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目的探讨巨大胎儿的分娩方式与分娩期监护管理,以进一步保障母婴安全。方法对近五年的分娩总数16988例,对其中巨大胎儿1104例进行回顾性分析其分娩方式及产妇产后出血和新生儿窒息发生率等情况。结果剖宫产720例,占巨大儿的65.2%;阴道分娩384例,占巨大儿的34.8%;产后出血53例,占巨大儿的4.8%,新生儿窒息33例,占总数3%;无围产儿死亡。结论加强孕期监护,预防巨大胎儿的发生,选择正确的分娩时机与分娩方式,可降低母婴并发症,保障母婴安全。
Objective To investigate the mode of delivery and delivery supervision of the huge fetus to further ensure the safety of mother and infant. Methods The total number of farrowing in the past five years was 16 698, and 1104 huge fetuses were retrospectively analyzed on the mode of delivery and the incidence of postpartum hemorrhage and neonatal asphyxia. Results Caesarean section 720 cases, accounting for 65.2% of giant children; vaginal delivery of 384 cases, accounting for 34.8% of children with macrosomia; postpartum hemorrhage in 53 cases, accounting for 4.8% of children with macular, neonatal asphyxia 33 cases, accounting for 3% of the total; Perinatal death. Conclusion Strengthening pregnancy monitoring, preventing the occurrence of huge fetus, choosing the correct delivery time and mode of delivery, can reduce maternal and child complications and ensure the safety of mother and child.