【摘要】 目的探讨巨大胎儿的高危因素、分娩方式及对母儿的影响,降低母儿并发症。方法回顾性分析巨大胎儿和同期正常体重胎儿的高危因素、胎次、性别、分娩方式、并发症、新生儿结局。结果孕妇营养过剩是发生巨大胎儿的主要因素,胎次增加巨大胎儿的发生增加;分娩并发症、剖产率、新生儿并发症较正常体重儿组明显增高;结论加强产前营养指导、产前诊断、正确选择分娩方式,降低母儿并发症。更多还原

【Abstract】 Objective: To investigate the high-risk factors,delivery ways and the influences to the mother and baby of macrosomia is in order to reduce the complications of the mother and baby.Methods: Medical records of macrosomia and normal weight babies were reviewed retrospectively.The high risk factors,birth order,gender,delivery ways,complications and neonatal outcome were compared in two groups.Result: Pregnant women’ overnutrition is a major factor of macrosomia,The incidence of macrosomia is increased with birth order,The occurrence probability is higher obviously than the normal weight group in birth complications,cesarean rate and neonatal complications.Conclusion: The pregnant women with high-risk factors should be monitored during pregnancy,and given nutrition guidance,prenatal diagnosis and delivery way to reduce the incidences of complications.更多还原