Open AccessFETAL MACROSOMIA;
Author(s) -
Habiba Sharaf Ali,
Shahina Ishtiaque
Publication year - 2014
Publication title -
the professional medical journal/the professional medical journal
Language(s) - English
Resource type - Journals
eISSN - 2071-7733
pISSN - 1024-8919
DOI - 10.29309/tpmj/2014.21.03.2033
Subject(s) - medicine , fetal macrosomia , caesarean section , shoulder dystocia , incidence (geometry) , obstetrics , fetus , diabetes mellitus , pregnancy , gestational diabetes , gestation , endocrinology , biology , genetics , physics , optics
Objective: To review the deliveries of macrocosmic babies and their obstetricaland neonatal outcomes. Methods: A prospective case control study involving a total of 3700deliveries at term of macrocosmic babies between Jan 2011 to Dec 2012 in Ziauddin HospitalKemari Campus. The study concerned risk factors, mode of delivery and the incidence ofmaternal and perinatal complications. Results: Macrosomia occurred in 5.2% of all deliveries.The main risk factors of macrosomia identified in our study were multiparty and diabetes mellitus.The significant maternal complications were caesarean section, postpartum hemorrhage andperineal tear. Significantly male gender, shoulder dystocia and admission to NICU were noted inmacrosomic group compared to controls. Conclusions: Macrosomia is potentially dangerousfor the mother and the neonate. It is important to identify the suspected fetal macrosomia toprevent its risk factors and complications. There is a need to provide all delivery facilities and careservices to prevent and reduce the maternal and neonatal complications.