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目的探讨巨大儿的分娩方式与妊娠结局的关系。方法对319例巨大儿分娩情况进行回顾性分析,并随机选择同期住院分娩的490例正常新生儿作为对照组进行比较。结果巨大儿组剖宫产率、胎儿宫内窘迫、新生儿窒息、异常分娩、产后出血、妊娠期糖尿病明显高于对照组,两组比较有统计学意义(P<0.05)。结论巨大儿具有较高的母婴并发症,应探索并使用正确的产前预测巨大儿方法,产时给与充分重视,适时正确处理,适当放宽剖宫产指征,降低母婴并发症。
Objective To investigate the relationship between maternal macrosomia modes of delivery and pregnancy outcomes. Methods 319 cases of giant childbirth were retrospectively analyzed and randomly selected 490 normal newborns hospitalized during the same period as a control group for comparison. Results The incidence of cesarean section, fetal distress, neonatal asphyxia, abnormal delivery, postpartum hemorrhage and gestational diabetes mellitus were significantly higher in the macrosomia group than those in the control group (P <0.05). Conclusion Giant children with high maternal and child complications should be explored and use the correct method of prenatal diagnosis of giant children, give full attention to the time of delivery, timely and proper treatment, appropriate relaxation of cesarean indications and reduce maternal and child complications.