Boyd M E, Usher R H, McLean F H
Obstet Gynecol. 1983 Jun;61(6):715-22.
The outcome of delivery of infants weighing more than 4000 g born during two time periods 15 years apart was studied retrospectively. The increased use of cesarean section and other obstetric advances did not reduce the risk of fetal asphyxia and trauma associated with large fetal size. Maternal factors were identified for risk categorization of fetal macrosomia during pregnancy. Macrosomia was rare at 37 weeks and increasingly common thereafter. Fetal size assessment by ultrasound at 36 to 38 weeks' gestation would permit induction of labor for the macrosomic infant before the size became excessive or would make the accoucheur aware of the dangers that may arise during delivery.
对相隔15年的两个时间段内出生的体重超过4000克婴儿的分娩结局进行了回顾性研究。剖宫产使用率的增加及其他产科进展并未降低与巨大胎儿相关的胎儿窒息和创伤风险。确定了孕期巨大胎儿风险分类的母体因素。巨大胎儿在孕37周时罕见，之后越来越常见。在妊娠36至38周时通过超声评估胎儿大小，可为巨大胎儿在其体型变得过大之前引产，或使接生人员意识到分娩期间可能出现的危险。
