首页|巨大儿产生的影响因素及妊娠结局分析

巨大儿产生的影响因素及妊娠结局分析

扫码查看
目的 探究巨大儿产生的相关影响因素及分娩结局。方法 回顾性分析本院798例产妇的临床资料,分娩巨大儿的399例产妇为观察组,同期分娩正常体质量儿的399例产妇为对照组,分析产生巨大儿的影响因素,比较两组妊娠结局。结果 年龄大、分娩次数多、营养过剩、产前体质量重、合并妊娠期糖尿病、巨大儿分娩史、>40周妊娠、肥胖家族史是产生巨大儿的危险因素(P<0。05)。受教育程度(初中及以上)、运动量(良好)、定期产检是产生巨大儿的保护因素(P<0。05)。对照组剖宫产、产道裂伤、肩难产、胎儿窘迫、产后出血发生率均低于观察组,差异有统计学意义(P<0。05)。结论 巨大儿产生的影响因素较多,定期产检对改善母婴结局意义重大,合理膳食,适宜运动,对预防巨大儿的产生有一定的促进作用。
Analysis of the influencing factors and pregnancy outcomes of macrosomia
Objective To explore the relevant influencing factors and delivery outcomes of macrosomia.Methods A retrospective analysis was conducted on the clinical data of 798 parturients in our hospital.399 parturients who gave birth to macrosomia were selected as the observation group,and 399 parturients who gave birth to normal body weight infants during the same period were selected as the control group.The influencing factors of macrosomia were analyzed,and the pregnancy outcomes of the two groups were compared.Results The risk factors of macrosomia were older,more times of delivery,overnutrition,weight of prenatal body,combined pregnancy with diabetes,delivery history of macrosomia,pregnancy>40 weeks,and family history of obesity(P<0.05).Education level(junior high school or above),physical activity(good),and regular prenatal checkups are protective factors for the development of macrosomia(P<0.05).The incidence of cesarean section,birth canal laceration,shoulder dystocia,fetal distress,and postpartum hemorrhage in the control group was lower than that in the observation group,and the difference was statistically significant(P<0.05).Conclusion There are many influencing factors for the development of macrosomia,and regular prenatal checkups are of great significance in improving maternal and infant outcomes.Reasonable diet,appropriate exercise,and prevention of macrosomia have a certain promoting effect.

MacrosomiaInfluencing factorsPregnancy outcome

黄海虹

展开 >

宝应县妇幼保健院 围产期保健科,江苏 宝应 225800

巨大儿 影响因素 妊娠结局

2024

实用妇科内分泌电子杂志

实用妇科内分泌电子杂志

ISSN:
年,卷(期):2024.11(3)
  • 15