摘要
目的:分析巨大胎儿的分娩方式与孕期监护管理,寻找准确诊断巨大儿的相关因素,降低母婴并发症。方法:回顾性分析240例巨大胎儿的临床资料,并抽取同期分娩正常体重儿240例足月孕妇作为对照组。结果:巨大胎儿的发生与孕妇超体重、妊娠合并糖尿病、遗传因素、孕妇饮食摄入过多而活动太少有关;巨大胎儿组较对照组易发生难产。分娩方式以剖宫产为主,剖宫产率(72.91%)高于对照组(32.08%)。结论:加强孕期监护可预防巨大胎儿的发生。孕妇体重、身高、分娩孕期及宫高、腹围、胎儿双顶径、股骨长径是产前诊断巨大胎儿的相关因素。选择正确的分娩时机与分娩方式可降低母婴并发症。
Objective：To investigate the way of fetal macrosomia delivery and the supervision, investigate the relevant factors for macrosomia diagnosis and to reduce the complications of mothers and infants. Methods：The clinical data of 240 macrosomia fetuses, and 240 pregnant women who delivered mature and natural fetus as the control group were reviewed and analyzed. Results：The occurrence of macrosomia fetus was related to the overweight of the pregnant women, accompanied diabetes, hereditary factors,excessive intake of food for the women and too little exercise. The dystocia occurred easier in the fetal macrosomia group than in the control group. The rate of Cesarean section delivery was 72.91% in the macrosomia group, higher than 32.08% in control group. Conclusions：The antenatal care is reinforced during the pregnancy to prevent occurrence of the fetal macrosomia. The maternal weight, height, the gestational weeks at delivery, maternal abdominal circle, biparietal diameter and femur length are predictive factors for diagnosis of macrosomia. The best timing of labor and the best delivery pattern can to reduce the complications of mothers and infants.
出处
《蚌埠医学院学报》
CAS
2007年第1期62-64,共3页
Journal of Bengbu Medical College
关键词
巨大胎儿
分娩
产前诊断
fetal macrosomia
delivery
prenatal diagnosis
