333例巨大儿分娩方式及妊娠结局的研究

目的探讨巨大儿的分娩方式与妊娠结局的关系。方法对333例巨大儿分娩情况进行回顾性分析,并随机选择同期住院分娩的350例正常新生儿作为对照组进行比较。结果巨大儿组剖宫产率、胎儿宫内窘迫、新生儿窒息、异常分娩、产后出血、妊娠期高血压综合征明显高于对照组,两组比较有统计学意义（P〈0.05）。巨大儿组阴道分娩者产后出血、新生儿窒息及产伤率明显高于剖宫产者（P〈0.05）。结论重视巨大儿的临床特点和早期诊断,选择适宜的分娩方式,适当放宽剖宫产指征,可减少分娩并发症。

Study on delivery methods and pregnancy outcomes in 333 cases of fetal macrosomia

Objective： To investigate the relationship of delivery methods with pregnancy outcomes in fetal macrosomia. Methods ： The clinical data of 333 cases of fetal macrosomia were enrolled in the study , and randomly selected 350 cases of pregnant women who delivered mature and normal weight fetus as control group. Results ： The rates of cesarean section, fetal distress in uterus, neonatal asphyxia, abnormal labor, postpartum hemorrhage and hypertensive disorder complicating pregnancy were significantly higher in macrosomia group than in control group （ P 〈 0. 05 ）. In macrosomia group, the incidence of postpartum hemorrage, asphyxia neonatorum, birth trauma were significantly elevated in cesaren section group in comparison with vaginal delivery group （ P 〈 0. 05 ）. Conclusion ： Paying attention to the clinical characteristics and antenatal diagnosis of macrosomia, selecting proper delivery methods and broadening indicatio of cesaren section may effectively reduce the incidence of complications for both mothers and fetuses.