Naslov
Relationship of fetal macrosomia with neonatal and maternal outcome

Autori
Frković, Aleksandra ; Mamula, Ozren ; Ćuk, Đuro ; Stanković, Snježana

Vrsta, podvrsta i kategorija rada
Sažeci sa skupova, sažetak, znanstveni

Izvornik
Prenatal and Neonatal Medicine, Vol.5, suppl.2 / - Porto : The Parthenon Publishing Group, 2000, 105-105

Skup
XVII European Congress of Perinatal Medicine

Mjesto i datum
Porto, Portugal, 25.06.2000. - 28.06.2000

Vrsta sudjelovanja
Poster

Vrsta recenzije
Međunarodna recenzija

Ključne riječi
Fetal macrosomia; Neonatal outcome; Maternal outcome; Delivery

Sažetak
Aim: The aim of this work was to show neonatal and maternal outcome in deliveries with macrosomia. Methods: In the six years period from 1993 to 1998 all term deliveries (>259 days, >37 weeks of gestation) with fetal macrosomia (>4000 g) were analyzed, except for multiple pregnancies, stillbirths and diabetes mellitus. The control group consisted of the number of randomly chosen vertex deliveries with weight from 3000 to 3500 g. In the examined groups we analyzed the following parameters for the newborn: weight, Apgar score at first and fifth minute after delivery, the incidence of acidosis, intracranial hemorrhage, early cerebral signs, infections, hypoglycemia, cephalhematoma, fracture of clavicule, brachial plexus injury, fetal mortality in partu and post partum: and for mother: perineal lacerations, cervical lacerations, rupture of the uterus, bladder injuries, simphysiolysis, frequency of anemiae, transfusion, dehiscence, vaginal hematoma, thrombophlebitis, antibiotic therapy. The statistical analysis was done by the hi square test with statistical failure of p<0, 05. Results: in the examined period there were 19226 deliveries out of which 2180 (11.3%) were macrosomic infants. The control group consisted of 2200 vertex deliveries. 238 (10.92%) deliveries with macrosomic newborns were terminated by ceasarean section while in the control group 147 (6.68%) deliveries were terminated by caesarean section. 97 (4.45%) deliveries with macrosomic newborns were terminated with vacuum extractor while there were 65 (2.95%) deliveries in the control group. These differences are significantly important. The average birth weight of macrosomic newborns was 4234+/-244 g, while in the control group it was 3275+/-146 g and it presents significant difference. We did not find any significant difference in Apgar score </- 7 at fifth minute, acidosis early cerebral signs, hypoglycemia, cephalhematoma and mortality (in partu and post partum). The incidence of Apgar score</- at first minute, infections, fracture of clavicule and brachial plexus injury in macrosomic newborns in relation to the control group is significantly higher. We did not have any cases of fetal mortality in partu and post partum. In maternal morbidity there was significantly greater number of cervical lacerations and anemiae in deliveries with macrosomia in relation to the control group. Conclusions: Macrosomia is linked with higher incidence of operative delivery and higher fetal and maternal morbidity.

Izvorni jezik
Engleski

Znanstvena područja
Temeljne medicinske znanosti, Kliničke medicinske znanosti

POVEZANOST RADA