42孕周极端巨大儿1例报告并文献复习

IF 0.1 Q4 OBSTETRICS & GYNECOLOGY
J. Kummer, Yvonne Callister, Anja Jebens, Valentin Mihajlov, Luisa-Maria Pech, L. Hellmeyer
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引用次数: 0

摘要

【摘要】目的胎儿巨大儿是一种描述胎儿出生体重过重的术语。胎儿巨大儿与不良的产科结局密切相关。我们报告一个罕见的病例过度新生儿体重在医学上无监督的怀孕,并给出了这一重大课题的文献综述。一名38岁妇女(妊娠8第7段)在妊娠42又2/7周时出现在产房。怀孕期间没有医疗监督。开始引产。由于进展失败和怀疑胎儿头部和产妇骨盆不成比例,进行了紧急剖腹产手术。出生体重:6760 g[>99。百分位数],长度:60厘米[>99。百分位)。结论出生体重超过4500 g的婴幼儿和妇女发病率增高。妊娠期糖尿病、孕前体重指数高和妊娠期体重增加过多是独立相关的危险因素。妊娠合并产妇肥胖和妊娠期糖尿病的增加强调了采取循证临床干预措施预防或减少这些疾病的必要性。如果准妈妈不经常进行产前护理,产科医生就没有办法检测胎儿巨大症并进行干预。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Extreme fetal macrosomia at 42 gestational weeks: a case report and literature review
Abstract Objectives Fetal macrosomia is a term to describe excessive fetal birth weight. Fetal macrosomia is strongly associated with adverse obstetrical outcome. Case presentation We report a rare case of excessive neonatal weight in a medically unsupervised pregnancy and give a literature review on this significant subject. A 38 year-old woman (Gravida 8 Para 7) presented herself at 42 2/7 weeks of gestation at the labor ward. The pregnancy had not been supervised medically. Labor induction was initiated. Due to failure to progress and suspicion of a disproportion of the fetal head and maternal pelvis an urgent caesarean section was performed. A morbidly macrosomic male infant was delivered (birth weight: 6,760 g [>99. percentile], length: 60 cm [>99. percentile]). Conclusions The morbidity for infants and women increases with a birth weight exceeding 4,500 g. Gestational diabetes mellitus, a high pre-pregnancy body mass index and excessive gestational weight gain have been independently associated as risk factors. The increase in pregnancies complicated by maternal obesity and gestational diabetes emphasizes the necessity of evidence-based clinical interventions to prevent or reduce these diseases. If prenatal care is not frequented by mothers-to-be there are no options open for obstetricians to detect fetal macrosomia and to intervene.
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来源期刊
Case Reports in Perinatal Medicine
Case Reports in Perinatal Medicine OBSTETRICS & GYNECOLOGY-
自引率
0.00%
发文量
37
期刊介绍: Case Reports in Perinatal Medicine is a double-blind peer-reviewed journal. The objective of the new journal is very similar to that of JPM. In addition to evidence-based studies, practitioners in clinical practice esteem especially exemplary reports of cases that reveal specific manifestations of diseases, its progress or its treatment. We consider case reports and series to be brief reports describing an isolated clinical case or a small number of cases. They may describe new or uncommon diagnoses, unusual outcomes or prognosis, new or infrequently used therapies and side effects of therapy not usually discovered in clinical trials. They represent the basic concept of experiences for studies on representative groups for further evidence-based research. The potential roles of case reports and case series are: Recognition and description of new diseases Detection of drug side effects (adverse or beneficial) Study of mechanisms of disease Medical education and audit Recognition of rare manifestations of disease.
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