经产妇与初产妇分娩巨大儿临床比较.doc

精品论文 参考文献 经产妇与初产妇分娩巨大儿临床比较 （江苏连云港市东海县人民医院妇产科 江苏 连云港 222300） 【摘要】 目的：探讨经产妇和初产妇巨大儿的分娩方式及妊娠结局的差异。方法：选择2013年1月～2015年6月住院分娩的单胎头位，排除GDM及其他合并症经产妇巨大儿86例为A组，同期分娩的初产妇巨大儿86例为B组，比较其分娩方式及妊娠结局。结果：A组在急诊剖宫产率、阴道分娩率、母婴并发症等方面高于B组，而择期剖宫产率低于B组，差异均有统计学意义(Plt;0.05)。结论：经产妇和初产妇巨大儿相比，经产妇巨大儿更应引起重视，对其产前的仔细评估，产时的恰当处理，对其分娩方式的恰当选择，对于减少母婴并发症均有积极意义。 【关键词】 经产妇；初产妇；巨大儿；分娩方式；妊娠结局 【中图分类号】R714 【文献标识码】A 【文章编号】2095-1752（2016）31-0206-02 The Clinical comparison of Maternal and Primipara huge child labor Lu Yumei Departmeng of Gynaecology and Obstetrics ,Donghai County Peoples Hospital, Lianyungang City of Jiangsu, Liangyungang 222300,jiangsu,China 【Abstract】Objective To explore the mode of delivery and maternaland child primiparas huge difference in pregnancy outcomes. Methods January 2013 to June 2015 hospital delivery single cephalic, excluding GDM and other maternal complications huge children 86 cases of group A, earlier delivery early maternal great children 86 cases of group B, compare its mode of delivery and pregnancy outcome.. Results A group was higher than in emergency cesarean section rate, the rate of vaginal delivery, maternal complications Group B, while the cesarean section rate is lower than group B, the differences were statistically significant (p lt;0.05) .Conclusion Compared to the beginning of the maternal and primiparas great child, great maternal child should be paid more attention to its careful assessment of prenatal, intrapartum proper treatment, proper choice of their mode of delivery, to reduce infant and maternal complications were it has a positive meaning. 【Key words】Maternal; Primipara; Huge children; Mode of delivery; Pregnancy Outcome 我国产科学定义胎儿体重达到或超过4000g者为巨大胎儿[1]，巨大儿属于高危妊娠，容易导致母婴并发症，随???国家计生政策的改变，经产妇巨大儿亦增加，对其产科处理应引起重视，否则会给母婴健康带来风险[2]。现将我院2013年1月至2015年6月间经产妇分娩的巨大儿86例及初产妇分娩巨大儿86例进行比较分析，报告如下： 1.资料与方法 1.1 一般资料 选择2013年1月～2015年6月在我院住院分娩的单胎头位，非妊娠期糖尿病，排除疤痕子宫，无内外科合并症的巨大儿经产妇86例为A组，年龄22～40岁，平均年龄(27.8plusmn