Rech F, Lojodice S, Patella A, Indraccolo S R
Scuola Autonoma di Ostetricia, Università degli Studi di Roma La Sapienza.
Minerva Ginecol. 1998 Jun;50(6):225-30.
Fetal macrosomia is a condition which may increase the risk of mechanical and/or dynamic problems for the parturient. In the past, we have demonstrated that in more than half of the cases it is not possible to exclude a contribution of maternal pathology to the determination of fetal-macrosomia. The aim of this work is to verify whether our more recent experience regarding predictive factors of fetal macrosomia shows some noteworthy novelty.
The study was retrospectively carried out on pregnant women who, during the period January 1994-February 1996, delivered babies weighing at least 4 kg at the Midwifery School of Camerino. With regard to the frequency of the main risk factors of fetal macrosomia described in scientific literature, the sample was compared with a control group randomly selected.
Advanced gestational age at the time of delivery, parental tallness, maternal overweight/obesity, gestational glucidic dysmetabolism, a distance between pubis and uterine fundus of at least 34 cm, male sex of the unborn child have proved to be predictive factors of fetal macrosomia.
The differences in comparison with the past, on the other hand altogether negligible, are the consequence of changes in the management of some obstetric situations.
胎儿巨大是一种可能增加产妇发生机械性和/或动力性问题风险的情况。过去，我们已经证明，在超过半数的病例中，无法排除母体病理因素对胎儿巨大判定的影响。本研究的目的是验证我们最近关于胎儿巨大预测因素的经验是否有一些值得注意的新发现。
本研究对1994年1月至1996年2月期间在卡梅里诺助产学校分娩体重至少4千克婴儿的孕妇进行了回顾性研究。就科学文献中描述的胎儿巨大主要危险因素的发生率而言，将该样本与随机选择的对照组进行了比较。
分娩时孕周较大、父母身材高大、母体超重/肥胖、妊娠期糖代谢异常、耻骨联合与子宫底距离至少34厘米、胎儿为男性已被证明是胎儿巨大的预测因素。
另一方面，与过去相比的差异完全可以忽略不计，这是某些产科情况管理变化的结果。
