Rodríguez-Rojas R R, Cantú-Esquivel M G, Benavides-de la Garza L, Benavides-de Anda L
Clínica y Maternidad Conchita, A.C., Monterrey, N.L., México.
Ginecol Obstet Mex. 1996 Jun;64:247-50.
The macrosomia is an obstetric eventuality associated to high maternal-fetal morbidity-mortality. This assay was planned in order to know the incidence of macrosomia in our institution, the relation between vaginal and abdominal deliveries and the fetal-maternal morbidity we reviewed 3590 records and we found 5.6% incidence of macrosomia in the global obstetric population. There was 58% of vaginal deliveries, 68% of the newborn were male. The main complications were in the C. sections, 2 laceration of the hysterectomy, and 2 peroperative atonias. In the vaginal deliveries, the lacerations of III and IV grade were 9 of each grade. The main fetal complications were 5 slight to severe asphyxia and 4 shoulder dystocias. This assay concludes that the macrosomia in our service is similar to the already published ones, a 42% were C. section and the maternal-fetal morbidity was low.
巨大儿是一种与母婴高发病率和死亡率相关的产科情况。本研究旨在了解我院巨大儿的发生率、阴道分娩与剖宫产的关系以及母婴发病率。我们回顾了3590份记录,发现全球产科人群中巨大儿的发生率为5.6%。阴道分娩率为58%,新生儿中68%为男性。主要并发症发生在剖宫产中,2例子宫切除术中出现撕裂伤,2例术中出现宫缩乏力。在阴道分娩中,Ⅲ度和Ⅳ度裂伤各有9例。主要的胎儿并发症为5例轻度至重度窒息和4例肩难产。本研究得出结论,我院的巨大儿情况与已发表的研究相似,42%的产妇接受了剖宫产,母婴发病率较低。