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目的:探讨巨大儿的产前诊断及分娩处理方法,以减少母婴并发症。方法:对2010年1月—2013年12月间在我院分娩的354例巨大儿的临床资料及产妇分娩方式进行分析。结果:巨大儿的发生与孕妇超体重、妊娠期间糖尿病、遗传因素、孕妇饮食摄入过多而活动太少有关。354例巨大儿中顺产占37.29%,剖宫产占59.89%,产钳助产占2.82%。结论:加强孕期监护可预防巨大胎儿的发生,孕妇体重、身高、分娩孕期及宫高、腹围、胎儿双顶径、股骨长径是产前诊断巨大胎儿的相关因素,选择正确的分娩时机与分娩方式,可降低母婴并发症。
Objective: To investigate the prenatal diagnosis and delivery treatment of giant children in order to reduce the maternal and infant complications. Methods: The clinical data of 354 cases of giant childbirth in our hospital from January 2010 to December 2013 were analyzed. Results: The occurrence of giant children and pregnant women overweight, diabetes during pregnancy, genetic factors, pregnant women too much dietary intake and activity too little. 354 cases of huge children in the birth of 37.29%, cesarean section accounted for 59.89%, forceps midwifery accounted for 2.82%. Conclusions: Strengthening the monitoring of pregnancy can prevent the occurrence of huge fetus. The body weight, height, gestational age, uterine height, abdominal circumference, biparietal diameter and femur length of pregnant women are the related factors in prenatal diagnosis of fetal macrosomia. Choosing the correct timing of childbirth and Mode of delivery can reduce maternal and child complications.