宁波地区248例巨大胎儿临床分析

目的分析巨大胎儿的孕期及婴儿期管理找出影响巨大儿的危险因素,为做好优生优育及减少肥胖儿的发生提供可靠的理论依据。方法2006年1月1日-2007年12月31日在我院产检的孕产妇共4006人,其中巨大胎儿248例,对其相关资料进行回顾性分析。结果妊娠合并糖尿病18例,占7.25%,羊水过多14例,占5.64%。剖宫产219例,占88.3%,男婴156例,占62.90%,产后出血14例,占5.64%,胎儿窘迫3例,占1.2%,婴儿期体重超重45例,占18.14%。结论加强孕期管理,尤其要积极防治妊娠合并糖尿病和羊水过多,在一定程度上能预防巨大儿及出生后肥胖儿的发生,从而减少剖宫产率,降低母婴并发症,保障母婴安全。

The clinical analysis of the factors related macrosomia in 248 cases

Objective： To analyse the related factors causing macrosomia and the effect on the gravidae and infants. Methods： 248 gravidae delivered macrosomia of late two years were analysed. Results： 18 cases were diagnosed as gestation diabetic mellitus （GDM） prevalence 7.25% , 14 cases with polyhydramnios （5.64%） , 219 cases were delivered with cesarean section （88. 3% ）, Puerperal hemorrhage and Fetal distress were often occured in gravidae delivered macrosomia. Conculsion： The occurrence of macrosomia is related to many factors such as GDM, polyhydramnios , effective treatment will be helpful to avoid the occurrence of complication caused by macrosomia and improve the prognosis.