Analysis of Influencing Factors and Pregnant Outcomes in Macrosomia

LI Hai-ling; QIAN Hui-qin

Abstract：Objective:To find effect factors of macrosomia,then providing clinical basis for nutritional intervention in pregnancy.Method:218 cases who delivery macrosomia infant(body mass≥4000 g) in our hospital were selected,and 200 cases whose newborns had normal birth weight(2500-4000 g) were selected as control.Result:The maternal BMI before pregnancy,weight gain in pregnancy,male fetus and gestational diabetes mellitus rates were significant higher in macrosomia group than those in control group(P<0.05).The cesarean section rate was significant higher in macrosomia group than that in control group(P<0.05), and the volume of postpartum hemorrhage was significant increased in macrosomia group than that in control group(P<0.05).Conclusion:Maternal BMI before pregnancy,weight gain in pregnancy,fetal gender and gestational diabetes mellitus are relative factors of macrosomia.Macrosomia increases cesarean section and postpartum hemorrhage rates.Positive and effective nutritional intervention in pregnancy are important for prevent macrosomia occur and improve perinatal outcome.