Alsammani Mohamed Alkahatim, Ahmed Salah Roshdy
Department of Obstetrics and Gynecology, Qassim University, College of Medicine, Buraidah, Saudi Arabia.
N Am J Med Sci. 2012 Jun;4(6):283-6. doi: 10.4103/1947-2714.97212.
Fetal macrosomia remains a considerable challenge in current obstetrics due to the fetal and maternal complications associated with this condition.
This study was designed to determine the prevalence of fetal macrosomia and associated fetal and maternal morbidity and mortality in the Al Qassim Region of Saudi Arabia.
This register-based study was conducted from January 1, 2011 through December 30, 2011 at the Maternity and Child Hospital, Qassim, Saudi Arabia. Macrosomia was defined as birth weight of 4 kg or greater. Malformed babies and those born dead were excluded.
The total number of babies delivered was 9241; of these, 418 were macrosomic. Thus, the prevalence of fetal macrosomia was 4.5%. The most common maternal complications were postpartum hemorrhage (5 cases, 1.2%), perineal tear (7 cases, 1.7%), cervical lacerations (3 cases, 0.7%), and shoulder dystocia (40 cases, 9.6%) that resulted in 4 cases of Erb's palsy (0.96%), and 6 cases of bone fractures (1.4%). The rate of cesarean section among women delivering macrosomic babies was 47.6% (199), while 52.4% (219) delivered vaginally.
Despite extensive efforts to reduce fetal and maternal complications associated with macrosomia, considerable fetal and maternal morbidity remain associated with this condition.
由于巨大胎儿会引发胎儿及母体并发症，目前在产科领域，巨大胎儿仍然是一个重大挑战。
本研究旨在确定沙特阿拉伯卡西姆地区巨大胎儿的患病率以及相关的胎儿和母体发病率及死亡率。
这项基于登记的研究于2011年1月1日至2011年12月30日在沙特阿拉伯卡西姆的妇幼医院进行。巨大胎儿定义为出生体重4千克及以上。畸形婴儿和死产婴儿被排除在外。
分娩的婴儿总数为9241名；其中，418名为巨大胎儿。因此，巨大胎儿的患病率为4.5%。最常见的母体并发症为产后出血（5例，1.2%）、会阴撕裂（7例，1.7%）、宫颈裂伤（3例，0.7%）和肩难产（40例，9.6%），肩难产导致4例臂丛神经麻痹（0.96%）和6例骨折（1.4%）。分娩巨大胎儿的妇女剖宫产率为47.6%（199例），而阴道分娩率为52.4%（219例）。
尽管为减少与巨大胎儿相关的胎儿和母体并发症付出了巨大努力，但这种情况仍然伴随着相当多的胎儿和母体发病率。
