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目的探讨巨大儿对分娩方式、产时并发症与围生儿结局的影响。方法选取2011年1月—2015年12月在我院分娩的巨大儿50例作为观察组,同时选取50例正常体质量的新生儿作为对照组,对比分析2组产妇的分娩方式、产时并发症以及对围生儿结局的影响。结果观察组的剖宫产率以及阴道助产率均高于对照组(P<0.05),观察组的自然分娩率显著低于对照组(P<0.05);观察组产妇肩难产、产后出血、新生儿窒息以及新生儿产伤发生率均大于对照组(P<0.05),2组产妇的羊水过多状况对比无显著差异(P>0.05)。观察组巨大儿中,有1例出现颅内出血死亡,1例出现肱骨骨折。结论巨大儿是母婴发生并发症的重要因素,也是剖宫产率升高的主要影响因素之一。产前进行积极的预测并选择适当的分娩方式,能够减少剖宫产率,降低母婴并发症的发生率,提高优生水平。
Objective To investigate the effects of giant children on the mode of delivery, maternity complications and perinatal outcome. Methods From January 2011 to December 2015, 50 giant children delivered in our hospital were selected as the observation group. Fifty normal newborns of normal weight were selected as the control group. The mode of delivery, Symptoms and effects on perinatal outcome. Results The cesarean section rate and vaginal delivery rate in the observation group were significantly higher than those in the control group (P <0.05). The spontaneous delivery rate in the observation group was significantly lower than that in the control group (P <0.05) Neonatal asphyxia and neonatal birth injury incidence were greater than the control group (P <0.05), the two groups of maternal polyhydramnios relative no significant difference (P> 0.05). In the observation group, there was 1 case of intracranial hemorrhage and 1 case of humerus fractures. Conclusion Giant children is an important factor in maternal and infant complications, but also one of the main factors affecting cesarean section rate. Prenatal positive predictions and the choice of mode of delivery can reduce the rate of cesarean section, reduce the incidence of maternal and child complications and improve the level of eugenics.