巨大儿产前预测与分娩方式的探讨

目的探讨巨大儿的产前预测方法及分娩方式的选择。方法回顾性分析2009年2月～2011年12月在笔者所在医院出生的186例巨大儿(出生体重≥4000g)作为研究组,并选择同期出生的184例正常体重儿作为对照组。结果研究组孕妇体重增长、腹围+宫高、分娩孕周,分娩方式以及胎儿双顶径、股骨径、腹围以及母婴产后并发症均高于对照组,差异均有统计学意义(P<0.05)。结论应加强孕妇产前检查,提高巨大儿产前诊断率,同时对可疑巨大儿应适当放宽剖宫产指征,从而降低母婴并发症。

Discussion on prenatal diagnosis and delivery mode of huge infant

Objective To disscuss the huge infant prenatal diagnosis and the choice of the mode of delivery.Methods 186 case of huge infant(brith weight ≥ 4 000g)in our hosiptal from February 2009 to December 2011 were retrospectively analyzd(as the study group),and 184 of cases normal weight children at the corresponding time were selected as the control group.Results Maternal weight gain,abdominal circumference plus Kung,gestational age at delivery,mode of delivery and fetal biparietal diameter,femur diameter,abdominal circumference and maternal and child postpartum complications were higher in the study group than that of the control group,the differences were statistically significance(P<0.05).Conclusion Prenatal examinations should be strengthened to improve the prenatal diagnosis rate of huge infant.Suspicious huge infant should be appropriate to relax the indications of cesarean section,thereby reduce infant and maternal complications