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目的:探讨巨大胎儿的相关因素及分娩方式,找出干预措施,降低母婴并发症。方法:回顾性分析240例巨大胎儿(观察组)临床资料,随机抽取同期240例正常足月儿为对照组。结果:巨大胎儿的发生与妊娠超体重,妊娠合并糖尿病或糖耐量异常孕妇有关。分娩方式以剖宫产为主,肩难产几率增加,产后出血发生增加。结论:妊娠期营养过剩,妊娠期血糖升高增加巨大胎儿的发生,故加强孕期指导与监护,降低巨大胎儿的发生。
Objective: To explore the related factors of macrosomia fetus and the mode of delivery, find out the intervention measures and reduce the maternal and infant complications. Methods: A retrospective analysis of 240 cases of macrosomia fetus (observation group) clinical data were randomly selected 240 normal term children as the control group. Results: The occurrence of huge fetus and pregnancy overweight, pregnancy associated with diabetes or impaired glucose tolerance in pregnant women. Delivery to cesarean section, shoulder increased risk of dystocia, postpartum hemorrhage increased. Conclusion: Excessive nutrition in pregnancy, increased blood glucose during pregnancy increases the occurrence of a huge fetus, so to strengthen guidance and guarding during pregnancy, reduce the occurrence of huge fetuses.