1985～1992年间，本院共分娩活产儿23033例，围产期巨大儿的发生率为1．69％，窒息发生率为15．86％，经阴道自然分娩窒息的发生率最低为7.83％；而臀位助产和产钳窒息率分别高达100％和41．67％；剖宫产是手术产中窒息率最低的为12．03％。作者认为一旦确定为巨大儿，如果产妇条件允许，可经阴道自然分娩，但臀位及过期妊娠或试产中有梗阻现象，均应果断采取剖宫产结束分娩，不宜采取产钳助产。 Between 1985 and 1992, 23033 live births were delivered in our hospital. The incidence of perinatal mammoth was 1.69%, the incidence of asphyxia was 15.86%, and the lowest incidence of spontaneous vaginal asphyxia was 7.83%. While the breech midwifery and forceps asphyxia were as high as 100% and 41.67% respectively; cesarean section was the lowest incidence of asphyxia in surgery 12.03%. The authors believe that once identified as a huge child, if the maternal conditions permit, vaginal natural delivery, but the breech and pregnancy or prenatal obstruction should be taken cesarean section ended delivery, abortion should not be taken forceps.