目的　探讨巨大儿分娩方式对围产儿的影响。方法　对 2 2 4例巨大儿的分娩进行回顾性分析。结果　巨大儿发生率 12 .5 2 % ,其中剖宫产 14 4例 ,占 64 .2 3 % ;阴道分娩 80例 ,占 3 5 .72 %。剖宫产组新生儿轻度窒息 3 6例 ,占2 5 .0 0 % ,无重度窒息 ;阴道分娩组新生儿轻度窒息 3 4例 ,占 42 .5 0 % ,重度窒息 8例 ,占 10 .0 0 % ,臂丛神经损伤 1例。结论　在分娩过程中若潜伏期或活跃早期出现产程异常 ,考虑为巨大儿者 ,应放宽剖宫产指征 ,降低新生儿窒息及产伤率 ,保证围产儿安全及健康水平 Objective To investigate the effects of giant childbirth on perinatal children. Methods Retrospective analysis was performed on 224 deliveries of huge children. Results The incidence of macrosomia was 12.52%, of which 14 4 cases were cesarean, accounting for 64.23%. 80 cases were vaginal delivery, accounting for 35.72%. 36 cases of neonatal asphyxia in cesarean section group, accounting for 25.0%, no severe asphyxia; vaginal delivery group 34 cases of neonatal asphyxia, accounting for 42.50%, 8 cases of severe asphyxia, accounting for 10.0%, brachial plexus injury in 1 case. Conclusions During labor, if there is abnormal labor during the incubation period or active early stage, cesarean section should be relaxed to reduce the neonatal asphyxia and injury rate and to ensure the safety and health of perinatal children