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妊娠42周的极端胎儿宏观症:一个病例报告和文献综述

Julia Kummer¹, Yvonne Callister¹, Anja Jebens¹

¹Department of Gynecology and Obstetrics, Klinikum im Friedrichshain, Berlin, Germany.

Case reports in perinatal medicine

|March 5, 2025

概括

胎儿宏观症,或过重的出生体重,与糟糕的结果有关. 一个罕见的案例突出了无监督怀孕的风险,以及需要产前护理来检测和管理这种情况.

科学领域:

产科和妇科产科和妇科
新生儿医学新生儿医学
公共卫生公共卫生

背景情况:

胎儿宏观症,定义为胎儿出生体重过重,与不良的产科结果有关.
风险因素包括妊娠期糖尿病,高妊娠前BMI和过度的妊娠期体重增加.
增加的孕产妇肥胖率和妊娠期糖尿病率需要基于证据的干预措施.

研究的目的:

报告一个罕见的极端胎儿巨在无监督怀孕的情况.
审查关于胎儿宏观体的重要主题的文献.
强调产前护理对于检测和管理胎儿巨症的重要性.

主要方法:

一个38岁的妇女 (Gravida 8 Para 7) 在42个2/7周的怀孕期进行了无监督怀孕的病例报告.
由于未能进展,并怀疑头骨皮层不成比例,引发分娩,随后进行紧急剖腹产.
关于胎儿宏观体的文献综述.

主要成果:

生出一个病态宏观的男婴,体重6760克 (>99百分位数),尺寸60厘米 (>99百分位数).
婴儿和母亲的发病率随着出生体重超过4,500克而增加.
缺乏产前护理使产科医生无法检测和干预胎儿宏观症的病例.

结论:

胎儿宏观带来很大的风险,特别是在无监督怀孕中.
肥胖和妊娠期糖尿病等母亲因素是关键的危险因素.
定期的产前护理对于早期检测和治疗胎儿宏观症至关重要,以改善母亲和新生儿的结果.

关键词:

胎儿的宏观生理学孕期糖尿病孕期糖尿病孕产妇的肥胖症母亲的肥胖症没有监督的怀孕.

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