目的:探讨巨大儿的高危因素及并发症,为母婴健康提供科学依据。方法:回顾性分析2012年4 378例新生儿分娩记录,计算巨大儿发生率及母婴并发症的发生率。结果:共出生巨大儿474例,巨大儿发生率10.8%,其中男性为13.2%,女性为7.8%。巨大儿剖宫产333例,剖宫产率70.3%。产妇产后出血56例,产后出血率11.8%。过期妊娠巨大儿18例,占过期妊娠新生儿的29.0%。结论:巨大儿的母婴并发症显著增高。采取加强孕期营养指导,定期监测血糖、血脂水平,减少过期妊娠等系列措施可降低巨大儿的发生。 Objective: To explore the risk factors and complications of giant children, providing scientific basis for maternal and infant health. Methods: A retrospective analysis of 4 378 cases of newborn births in 2012 was performed to calculate the incidence of mammography and the incidence of maternal and infant complications. Results: A total of 474 giant children were born, the incidence of macrosomia was 10.8%, of which 13.2% were males and 7.8% were females. 333 cases of giant cesarean section, cesarean section rate of 70.3%. 56 cases of postpartum hemorrhage, postpartum hemorrhage rate of 11.8%. Eighteen cases of obsolete pregnancy, accounting for 29.0% of the new-born pregnant women. Conclusion: The huge maternal and child complications were significantly higher. To take measures to strengthen nutrition guidance during pregnancy, regular monitoring of blood glucose, blood lipid levels, reduce the out-of-pregnancy pregnancy and other measures can reduce the incidence of huge children.