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目的分析巨大胎儿的孕期及婴儿期管理找出影响巨大儿的危险因素,为做好优生优育及减少肥胖儿的发生提供可靠的理论依据。方法2006年1月1日-2007年12月31日在我院产检的孕产妇共4006人,其中巨大胎儿248例,对其相关资料进行回顾性分析。结果妊娠合并糖尿病18例,占7.25%,羊水过多14例,占5.64%。剖宫产219例,占88.3%,男婴156例,占62.90%,产后出血14例,占5.64%,胎儿窘迫3例,占1.2%,婴儿期体重超重45例,占18.14%。结论加强孕期管理,尤其要积极防治妊娠合并糖尿病和羊水过多,在一定程度上能预防巨大儿及出生后肥胖儿的发生,从而减少剖宫产率,降低母婴并发症,保障母婴安全。
Objective To analyze the pregnancy and infancy management of huge fetus to find out the risk factors that affect the macrosomia, and to provide a reliable theoretical basis for doing prenatal and postnatal care and reducing the incidence of obese children. Methods From January 1, 2006 to December 31, 2007, there were 4006 maternal pregnant women in our hospital, including 248 huge fetuses. The related data were retrospectively analyzed. Results 18 cases of pregnancy with diabetes, accounting for 7.25%, polyhydramnios 14 cases, accounting for 5.64%. Cesarean section in 219 cases, accounting for 88.3%, 156 cases of male infants, accounting for 62.90%, 14 cases of postpartum hemorrhage, accounting for 5.64%, fetal distress in 3 cases, accounting for 1.2%, 45 cases of overweight in infancy, accounting for 18.14%. Conclusion Intensive pregnancy management should be strengthened. In particular, active prevention and treatment of pregnancy complicated with diabetes mellitus and amniotic fluid excess can prevent the occurrence of giant children and postnatal obesity to a certain extent, thus reducing cesarean section rate, reducing maternal and infant complications and ensuring maternal and infant safety .