巨大儿109例临床分析

目的：探讨巨大儿发生的相关因素及分娩方式对产时母婴并发症的影响。方法：回顾性分析1998年1月-2008年12月巨大儿109例作观察组，随机抽取同期正常体重新生儿110例作对照组。结果：巨大儿的发生与胎儿双顶径、孕妇的体重指数、宫高＋腹围、身高有关（P〈0．05），与孕妇年龄、产次和孕周无关（P〉0．05）。巨大儿的剖宫产率、产时并发症发生率高于对照组（P〈0．05）。结论：通过产前检查可预测分娩巨大儿的可能性，适当放宽剖宫产的指征，可减少母婴并发症。

Analysis on 109 cases of fetal macrosomia

Objective：To assess the factors related to fetal macrosomia and their impact on the delivery mode and complications. Methods：The data of 109 cases of fetal macrosomia during 1998-2008 were retrospectively analyzed and compared with 110 cases of normal-weight newborn. Resalts：Fetal macrosomia was significantly associated with larger fetal biparietal diameter, higher maternal BMI Cnody mass index）, larger maternal palace high plus abdominal circumference and higher maternal height. Fetal macrosomia was accompanied by higher incidence of uterine-incision delivery and complication. Conclusion： Obstetricians can predict the possibility of fetal macrosomia through prenatal care. Infant- maternal complications will be reduced with less strict indication of uterine-incision delivery.