hrvatski

Porodaji donešene hipertrofične novorodenčadi u splitskom rodilištu

Aim: To investigate the frequency, mode of delivery and perinatal factors of hypertrophic term newborns at the Department of Gynaecology and Obstetrics, Split University Hospital in a two year period (2008-2009). Methods: The study included all parturient women who gave birth to hypertrophic term infants between 2008 and 2009 (n = 792). Multiple pregnancies, stillborns and malformed newborns were excluded from the study. The control group consisted of two term births of eutrophic newborns following each delivery from the study group. Clinical data were gathered from the birth protocol of the Department of Gynaecology and Obstetrics, Split University Hospital. Results: In the analysed period 8.76% newborns were hypertrophic. Caesarean section was performed in 18.3% hypertrophic and 15.1% eutrophic newborns (P = 0.072). An episiotomy was preformed more frequently in women with hypertrophic newborns (P = 0.002). Hypertrophic newborns had 22.9% significantly higher average birth weight (P < 0.001), 4.9% average higher length (P < 0.001) and 6.3% higher average ponderal index (P < 0, 001). The frequency of gestational diabetes mellitus was significantly higher in women with hypertrophic newborns (P = 0.031). Conclusion: Fetal hypertrophy is a state of increased perinatal risk. Ultrasound detected accelerated fetal growth can help in directing a way of further pregnancy monitoring, and immediately before delivery in selection of birth mode and conduction of delivery.

gestacijski dijabetes; fetalna hipertrofija; makrosomija

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