Abudu O O, Awonuga A O
Department of Obstetrics and Gynaecology, Lagos University Teaching Hospital, Nigeria.
Int J Gynaecol Obstet. 1989 Mar;28(3):257-62. doi: 10.1016/0020-7292(89)90727-3.
In an analysis of 6376 singleton births the prevalence of macrosomia was 4.9%; the attending perinatal mortality was 58/1000 compared to 18/1000 in controls. Eighty-three percent perinatal deaths occurred in unbooked patients after prolonged and neglected labor. Mortality and morbidity were weight related; the macrosomic baby delivered by section or by diabetic mother or that died was significantly heavier. There was strong association between maternal age, parity, diabetes, mild hypertension, previous history of a big baby and macrosomia in this study. Pregnancy was significantly prolonged with higher incidence of emergency sections and primary postpartum hemorrhage in mothers of macrosomic babies. Fetal sex does not appear to be an important factor in macrosomia.
在一项对6376例单胎分娩的分析中，巨大儿的发生率为4.9%；围产期死亡发生率为58‰，而对照组为18‰。83%的围产期死亡发生在未预约就诊的产妇中，这些产妇产程延长且未得到及时处理。死亡率和发病率与体重相关；剖宫产分娩的巨大儿、糖尿病母亲所生的巨大儿或死亡的巨大儿体重明显更重。在本研究中，母亲年龄、产次、糖尿病、轻度高血压、既往有巨大儿分娩史与巨大儿之间存在密切关联。巨大儿母亲的妊娠明显延长，急诊剖宫产和原发性产后出血的发生率更高。胎儿性别似乎不是巨大儿的重要影响因素。
