Abstract：Objective The aim is to explore the impact of macrosomia on their mothers and themselves around childbirth.Methods Data on childbirth information during January 2013 to December 2017 from electronic information system in maternal and child care service center, Tongzhou district, Beijing are used in this study to construct a retrospective cohort. A total of 76,045 pregnant women were collected, including 75,894 live births and 151 stillbirths. Excluding fetuses with birth weights below 1 000 g or above 6 000 g, 75 874 live births were eventually included. Stratification analyses and Chi-square test were used to compare the differences among different birth weight groups, and logistic regression analyses was used to assess the impact of macrosomia on maternal and fetal outcomes.Results From 2013 to 2017, the risk to be post-term infant of macrosomia was 80% higher than that of normal birth weight in Tongzhou district maternal and child health hospital of Beijing, and the risk of cesarean section was 135% higher than that of normal birth weight. Compared with the mothers of the infants with normal birth weight, the risk of lateral episiotomy increased by nearly 20 percent for the mothers of the macrosomia, excluding the effects of delivery modes. However, there was no statistically significant differences on the rate of postpartum asphyxiation between macrosomia and the infants with normal birth weight (P>0.05) by different delivery modes.Conclusion There are more adverse maternal and infant outcomes in macrosomia. It is necessary to study and improve the methods of prenatal prediction for macrosomia, and correctly handle the delivery process so as to improve maternal and infant outcomes.
李小庆, 徐相蓉, 王海俊, 任正洪. 分娩前后巨大儿对母婴的影响研究[J]. 中国生育健康杂志, 2019, 30(2): 121-126.
LI Xiaoqing, XU Xiangrong, WANG Haijun, REN Zhenghong. Study on the impact ofmacrosomia on their mothers and themselves around childbirth. Chinese Journal of Reproductive Health, 2019, 30(2): 121-126.
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