[目的]探讨巨大儿诊断依据和分娩方式。[方法]回顾分析358例巨大儿孕妇体重、宫高加腹围、双顶径加股骨长、分娩方式。[结果]阴道分娩103例中,新生儿窒息11例,占阴道分娩的10．68%。剖宫产255例中新生儿窒息5例,占剖宫产1．96%,阴道分娩新生儿窒息率高(P＜0．001)。[结论]宫高加腹围、胎儿双顶径加股骨长对诊断巨大儿有参考价值,巨大儿分娩方式以剖宫产为宜。 [Objective] To investigate the diagnosis basis and delivery mode of giant children. [Methods] A retrospective analysis of 358 cases of pregnant women with huge weight, uterine height plus abdominal circumference, biparietal diameter plus femur, mode of delivery. [Results] Of 103 cases of vaginal delivery, 11 cases of neonatal asphyxia, accounting for 10.68% of vaginal delivery. In 255 cases of cesarean section, neonatal asphyxia was found in 5 cases, accounting for 1.96% of cesarean section. Neonatal asphyxia rate was higher in vaginal delivery (P <0.001). [Conclusion] Gonggao plus abdominal circumference, fetus biparietal diameter and femoral length of the diagnosis of giant children have a reference value, the giant child delivery method to cesarean section is appropriate.