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目的探讨巨大儿的发生、诊断及分娩方式,降低母儿并发症。方法回顾分析187例巨大儿的产前检查、分娩方式及母儿预后。结果诊断巨大儿的相关因素是孕周、产次、孕妇的身高体重、宫高腹围、胎儿双顶径和股骨长径及合并糖尿病有关。分娩以剖宫产为主,能有效降低并发症。结论加强产前检查,能减少巨大儿发生。诊断巨大儿必须综合多项指标,分娩方式要考虑母婴安全,适当放宽剖宫产指征,避免困难的阴道助产,产程中必须重视预防并发症。
Objective To investigate the occurrence, diagnosis and delivery mode of giant children and to reduce the complications of maternal and child. Methods A retrospective analysis of 187 cases of giant prenatal care, delivery methods and maternal and child prognosis. Results The diagnosis of macrosomia related factors are gestational age, parity, height and weight of pregnant women, high abdominal circumference, fetal biparietal diameter and femur length and diabetes related. Cesarean delivery to the main delivery, can effectively reduce the complications. Conclusion Strengthening prenatal care can reduce the incidence of macrosomia. The diagnosis of huge children must be integrated a number of indicators, mode of delivery to consider mother and child safety, appropriate relaxation of cesarean indications, to avoid difficult vaginal delivery, labor must pay attention to the prevention of complications.