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目的:分析不同时期余姚市城区巨大儿的发生情况、高危因素及妊娠结局。方法:将余姚市城区2001～2006年分娩巨大儿的孕妇与同期分娩4000g以下新生儿的孕妇分组比较。分别对孕前体重、孕期增重、孕周与产次、分娩方式、分娩并发症等方面的差异进行回顾性分析。结果:巨大胎儿的发生率各年基本持平,巨大胎儿发生主要由于孕妇营养过分摄入所致,也与孕妇基础体重、身高等遗传因素有高相关性,巨大胎儿的剖宫产率明显高于对照组,阴道助产率及产后出血率、新生儿窒息率与对照组无明显差异性。结论:做好孕期保健,合理指导孕期营养,加强孕期监护及巨大胎儿的筛选可以降低巨大胎儿的发生率,减少母婴并发症。
Objective: To analyze the occurrence, risk factors and pregnancy outcome of huge children in Yuyao city in different periods. Methods: The pregnant women in Yuyao city from 2001 to 2006 with huge childbirth were compared with the pregnant women with newborn below 4000g in the same period. Reproductive weight, pregnancy weight gain, gestational age and delivery time, mode of delivery, complications of childbirth and so on were retrospectively analyzed. Results: The incidence of huge fetus was basically the same in all years. The occurrence of huge fetus was mainly due to excessive intake of nutrition in pregnant women, and also had a high correlation with the genetic factors such as body weight and height of pregnant women. The rate of cesarean section was significantly higher Control group, vaginal delivery rate and postpartum hemorrhage rate, neonatal asphyxia rate and the control group no significant difference. Conclusion: To do a good job in pregnancy health care, reasonable guidance of pregnancy nutrition, strengthen pregnancy monitoring and screening of huge fetuses can reduce the incidence of huge fetuses, reduce maternal and child complications.