巨大儿的产前预测及对母婴结局的影响

Prenatal Prediction of Macrosomia and its Influence on Pregnancy Outcome

目的观察分析巨大儿产期预测对母婴结果的影响。方法选取我院从2011年3月至2012年3月收治的巨大儿共120例。随机将患者分为预测组和非预测组。其中预测组患者共55例产妇,非预测组共65例产妇。结果预测组产妇的剖宫产率为41.8%,明显要低于未预测组的53.8%,两组对比有显著性差异(P<0.01)。另外,两组产妇在分娩过程中,预测组发生的并发症明显要少于未预测组,其中预测组发生胎儿宫内窘迫、肩难产、产后出血以及产后尿潴留等均明显要少于未预测组产妇,两组对比有显著性差异(P<0.01)。结论产期预测能有效减少剖宫产率,防止分娩过程中母婴发生各种的并发症,减少非产妇以及胎儿的影响。

Objective Observation and analysis of effects on mother and infant macrosomia perinatal prediction results. Methods In our hospital from 2011 March to 2012 March macrosomia were a total of 120 cases. The patients were randomly divided into forecasting group and non predict group. The group of patients with a total of 55 cases of maternal prediction, not predict group 65 cases of puerpera. Results The prediction of groups of maternal cesarean section rate was 41.8%, significantly lower than the no prediction group 53.8%, there was significant difference between the two groups （P〈0.01）. In addition, two groups of mothers during childbirth, predicting the complications obviously less than group without prediction, the prediction group, fetal distress, shoulder dystoeia, postpartum hemorrhage and postpartum urine retention were significantly less than did not predict groups, compared the two groups had significant difference （P〈0.01）. Conclusion Pprenatal prediction can effectively reduce the rate of cesarean section, to prevent mother to child during childbirth the occurrence of various complications, reduce maternal and fetal effects.