Rech F, Patella A, Cecchi A, Indraccolo S R
Scuola Autonoma di Ostetricia di Camerino, Università degli Studi di Roma La Sapienza-Roma.
Minerva Ginecol. 1995 Oct;47(10):431-8.
The alleged connection between fetal magalosomia and the increased risk of maternal and perinatal morbidity justifies the lively discussion that has developed about the management problems caused by a big unborn child. The aim of this study is to offer a contribution to the definition of the more or less peculiar problems associated with labour and delivery in a pregnant women with a megalosomic fetus. The study was retrospectively carried out on a sample of 45 women who, during the period 1190-1993, delivered a fetus weighing at least 4 kg. This sample was statistically compared with a numerically identical standard sample, selected at random. The main characteristics of labour and delivery were examined in the two groups under study. The most considerable differences observed concern the length of the labour, greater in the sample than in the standard group, and the frequency of dystocic events, similarly more considerable in the pregnant women with a megalosomic fetus. Maternal and perinatal outcomes, in spite of the small number of cesarean sections performed, were anyway very good in both the examined groups. In our experience, the risks associated with fetal megalosomia were rather limited, but this is not a reason to minimize beyond measure the problem we are talking about.
胎儿巨大症与孕产妇及围产期发病率增加之间所谓的关联，引发了关于巨大胎儿所导致管理问题的热烈讨论。本研究的目的是为界定与巨大胎儿孕妇分娩相关的或多或少特殊的问题提供帮助。该研究对1990年至1993年期间分娩出至少4千克胎儿的45名妇女样本进行了回顾性研究。将此样本与随机选取的数量相同的标准样本进行统计学比较。对研究的两组中分娩的主要特征进行了检查。观察到的最显著差异涉及产程长度，样本组比标准组更长，以及难产事件的发生率，巨大胎儿孕妇中同样更显著。尽管剖宫产数量较少，但两个观察组的孕产妇和围产期结局都非常好。根据我们的经验，与胎儿巨大症相关的风险相当有限，但这并非毫无节制地轻视我们所讨论问题的理由。
