摘要
目的：探讨不同分娩方式对巨大儿与正常体重儿母婴并发症发生率的影响。方法：１９９８年１月１日～１２月３１日在我院分娩的单胎孕３７～４１＋６周、出生体重≥４０００ｇ的巨大儿组２９６例：同期分娩、单胎孕３７～４１＋６周、新生儿出生体重在２５００～３９９９ ｇ之间的正常体重儿计 ３５６４例。记录每例孕妇的分娩方式（剖宫产、产钳助产及阴道顺产）及母亲、新生儿合并症及并发症。结果：巨大儿组剖宫产率明显高于正常体重儿组，自然产率明显低于正常体重儿组；巨大儿组自然产、产钳助产的母婴并发症发生率明显高于剖宫产及正常体重儿组，而剖宫产的母婴并发症发生率与正常体重儿组无统计学意义。结论：剖宫产能有效降低巨大儿组母婴分娩并发症发生率，是最为安全的分娩方式。为了母婴安全，应当适度放宽巨大儿剖宫产指征、降低产钳助产率。
Objective: To investigate the effects of different delivery methods on the maternal and newborn complications with macrosomia. Methods: Inpatient medical records of all 296 macrosomia(birth weight ≥4000 g) and 3564 normal weight newborns (birth weight 2500-3999 g) in our hospital with singleton and term 37-41 + 6 weeks during Jan. 1 to Dec. 31, 1998 were reviewed. Results: In macrosomia, the rate of cesarean delivery was increased markedly and the rate of natural vaginal delivery was decreased compared with normal weight newborn. The rates of the maternal and newborn complications with vaginal delivery (with or without labor) was higher than that of cesarean delivery with macrosomia and vaginal delivery with normal weight newborn. The difference of the complication rates of mother and newborn between normal weight and macrosomia with cesarean delivery had no statistical significance. Conclusion: Cesarean delivery may decrease the complication rates of the mother and newborn with macrosomia and is one of the safest delivery methods. For the security of maternity and newborn with macrosomia, the indication of cesarean delivery should be considered less restrictedly.
出处
《中国临床医学》
2000年第3期307-309,共3页
Chinese Journal of Clinical Medicine
