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首页> 美国卫生研究院文献>The Pan African Medical Journal >Facteurs de risque et pronostic materno-fœtal de la macrosomie fœtale: étude comparative a propos de 820 cas Risk factors and materno-fetal prognosis of foetal macrosomia: comparative study of 820 cases
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Facteurs de risque et pronostic materno-fœtal de la macrosomie fœtale: étude comparative a propos de 820 cas Risk factors and materno-fetal prognosis of foetal macrosomia: comparative study of 820 cases

机译：胎儿巨大儿的危险因素和母婴预后：820例的比较研究胎儿巨大儿的危险因素和母婴预后：820例的比较研究

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The delivery of a macrosomic infant is a relatively common situation. It can put mother and fetus at high risk. The main maternal complications are the increase in cesarean rates, postpartum hemorrhage and cervicovaginal traumatic lacerations. The main fetal complication is shoulder dystocia increasing the risk of brachial plexus. The objective was to identify risk factors and maternal-fetal complications associated with fetal macrosomia. Comparative retrospective study conducted at Kairouan University Hospital maternity unit in 2010. We compared a group of 820 cases of macrosomic infants to a control group of 800 cases of infants born in the same period of time. During the study period we collected clinical data of 820 macrosomic cases on a total of 7.495 deliveries, corresponding to a total incidence of 10.94%. Several factors predisposing to fetal macrosomia were highlighted: Maternal age> 35 years was present in 28.5% of cases; Maternal obesity was found in 45% of cases; A personal history of macrosomia was noted in 28,8% of cases; Prolonged pregnancies > 41 weeks of amenorrhoea was noted in 35.6% of cases; Multiparity was found in 47% of cases. Maternal complications were essentially postpartum hemorrhage: 71 cases and genital traumas: 24 cases. Perinatal complications were dominated by shoulder dystocia: 27 cases (3.3%). Traumatic postpartum complications were found in 11.6%.
机译：大体婴儿的分娩是相对普遍的情况。它会使母亲和胎儿处于高风险。孕产妇的主要并发症是剖宫产率，产后出血和宫颈阴道外伤性撕裂伤的增加。胎儿的主要并发症是肩难产，增加了臂丛神经的风险。目的是确定与胎儿巨大儿有关的危险因素和母婴并发症。于2010年在凯鲁万大学医院妇产科进行了比较性回顾性研究。我们比较了820例巨大体婴儿与对照组800例同期出生的婴儿。在研究期间，我们收集了820例大体病例的临床数据，共计7.495例分娩，占总发生率的10.94％。强调了导致胎儿巨大儿的几项因素：28.5％的病例中产妇年龄> 35岁；在45％的病例中发现了孕妇肥胖；在28.8％的病例中发现了巨大的个人病史； 35.6％的病例出现了长时间的闭经> 41周的闭经；在47％的案例中发现了多重奇偶校验。产妇并发症基本上是产后出血：71例，生殖器外伤：24例。围产期并发症以肩难产为主：27例（3.3％）。外伤性产后并发症的发生率为11.6％。

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