同济大学学报（医学版）2012，Vol.33Issue(4)：100-103,4.DOI:10.3969/j.issn1008-0392.2012.04.023
巨大胎儿477例临床分析
Clinical analysis of 477 cases of fetal macrosomia
摘要
Abstract
Objective To evaluate the risk factors, prenatal diagnosis and delivery mode for fetal macrosomia. Methods The clinical data of 477 cases of fetal macrosomia (birth weight ^ 4 000 g) and 477 cases of matched normal full-term babies were included in the study. The weight gain during pregnancy of the mothers, the gestational age, the diagnosis, the delivery mode and the complications were compared between two groups. Results The weight gain during pregnancy of the mothers of the fetal macrosomia was higher and the gestational age lasted longer than those in the control group, which has the significant difference. In 89. 02% fetal macrosomia cases, the biparietal diameter (BPD) + femur length (FL) > 16. 5 cm. The incidence rate of asphyxia and birth injury during cesarean section was less than that in vaginal delivery. The rate of dystocia in fetal macrosomia increased significantly compared to that in normal body weight fetus. Conclusion The excessive weight gain during pregnancy and the prolonged pregnancy are main risk factors for fetal macrosomia. BPD + FL > 16.5cm can be a reliable indicator for the diagnosis of fetal macrosomia. Cesarean section in fetal macrosomia may avoid the difficult midwifery in vagina delivery.关键词
巨大胎儿/分娩/并发症Key words
fetal macrosomia/ parturition/ complications分类
医药卫生引用本文复制引用
郑玉容,陈美如,蔡育璇,陈路佳..巨大胎儿477例临床分析[J].同济大学学报（医学版）,2012,33(4):100-103,4.基金项目
广东省科技计划(2009B03081240) （2009B03081240）
