258例巨大胎儿分娩方式分析

THE FETAL LIE ANALYSIS OF 258 CASES OF MACROSOMIA

本文报告２５８例巨大胎儿足月分娩中，顺产８０例，阴道助产９０例。部宫产８６例。阴道分娩１７０例中产后出血１４例。会阴Ⅲ°裂伤１例，肩性难产８例．滞产２例，死产３例。通过２５８例巨大儿分娩方式的回顾性分析。如果产前能较正确地估计胎儿体重及选择恰当的分娩方式就可以减少母婴损伤，提高产科质量。

cases of term birth of macrosomia were reported. Among them there are 80 cases of normal labor,90 cases of vagina midway,and 86 cases of hysterotokotomy.In the 170 cases of vaginal delivery, there are 14 cases of postpartum hemorrhage,1 case of third degree laceration of perineum,8 cases of shoulder presenting difficult labor, 2 cases of prolonged labor ,3 cases of still bitrh. From these results we may conclude:if the weighe of fetus could be estimated correctly and a better fetal lie has been chosen.The damage to both pregnant woman and fetus will be reduced and the quality will be improved.