摘要
目的：比较足月巨大儿与正常体重儿的分娩方式、母婴并发症，探讨巨大儿的不同分娩方式与妊娠结局的关系。方法：回顾性调查哈尔滨市16所医院在2000年1月1日～2005年12月31日分娩的单胎、无出生缺陷、足月（非早产、过期产）活产的巨大儿和正常体重儿的产妇病案（其中包含新生儿病案），比较2138例巨大儿和18233例正常体重儿的分娩方式与妊娠结局。结果：巨大儿组的剖宫产率、产妇住院天数、产妇产后出血比例、新生儿窒息比例高于正常体重儿组。巨大儿组的阴道助产率（7．51％）高于正常体重儿组（5．60％），但无统计学意义。分娩巨大儿的产妇产后出血比例、巨大儿窒息比例均与分娩方式无关。结论：足月巨大儿也具有较高的母婴并发症，故应探索并使用正确的产前预测巨大儿的方法，产时给于充分重视，适时正确处理，适当放宽剖宫产指征，降低母婴并发症。
Objective： To compare the delivery modes and complications of mothers and babies between giant infants and normal birth weight infants, explore the relationship between different delivery modes and pregnant outcomes. Methods： Maternal and neonatal records in 16 hospitals of Harbin from January 1, 2000 to December 31, 2005 were reviewed. All singletons, without malformations, birth weights ≥2 500 g , full -term pregnancy were included in the study, the delivery modes and pregnant outcomes were compared between 2 138 giant infants and 18 233 normal birth weight infants. Results： The rates of caesarean section, neonatorum asphyxia, postpartum hemorrhage and hospitalization day in giant infants group were higher than those in normal birth weight infants group. There was no difference in the rate of vaginal delivery be- tween giant infants group （7. 51% ） and normal birth weight infants group （5.60%）, and there was no correlation between postpartum hemorrhage, neonatorum asphyxia and delivery modes. Conclusion： Full - term giant infants have high incidence of complications, proper prognostic methods and appropriate treatment, caesarean section may reduce the complications of mothers and babies.
出处
《中国妇幼保健》
CAS
北大核心
2009年第23期3244-3246,共3页
Maternal and Child Health Care of China
关键词
巨大儿
分娩方式
分娩并发症
Giant infants
Delivery modes
Obstetric complications
