巨大儿的危险因素及其对分娩方式的影响

目的:探讨巨大儿的危险因素及其对分娩方式的影响。方法:选取2583例有完整产检档案并在院分娩的产妇(单胎妊娠)资料为研究对象进行回顾性分析。结果:2组产妇的分娩年龄、孕次和产次差异均无统计学意义(P>0.05)。巨大儿组产妇孕前及产前体质量及体质量指数、空腹血糖值及口服葡萄糖耐量试验1 h、2 h血糖值、分娩孕周、分娩方式与正常体质量儿组产妇差异均有统计学意义(P<0.01)。结论:巨大儿明显增加了剖宫产率;控制空腹血糖,控制孕期体质量增加,降低产前体质量指数,适时终止妊娠等,均可降低巨大儿的发生。

Risk factor of macrosomia and its effect on the mode of delivery

Objective:To investigate the risk factors of macrosomia and its effects on the mode of delivery. Methods:The clinical data of 2583 puerperas( singleton pregnancy) were retrospectively analyzed. Results:The differences of ages and number of pregnancies and deliveries in all cases were not statistically significant(P>0. 05). The differences of the pre-pregnancy and prenatal weight and body mass index,levels of fasting plasma glucose and OGTT 1 h and 2 h,and mode of delivery between macrosomia and normal puerperas were statistically significant(P<0. 01). Conclusions:The rate of cesarean section in macrosomia puerpera increases. To control levels of fasting plasma glucose,decrease the prenatal body mass index and terminate pregnancy can reduce the incidence of macrosomia.