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正确选择巨大儿的分娩方式,可以减少母婴并发症。而提高巨大儿产前诊断,可以为选择分娩方式提供依据。笔者回顾我院近几年来1485例正常产妇中196例巨大儿分娩情况,探讨如何选择分娩方式较为有利。1资料与方法我院2003年1月～2006年1月正常产妇1485人,其中,巨大儿(≥4000g)196例,发生率为13.2%。采用孕37周测量宫高、腹围及B超测量双顶径(BPD)方法来诊断是否为巨大胎儿。根据最终分娩方式将196例巨大儿分为阴道分娩组和剖宫产组,并从新生儿Apgar评分观察分娩方式对胎儿的影响(见表1)。在将巨大儿体重以100g递增列表,观察剖宫产率的变化(见表2)。
The correct choice of giant childbirth, can reduce maternal and child complications. And to improve the prenatal diagnosis of giant children, can provide the basis for choosing the mode of delivery. The author reviewed our hospital in recent years 1485 cases of normal maternal 196 cases of giant childbirth, to explore how to choose the mode of delivery is more favorable. 1 Materials and Methods Our hospital from January 2003 to January 2006 normal maternal 1485 people, of which 196 cases of giant children (≥ 4000g), the incidence was 13.2%. 37-week gestational age measurement of the uterus, abdominal circumference and B-measure biparietal diameter (BPD) method to diagnose whether or not a huge fetus. According to the final mode of delivery, 196 cases of giant children were divided into vaginal delivery group and cesarean section group. The neonatal Apgar score was used to observe the effects of delivery mode on the fetus (Table 1). Changes in cesarean section rates were observed as a list of 100g increments of giant children (see Table 2).