274例巨大儿临床分析

Clinical Analysis of 274 Cases of Fetal Macrosomia

目的探讨预测巨大儿的相关因素及分娩方式选择,降低母婴并发症。方法回顾分析2010年1—12月在该院分娩的巨大儿274例作为观察组,并随机选取同期分娩的274例正常体重儿作为对照组。结果观察组孕妇在孕周、孕产次、产前体重指数、剖宫产率等明显大于对照组,两组分娩并发症亦有显著差异。结论做好巨大儿的预防,选择合适的分娩方式,有助于减少巨大儿的发生,降低母婴并发症。

Objective To investigate the factors predicting fetal macrosomia and the choice of delivery mode so as to reduce the incidence of complications of mothers and infants. Methods 274 cases of fetal macrosomia delivered in our hospital from January,2010 to December, 2010 were selected as the observation group. And 274 cases of normal weight infants delivered during the same period were randomly selected as the control group. Results The gestational age of the observation group was much longer than that of the control group; times of gravidity and parity were much more than those of the control group; prenatal body mass index and the rate of cesarean section were significantly higher than those of the control group. And there was obvious statistically significant difference in the incidence of complications of childbirth between the groups. Conclusion Good prevention of fetal macrosomia and appropriate choice of mode of delivery can reduce the incidences of fetal macrosomia and the complications of mothers and infants.