巨大儿产科处理合理性探讨

Discussion on the eationality of Macrosmia Obstetrics Treatment

目的探讨巨大儿产科处理的合理性。方法选取该院2011—2012年收治的180例巨大儿患者,对其在分娩方式、产前诊断、分娩结局等方面进行分析。结果不应该将巨大儿作为剖宫产的常规性指征,产前预测新生儿体重≥4 500 g以剖宫产为宜。结论对巨大儿孕妇患者根据其具体情况选择适宜的分娩方式,以此来减少对母婴的伤害,提高生命质量。

Objective To study the rationality of Obstetrical treatment of macrosomias. Methods 180 cases of puerperants giving birth to fetal macrosomias admitted in our hospital from 2011 to 2012 were selected; their modes of delivery, prenatal diagnoses and delivery outcomes were analyzed. Results Macrosomia should not be considered as a routine indication of cesarean section. Neonatal weight is greater than or equal to 4500 g is suitable for caesarean in prenatal prediction. Conclusion On the delivery mode of macrosomic pregnant patients, appropriate mode of delivery should be chosen according to the maternal personal condi- tions so as to reduce the materal and child injuries and improve their quality of life.