第七版妇产科--第十四章巨大胎儿与双胎妊娠（The seventh edition of Obstetrics and Gynecology - Chapter fourteenth fetal macrosomia and twin pregnancy）.docVIP

第七版妇产科--第十四章巨大胎儿与双胎妊娠（The seventh edition of Obstetrics and Gynecology - Chapter fourteenth fetal macrosomia and twin pregnancy） The seventh edition of Obstetrics and Gynecology - Chapter fourteenth fetal macrosomia and twin pregnancy.Txt2008 is not normal, everything is normal! At this critical moment, China men to prove to the world: China men or normal! The fourteenth chapter is fetal macrosomia and twin pregnancy Section 1 fetal macrosomia The fetal weight reaches or exceeds 400 TA said fetal macrosomia (fetalmac~mia). Domestic data show that the vast fetus accounted for 5.62% of the total number of births, one, 6, 49%., and found that in 1990s than 7 (1s huge children doubled, more than 4500g of the fetus accounted for 0.79%, 1.04%. If the birth canal, labor force and position were normal. Only fetal macrosomia can occur in the first pelvic disproportion and difficult delivery. [] there are genetic factors related to etiology, parents are tall; pregnant women suffering from mild or subclinical diabetes; some maternal fetal weight increases with the number of childbirth; part of postterm pregnancy; pregnant women diet intake too much and too little exercise. [diagnosis] 1 clinical manifestations were macrosomia, birth history, diabetes history, etc.. Late pregnancy, dyspnea, heavy abdominal pain and two rib pain and other symptoms, the weight of pregnant women increased rapidly. 2. abdominal examination, the abdomen obvious expansion, the official bottom is high, the matrix is big, the first exposure part is high, the fetal heart is normal, powerful, but the position is slightly higher. It should be differentiated from twin pregnancy, amniotic fluid excess, fetal malformation and abdominal mass in pregnancy table. 3.. Cutting carcass ultrasound examination of fetal biparietal diameter IOem, fetal abdominal circumference and femur length of two drum ginseng helps to determine fetal macrosomia. At the same time can exclude twins, amniotic fluid, excessive and so o