巨大胎儿原因分析及预防措施探讨

目的:分析巨大胎儿的原因,探讨降低巨大儿出生率的预防措施。方法:对100例巨大儿的临床资料进行回顾性分析,并结合流行病学调查资料进行综合分析,探讨降低巨大儿出生率的预防措施。结果:在100例巨大胎儿中,母亲有糖代谢异常者9例,占9%;过期妊娠56例,占56%;有遗传因素者5例,占5%;孕前肥胖48例,占48%;孕期体重增加过多73例,占73%;正常分娩22例,占22%。巨大胎儿可以通过尽早诊治孕妇的轻型或隐性糖尿病、提倡科学饮食、适当增加运动量、合理控制孕期体重增长、加强孕妇监测等措施进行预防。结论:孕期采取有效地预防措施可以降低巨大儿的出生率。

Analysis on the origin of fetal macrosomia and its preventive measure

Objective:To analyze the origin of fetal macrosomia and to approach the preventive measure in order to degrade the birth rate of fetal macrosomia.Methods:Analyzed the clinical data of the 100 cases fetal macrosomia retrospectively and combined the documents of epidemiologic survey to discuss about the preventive measure of fetal macrosomia.Results:In the 100 cases fetal macrosomia,mothers had abnormal glycometabolism were 9 cases,accounted 9%;56 cases of postterm pregnancy hold 56%;5 cases with the hereditary factors,accounted 5%;48 cases of fatness when progestation;excessive body weight gain during pregnancy accounted 73%;normal delivery 22 cases,accounted 22%.Fatal macrosomia could be prevented beforehand by diagnosing and concentrating pregnant women's mitis or latent diabetes early,promoting scientific diet,increasing amount of exercises fairly,controlling body weight reasonably,enhancing pregnant women's monitoring,etal.Conclusion:To adopt effective precaution can degrade the birth rate of fetal macrosomia.