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目的探讨经产妇分娩巨大儿的相关因素及其妊娠结局。方法选取2013年11月~2015年11月接收的无合并症经产妇分娩巨大儿198例作为观察组,再选取同期接收的初产妇分娩巨大儿198例作为对照1组,以及选择无合并症经产妇分娩正常体重儿198例作为对照2组,对3组临床资料进行回顾性分析,总结经产妇分娩巨大儿的相关危险因素及其妊娠结局。结果观察组产妇孕龄、孕末期体重、腹围、宫高、双顶径、总产程、产后出血、剖宫产率、新生儿窒息率均高于对照2组,差异显著(P<0.05);观察组正规产检率和择期剖宫产率低于对照1组,过期妊娠率和新生儿窒息率高于对照1组,差异显著(P<0.05)。结论经产妇分娩巨大儿的相关危险因素为孕龄、孕末期体重、腹围、宫高、双顶径、总产程等,临床需叮嘱产妇加强健康锻炼,注意膳食搭配,营养均衡,正确选择分娩方式并采取合理措施,改善母婴结局。
Objective To explore the related factors of maternal childbirth and its pregnancy outcome. Methods A total of 198 maternal children without comorbidities received from November 2013 to November 2015 were selected as the observation group and 198 maternal children with maternal birth were selected as the control group 1 in the same period. 198 cases of normal weight maternal childbirth as a control group 2, the clinical data of 3 groups were retrospectively analyzed, summarizes the maternal maternal childbirth related risk factors and their pregnancy outcomes. Results The gestational age, end-stage weight, abdominal circumference, uterine height, biparietal diameter, total labor, postpartum hemorrhage, cesarean section rate and neonatal asphyxia in observation group were significantly higher than those in control group (P <0.05) ; The rate of regular birth examination and elective cesarean section in the observation group was lower than that in the control group 1, and the pregnancy rate and neonatal asphyxia rate were higher in the observation group than in the control group 1 (P <0.05). Conclusions The related risk factors for maternal delivery of maternal children are gestational age, end-stage weight, abdominal circumference, uterine height, biparietal diameter and total labor. The maternal women should be urged to strengthen their health and exercise, pay attention to the diet, balance nutrition and choose the correct delivery Way and take reasonable measures to improve the outcome of maternal and child.