Obstet Gynecol. 2016 Nov;128(5):e195-e209. doi: 10.1097/AOG.0000000000001767.
Suspected fetal macrosomia is encountered commonly in obstetric practice. As birth weight increases, the likelihood of labor abnormalities, shoulder dystocia, birth trauma, and permanent injury to the neonate increases. The purpose of this document is to quantify those risks, address the accuracy and limitations of methods for estimating fetal weight, and suggest clinical management for a pregnancy with suspected fetal macrosomia.
在产科实践中,胎儿巨大儿的疑似情况很常见。随着出生体重增加,产程异常、肩难产、产伤以及新生儿永久性损伤的可能性也会增加。本文的目的是量化这些风险,探讨估计胎儿体重方法的准确性和局限性,并针对疑似胎儿巨大儿的妊娠提出临床管理建议。