340例巨大胎儿临床分析

目的 :探讨巨大胎儿分娩方式和产妇分娩并发症及新生儿窒息之间的关系。　 方法 :对自 1993年 1月至 1998年 12月在本院分娩的 340例巨大胎儿的分娩方式、产妇分娩并发症和新生儿窒息情况进行回顾性分析。　 结果 :1996 - 1998年分娩的 2 17例和 1993- 1995年分娩的 12 3例巨大胎儿相比 ,剖宫产率显著升高 ,阴道试产率显著降低 (P <0 .0 5)。巨大胎儿剖宫产和阴道分娩相比 ,产后出血率显著升高 (P <0 .0 5) ,新生儿窒息率无明显改变 (P >0 .0 5)。　 结论 :巨大胎儿分娩应提倡先行阴道试产。

CLINICAL ANALYSIS OF 340 CASES OF MACROSOMIA

Objective To investigate the relations of dilivery patterns to asphyxia neonatorum and dilivery complications of parturients Methods 340 cases of macrosomia dilivered from 1993 to 1998 were collected and their patterns of dilivery, complications of parturients and cases of asphyxia neonatorum were analysed retrospectively. Results When the 217 cases collected from 1996 to 1998 were compared with the 123 cases from 1993 to 1995, the rate of hysterotokotomy increased and the rate of production trial from vagina decreased significantly (P<0.05). When the hysterotokotomy of macrosomia was compared with the dilivery from vagina, the rate of postpartum hemorrhage increased remarkably (P<0.05), but the rate of asphyxia neonatorum had no various difference (P<0.05).Conclusion Production trial from vagina should be advocated in the dilivery of macrosomia.