的孕妈咪。</p><p>二、&nbsp;自我胎动监护（再重申），当出现胎动异常必须及时就诊。</p><p> 三、&nbsp;自我胎心监护，使用胎心仪在家听胎心，每天3次。正常胎心率范围为110-160次/分。如有异常及时就诊。</p><p> 四、&nbsp;远程胎心监护，利用互联网技术，居家实施胎心监护，可第一时间发现异常，及时去医院就诊。</p></div>