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回顾性分析了10年403例巨大胎儿发生的特点。巨大胎儿呈逐年上升趋势,在初产妇中巨大胎儿的50％经剖宫产结束分娩,而在经产妇也有20.75％需剖宫产。分娩巨大胎儿的孕妇产后出血发生率显著增加,平均出血量增加,而经阴道分娩者第二产程显著延长。本文提出多项指标产前诊断巨大胎儿的标准,正确诊断率72.73％,错判率2.62％,显著优于目前国内同类标准,此方法简便易行,值得推广。从优生学角度,应该加强对巨大胎儿的预防。
Retrospective analysis of 10 years, 403 cases of fetal macrosomia characteristics. Huge fetus showed a rising trend year by year, 50% of the firstborn fetuses in the huge fetus by cesarean end of delivery, while in the maternal also have a need for cesarean section 20.75%. Maternal delivery of a huge fetus pregnant women significantly increased the incidence of postpartum hemorrhage, the average increase in bleeding, and vaginal delivery of the second stage of labor was significantly prolonged. This paper presents a number of indicators prenatal diagnosis of fetal macrosomia standards, the correct diagnosis rate of 72.73%, wrong judgment rate of 2.62%, significantly better than the current domestic similar standards, this method is simple and easy, it is worth promoting. From the perspective of eugenics, we should strengthen the prevention of huge fetuses.