巨大儿分娩方式临床分析

Clinical Analysis of Mode of Delivery of Fetal Macrosomia

目的 探讨巨大儿经阴分娩的可能性,在保证母婴安全的前提下降低剖宫产率。方法 对我院1998～1999年两年间878例巨大儿的分娩方式进行回顾性分析。结果 经阴试产者533例,446例经阴分娩,成功率83.68％。产程中难产因素如肩难产、第二产程延长、持续性枕后位等增加,未增加母婴并发症。结论 对于产道、胎方位等正常,且初产妇估计胎儿体重<4250g,经产妇估计胎儿体重<4500g者,可以选择经阴分娩。

Objective To discuss the probability of viginal delivery of fetal macrosomia,not only to insure the safety of mothers and babies,but also to decrease the rate of caesarean section. Methods The modes of delivery in 878 fetal macrosomia in our hospital during 1998 to 1999 were retrospectively analysed. Results 533 cases tried the liginal delivery,446 cases succeeded. The proportion was 83. 68%. The abnormalities increased such as shoulder dystolia,the second stahe of labor prolonged, persistent occipito-posterior position and so on. But the complications of mothers and babies had not increased. Conclusion Except for the abnormal delivery path and fatal position,to primipara with fetats no more than 4500g weight. Viginal delivery may be considered.