巨大儿分娩的临床分析

目的　分析巨大胎儿的分娩方式与孕期监护管理,以进一步保障母婴安全。方法　对近两年的分娩总数4 4 36例,其中巨大胎儿1 93例,进行回顾性分析。结果　剖宫产1 1 0例,占总数5 7%;阴道分娩83例,占总数4 3%;产后出血7例,占总数4 %,新生儿窒息6例,占总数3%;无围产儿死亡。结论　加强孕期监护,预防巨大胎儿的发生,选择正确的分娩时机与分娩方式,可降低母婴并发症,保障母婴安全。

THE CLINICAL ANALYSIS OF THE FETAL MACROSOMIA DELIVERY

Objective To investigate the way of fetal macrosomia delivery and the supervising and controlling during the pregnancy. Methods Clinical data of 4 436 cases of labour in this two years were analyzed retrospectively, including 193 cases of fetal macrosomia. Results The cesarean section is 110 cases, accounting for 57%; natural labour is 83 cases, accounting for 43%; postpartum hemorrhage is 7 cases, accounting for 4%; asphyxia neonatorum is 6 cases, accounting for 3%. No neonate died. Conclusion To strengthen the antenatal care during the pregnancy and decreasing the incidence of fetal macrosomia, to choose the best timing of labour and the best delivery pattern, all of these can decrease the complications of maternal and fetus and ensure their safety.