摘要
目的探讨产妇分娩巨大儿的相关因素及妊娠结局。方法收集2014年1月~2015年1月在我院分娩巨大儿的产妇295例作为巨大儿组,收集同期来我院分娩的正常新生儿的产妇280例作为对照组,对575例例产妇的临床资料、分娩方式、母婴并发症进行回顾性分析。结果产妇分娩巨大儿的相关因素包括妊娠糖尿病、孕期体重、肥胖家族史、过期妊娠、活动情况、产妇年龄、营养状况及产次（P〈0.05）。巨大儿组剖宫产率、产后出血、糖尿病、产道裂伤、胎儿窘迫发生率与对照组比较较高,两组差异有统计学意义（P〈0.05）。结论根据影响巨大儿的相关因素,应指导合理的孕期营养,适当运动,避免孕期体重增加过快,降低巨大儿发生率。孕妇分娩方式的选择应根据个体情况考虑,降低母婴并发症发生率。
Objective To investigate the huge children＇s maternity-related factors and pregnancy outcome. Methods 295 cases with birth huge children＇s maternal from January 2014 January 2015 in our hospital were selected as the huge children group, and 280 cases with birth normal newborn＇s maternal during the same period in our hospital were selected as the control group. The clinical data, mode of delivery, complications of mother and infants in 575 cases of maternal were analyzed retrospectively. Results Relevant factors, including maternity huge children gestational diabetes, pregnancy weight, family history of obesity, prolonged pregnancy, activity, maternal age, nutritional status and parity（P〈0.05）.The cesarean section rate, postpartum hemorrhage, diabetes, birth canal laceration, incidence of fetal distress in huge children group were higher than in control group, the difference was statistically significant（P〈0.05）. Conclusion According to the relevant factors that affect children＇s huge, should guide rational nutrition during pregnancy, do adequate exercise, avoid excessive weight gain during pregnancy, reduce the incidence of huge children. The selection of the mode of delivery in pregnant women should be considered on an individual basis to reduce the incidence of complications of mother and infants.
出处
《中国医药科学》
2015年第20期58-60,共3页
China Medicine And Pharmacy
关键词
妊娠
巨大儿
分娩
Pregnancy
Huge children
Childbirth
