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目的:探讨巨大胎儿对母婴的影响。方法:采用病例回顾分析的方法,选择2002年1月～2006年12月在本院分娩的正常足月单胎无妊娠并发症和合并症的分娩巨大胎儿的产妇,并以同期分娩正常体重新生儿的足月单胎产妇为对照进行分析。结果:剖宫产率观察组为54.02%,对照组为18.93%;阴道分娩产伤率观察组为7.50%,对照组为0.78%;产后出血量观察组为(237.65±125.03)ml,对照组为(198.36±109.06)ml。两组比较,以上各项均有极显著差异(P<0.01)。新生儿窒息率观察组为8.05%,对照组为1.48%,两组具有显著差异(P<0.05)。结论:巨大胎儿的分娩会威胁母婴的生命健康,故孕期应合理营养以降低巨大胎儿的发生率,以利于获得最佳妊娠结局。
Objective: To investigate the impact of huge fetus on mother and baby. Methods: A retrospective analysis of cases, select January 2002 to December 2006 in our hospital delivery of normal full-term unmarried pregnancy complications and complications of fetal delivery of fetal fetus, and the same period of birth normal weight regeneration Children’s full-term single mothers for the control analysis. Results: The rate of cesarean section was 54.02% in the observation group and 18.93% in the control group. The incidence rate of vaginal delivery was 7.50% in the observation group and 0.78% in the control group. The incidence of postpartum hemorrhage in observation group was (237.65 ± 125.03) ml, (198.36 ± 109.06) ml. There was significant difference between the two groups (P <0.01). Neonatal asphyxia rate was 8.05% in the observation group and 1.48% in the control group, with significant differences between the two groups (P <0.05). Conclusion: The delivery of a huge fetus will threaten the life and health of mothers and infants. Therefore, nutrition should be reasonable during pregnancy to reduce the incidence of huge fetuses so as to obtain the best pregnancy outcome.