215例巨大儿妊娠结局分析

Pregnancy outcomes of 215 cases of macrosomia

目的探讨巨大儿的相关孕期高危因素及妊娠结局。方法回顾性分析2011年1月至2012年12月在北京市丰台区妇幼保健院分娩的215例巨大儿(观察组)资料,并与同期分娩的215例非巨大儿(对照组)在产检次数、胎儿性别、分娩方式、新生儿窒息、产后出血等方面比较,并进行分析。结果观察组规范产检率(x^2=18.87,P<0.05)、胎儿性别(x^2=18.12,P<0.01)、剖宫产率(x^2=7.80,P<0.05)与对照组比较差异均有统计学意义。结论产前进行规范产检,产时及早适当干预,对改善妊娠母儿结局有着重要的临床意义。

Objective To investigate pregnancy risk factors and pregnancy outcomes of macrosomia. Methods A retrospective analysis was conducted on the data of 215 cases of macrosomia delivered during the period of January 2011 to December 2012 in Fengtai Maternal and Child Health Hospital （ observation group） , and they were compared with the data of 215 cases of non-macrosomia delivered during the same period （ control group ） in terms of obstetric examination, fetal gender, delivery mode, neonatal asphyxia, and postpartum hemorrhage. Results The differences in standarized prenatal examination rate（χ2 =18. 87, P〈0. 05）, fetal gender （χ2 =18. 12, P〈0. 01）, and rate of cesarean section （χ2 =7. 80, P 〈0. 05） were significant between two groups. Conclusion Prenatal standardized obstetric examination and early intervention at labor course have important clinical significance to improve maternal and fetal outcomes.