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通过对本院1992~1996年5年间产科临床资料分析,巨大儿发率为2.15%,明显低于其它文献报道,认为各地区间孕妇的遗传因素和体格因素可能是巨大儿发生的首要因素。另外,资料提示巨大儿男婴数大大超过女婴数,推测妊娠期可能存在一种与胎儿性别有关的机制影响胎儿体重的增加。提出应加强孕期管理和产时处理,适当放宽剖宫产指征,减少巨大儿的发生率和产时合并症的发生。
According to the clinical data of obstetrics from 1992 to 1996 in our hospital, the incidence of huge children was 2.15%, which was significantly lower than that of other literatures. It is concluded that the genetic factors and physical factors of pregnant women in different regions may be the primary factor for the occurrence of macrosomia in children. In addition, the data suggest that the number of baby boys in the vast majority of children over the number of baby, speculated that there may be a pregnancy-related fetal sex-related mechanisms affect the fetal weight gain. It is suggested that pregnancy management and birth control should be strengthened and cesarean indications should be appropriately relaxed to reduce the incidence of macrosomia and the incidence of complications during labor.