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目的 探讨巨大胎儿的产前诊断、相关因素、分娩方式 ,为降低母婴并发症提供依据。方法 回顾性分析 2 33例巨大胎儿的诊断、相关因素、分娩方式及并发症 ,并与同期单胎正常体重儿进行比较。结果 产妇体重、孕周及宫高腹围等是诊断巨大胎儿的相关因素 ,超声下的BPD +FL≥ 16 5mm或AC≥ 110mm可作为产前诊断巨大胎儿的一项可靠指标 ,巨大胎儿的分娩方式以剖宫产相对安全。结论 明确诊断、选择适宜的分娩方式、积极预防产后出血 ,可以有效预防巨大胎儿围产期问题 ,保护母婴健康。
Objective To investigate the prenatal diagnosis of macrosomia fetus, related factors and mode of delivery, and to provide basis for the reduction of maternal and infant complications. Methods A retrospective analysis of 2 33 cases of huge fetal diagnosis, related factors, mode of delivery and complications, and with the same singleton normal weight children were compared. Results Maternal body weight, gestational age and high abdominal circumference were the related factors in diagnosis of macrosomia. Ultrasound BPD + FL ≥ 16 5mm or AC≥ 110mm could be used as a reliable indicator of prenatal diagnosis of macrosomia, The way to cesarean section is relatively safe. Conclusions A clear diagnosis, select the appropriate mode of delivery, and actively prevent postpartum hemorrhage, can effectively prevent the perinatal problem of huge fetus, protect the health of mothers and children.