| 巨大儿的产前诊断对分娩结局的影响 |
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| 引用本文： | 周丽华,温兰玲. 巨大儿的产前诊断对分娩结局的影响[J]. 中国妇幼保健, 2011, 26(35): 5496-5497 |
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| 作者姓名： | 周丽华 温兰玲 |
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| 作者单位： | 厦门大学附属中山医院妇产科 福建厦门 361004 |
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| 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。
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| 关 键 词： | 巨大儿 产前诊断 分娩方式 并发症 |
Effect of prenatal diagnosis of macrosomia on delivery outcome |
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| ZHOU Li-Hua , WEN Lan-Ling. Effect of prenatal diagnosis of macrosomia on delivery outcome[J]. Maternal and Child Health Care of China, 2011, 26(35): 5496-5497 |
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| Authors: | ZHOU Li-Hua WEN Lan-Ling |
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| Affiliation: | ZHOU Li-Hua,WEN Lan-Ling.Department of Gynecology and Obstetrics,Zhongshan Hospital Affiliated to Xiamen University,Xiamen 361004,Fujian,China |
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| Abstract: | 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 ... |
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| Keywords: | Macrosomia Prenatal diagnosis Delivery mode Complications |
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