Objective: to diagnosis, fetal distress causes of morbidity, operation indications are discussed, in order to reduce the rate of neonatal asphyxia and perinatal mortality, fetal distress the indications for cesarean section and provide a reliable basis for.Methods: selected in our department from 2013 February -2014 year in October because of fetal distress for cesarean section in 165 cases, on the basis of electronic fetal monitoring and amniotic fluid state were divided into 3 groups, finaly wil see fetal distress and neonatal Apgar score compared with.Results: 3 groups of neonatal Apgar score ≤ 7, conforms to the diagnosis standard, the group Ⅰ in neonatal intrauterine distress occurrence rate is 6.39%, group I the intrauterine distress rate reached 27.28%, group Ⅲ in intrauterine distress rate was 5.68%, the incidence in group I was significantly higher than that in group Ⅰ, Ⅲ.Conclusion: in accompanied by abnormal fetal and amniotic fluid polution, incidence of fetal distress was obviously improved, shal timely termination of pregnancy. Only one kind of situation occurs, can be observed without other risk factors determine the maternal mode of delivery.