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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 :对于 10 4例巨大儿进行回顾性分析。结果 :巨大儿发生率 4 9% (10 4:2 132 ) ,呈逐年上升趋势 ,95年、96年、97年、98年分别为 3 2 %、2 5 %、6 5 %、6 7%。本文巨大儿组手术产 ,产后出血 ,新生儿窒息发生率分别为 71 2 %、7 6 %、6 7% ,明显高于单胎非巨大儿组 (P <0 .0 1) ,直接影响母儿预后。结论 :巨大儿的发生与母儿体重、孕周有关 ,更主要的是孕期营养吸收与消耗在妊娠基础上的失衡所致。因此定期的产前检查 ,指导孕妇科学膳食 ,合理营养 ,适量活动 ,适时分娩是预防巨大儿发生的有效措施。提高巨大儿的产前诊断率 ,选择适宜的分娩方式 ,适当放宽剖宫产指征 ,是减少分娩并发症 ,保证母儿安全的重要环节。
Objective: To investigate the relationship between maternal macrosomia modes of delivery and pregnancy outcomes. Methods: A retrospective analysis of 104 cases of huge children. Results: The incidence of macrosomia was 49% (104: 2 132), showing an upward trend year by year. The rates of macrosomia were 32%, 25%, 65% and 67% at 95, 96, 97 and 98 years, respectively . This huge group of children surgery, postpartum hemorrhage, the incidence of neonatal asphyxia were 71.2%, 76%, 67%, significantly higher than single non-hypertensive children group (P <0.01), the direct impact on the mother Prognosis. Conclusion: The incidence of giant children and maternal weight, gestational age, but more important is the imbalance between the absorption and consumption during pregnancy on the basis of pregnancy. Therefore, regular prenatal care to guide pregnant women, scientific diet, reasonable nutrition, appropriate activities, timely delivery is an effective measure to prevent the occurrence of giant children. To improve the prenatal diagnosis of huge children, select the appropriate mode of delivery, appropriate relaxation of cesarean indications, is to reduce the complications of delivery, to ensure the safety of the important part of mother and child.