Abstract: Objective: To observe the influence of trial vaginal delivery in women with cord around neck foetus on the outcome of perinatal infants.Methods: Sevety-six cases with cord around neck foetus undergoing trial vaginal delivery and 111 cases controls were analyzed retrospectively.Results: The incidence of fetal distress in cases with cord around neck foetus in vaginal delivery was no significant difference compared with the control group(P<0.05),wheareas the incidence of fetal distress in foetus with cord around neck for 2 week was significantly higher than that in case with cord around neck for 1 week.The incidence of asphyxia and difficult labor in the two groups had no significant difference(P>0.05).Conclusions: The parturient with cord around neck feotus should be given trial vaginal delivery.Close monitoring in delivery and timely and effective treatment may reduce the incidence of cesarean section and improve the outcome of perinatal infants.