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我院11年间巨大儿占同期分娩总数的3.35%(661/19757人次),分析其中资料完整的625例,并与同期单胎、足月、体重2500～4000g(不包括4000g)的650例作比较。指出巨大儿组的过期妊娠发病率、男性巨大儿、母亲并发症、羊水过多、滞产、肩难产率及产后出血等均明显高于对照组(P<0.05)。建议采用“头盆指数”在产前明确诊断,并提高助产人员的技术水平,减低肩难产率,以降低围产儿患病率与病死率。
Over the 11 years of our hospital, giant children accounted for 3.35% (661/19757) of the total number of deliveries during the same period. Among them, 625 cases with complete data were analyzed and compared with 650 cases with singleton, full-term, 2500-4000g (excluding 4000g) Compare Pointed out that the incidence of overdue pregnancy in huge children, males, maternal complications, polyhydramnios, prolonged labor, shoulder dystocia rate and postpartum hemorrhage were significantly higher than the control group (P <0.05). Proposed to use “head basin index ” in the prenatal diagnosis, and improve the technical level of midwifery, reduce the rate of shoulder dystocia to reduce perinatal morbidity and mortality.