76例经产妇分娩巨大儿的妊娠结局  

Pregnancy Outcome of 76 Cases of Multiparae Delivering Fetal Macrosomia

作　　者：余玲[1] 杨如[1] 

机构地区：[1]南京医科大学附属苏州医院妇产科,江苏苏州215001

出　　处：《中外医疗》2015年第35期66-67,共2页China & Foreign Medical Treatment

摘　　要：目的探讨经产妇巨大儿的分娩方式及对妊娠结局的影响。方法回顾性分析2013年1月—2014年10月南京医科大学附属苏州医院收治的76例经产妇分娩巨大儿的临床资料作为观察组,并与同期83例经产妇分娩正常体重儿临床资料作为对照组,比较两组产妇妊娠情况。结果观察组剖宫产率、阴道分娩率分别为44.74%、36.84%,明显比对照组的15.66%、72.29%要差;而观察组异常产程、手术产率、产后出血率、新生儿窒息率都高于对照组,观察组总并发症发生率93.42%明显高于对照组的22.89%,P<0.05。结论临床上重视胎儿体重,对巨大儿的产出过程进行及时准确的处理,分娩方式的正确应用,对预防产后出血,降低母儿并发症至关重要。Objective To study the way of delivering fetal macrosomia by muhipara and the influence on pregnancy outcome. Methods 76 cases of multiparae delivering fetal macrosomia in our hospital during January 2013 to October 2014 were considered as observation group, 83 cases of multiparae delivering normal weight infants over the same period were considered as control group, pregnancy results of the two groups were compared. Results Cesarean section rate and vaginal delivery rate of the observation group were 44.74% and 36.84% respectively , which were obviously worse than those of the control group （15.66% and 72.29%）. Abnormal birth process, operation rate, postpartum hemorrhage rate and neonatal asphyxia rate in the observation group were higher than the control group, the total complication rate of the observation group was 93.42%, which was significantly higher than the control group （22.89%）, P〈0.05 Conclusion Clinical attention of fetal weight, timely and accurate processing of the output process of the fetal macrosomia and correct application of delivery mode are vital to prevent postpartum hemorrhage and reduce maternal and infant complications.

关 键 词：经产妇 分娩方式 妊娠结局 

分 类 号：R714.7[医药卫生—妇产科学]