摘要
目的:探讨巨大儿分娩前的预测对分娩结局的影响,以降低母儿并发症。方法:对2007年9月～2009年8月分娩的339例巨大儿进行回顾性分析,以分娩前临床估计胎儿体重是否达到4 000 g为标准进行分组:产前预测达到4 000 g者为预测组(212例),产前预测<4 000 g者为忽略组(127例),比较两组分娩方式、母儿常见并发症。结果:剖宫产、选择性剖宫产预测组显著高于忽略组(P<0.01),阴道分娩、产钳助产预测组显著低于忽略组(P<0.05),两组阴道试产失败率无差别,胎儿窘迫、新生儿窒息、肩难产、产后出血预测组低于忽略组。结论:巨大儿不是剖宫产绝对指征,重视巨大儿产前预测诊断,加强分娩过程监护,适当放宽剖宫产指征,避免困难阴道助产,能有效降低母儿并发症。
Objective：To explore the effect of prediction of macrosomia before delivery on delivery outcome,in order to reduce maternal and fetal complications. Methods：339 macrosomia born in the hospital from September 2007 to August 2009 were analyzed retrospectively,then they were divided into prediction group（reaching 4 000 g,212 cases） and neglection group（not reaching 4 000 g,127 cases） according to fetal weight of clinical evaluation before delivery reaching 4 000 g or not,the delivery modes,common maternal and fetal complications in the two groups were compared. Results：The rate of selective cesarean section in prediction group was significantly higher than that in neglection group（P〈0.01）,the rates of vaginal delivery and midwifery with obstetric forceps in prediction group were significantly lower than those in neglection group（P〈0.05）,there was no significant difference in failure rate of trail of labor between the two groups,the incidences of fetal distress,neonatal asphyxia,shoulder dystocia and postpartum haemorrhage in prediction group were lower than those in neglection group. Conclusion：Macrosomia is not an absolute indication of cesarean section,paying attention to prenatal diagnosis of macrosomia,enhancing monitoring of labor course,widening the indications of cesarean section and avoiding dangerous vaginal midwifery can reduce maternal and fetal complications effectively.
出处
《中国妇幼保健》
CAS
北大核心
2011年第35期5496-5497,共2页
Maternal and Child Health Care of China
关键词
巨大儿
产前诊断
分娩方式
并发症
Macrosomia
Prenatal diagnosis
Delivery mode
Complications
