Fetal and Maternal Outcomes in Pregnancies Complicated with Fetal Macrosomia

BACKGROUND: Fetal macrosomia remains a considerable challenge in current obstetrics due to the fetal and maternal complications associated with this condition. AIM: This study was designed to determine the prevalence of fetal macrosomia and associated fetal and maternal morbidity and mortality in th...

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Autores principales: Alsammani, Mohamed Alkahatim, Ahmed, Salah Roshdy
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Medknow Publications & Media Pvt Ltd 2012
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3385366/
https://www.ncbi.nlm.nih.gov/pubmed/22754881
http://dx.doi.org/10.4103/1947-2714.97212
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author Alsammani, Mohamed Alkahatim
Ahmed, Salah Roshdy
author_facet Alsammani, Mohamed Alkahatim
Ahmed, Salah Roshdy
author_sort Alsammani, Mohamed Alkahatim
collection PubMed
description BACKGROUND: Fetal macrosomia remains a considerable challenge in current obstetrics due to the fetal and maternal complications associated with this condition. AIM: This study was designed to determine the prevalence of fetal macrosomia and associated fetal and maternal morbidity and mortality in the Al Qassim Region of Saudi Arabia. MATERIALS AND METHODS: This register-based study was conducted from January 1, 2011 through December 30, 2011 at the Maternity and Child Hospital, Qassim, Saudi Arabia. Macrosomia was defined as birth weight of 4 kg or greater. Malformed babies and those born dead were excluded. RESULTS: The total number of babies delivered was 9241; of these, 418 were macrosomic. Thus, the prevalence of fetal macrosomia was 4.5%. The most common maternal complications were postpartum hemorrhage (5 cases, 1.2%), perineal tear (7 cases, 1.7%), cervical lacerations (3 cases, 0.7%), and shoulder dystocia (40 cases, 9.6%) that resulted in 4 cases of Erb's palsy (0.96%), and 6 cases of bone fractures (1.4%). The rate of cesarean section among women delivering macrosomic babies was 47.6% (199), while 52.4% (219) delivered vaginally. CONCLUSION: Despite extensive efforts to reduce fetal and maternal complications associated with macrosomia, considerable fetal and maternal morbidity remain associated with this condition.
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spelling pubmed-33853662012-07-02 Fetal and Maternal Outcomes in Pregnancies Complicated with Fetal Macrosomia Alsammani, Mohamed Alkahatim Ahmed, Salah Roshdy N Am J Med Sci Original Article BACKGROUND: Fetal macrosomia remains a considerable challenge in current obstetrics due to the fetal and maternal complications associated with this condition. AIM: This study was designed to determine the prevalence of fetal macrosomia and associated fetal and maternal morbidity and mortality in the Al Qassim Region of Saudi Arabia. MATERIALS AND METHODS: This register-based study was conducted from January 1, 2011 through December 30, 2011 at the Maternity and Child Hospital, Qassim, Saudi Arabia. Macrosomia was defined as birth weight of 4 kg or greater. Malformed babies and those born dead were excluded. RESULTS: The total number of babies delivered was 9241; of these, 418 were macrosomic. Thus, the prevalence of fetal macrosomia was 4.5%. The most common maternal complications were postpartum hemorrhage (5 cases, 1.2%), perineal tear (7 cases, 1.7%), cervical lacerations (3 cases, 0.7%), and shoulder dystocia (40 cases, 9.6%) that resulted in 4 cases of Erb's palsy (0.96%), and 6 cases of bone fractures (1.4%). The rate of cesarean section among women delivering macrosomic babies was 47.6% (199), while 52.4% (219) delivered vaginally. CONCLUSION: Despite extensive efforts to reduce fetal and maternal complications associated with macrosomia, considerable fetal and maternal morbidity remain associated with this condition. Medknow Publications & Media Pvt Ltd 2012-06 /pmc/articles/PMC3385366/ /pubmed/22754881 http://dx.doi.org/10.4103/1947-2714.97212 Text en Copyright: © North American Journal of Medical Sciences http://creativecommons.org/licenses/by-nc-sa/3.0 This is an open-access article distributed under the terms of the Creative Commons Attribution-Noncommercial-Share Alike 3.0 Unported, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Original Article
Alsammani, Mohamed Alkahatim
Ahmed, Salah Roshdy
Fetal and Maternal Outcomes in Pregnancies Complicated with Fetal Macrosomia
title Fetal and Maternal Outcomes in Pregnancies Complicated with Fetal Macrosomia
title_full Fetal and Maternal Outcomes in Pregnancies Complicated with Fetal Macrosomia
title_fullStr Fetal and Maternal Outcomes in Pregnancies Complicated with Fetal Macrosomia
title_full_unstemmed Fetal and Maternal Outcomes in Pregnancies Complicated with Fetal Macrosomia
title_short Fetal and Maternal Outcomes in Pregnancies Complicated with Fetal Macrosomia
title_sort fetal and maternal outcomes in pregnancies complicated with fetal macrosomia
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3385366/
https://www.ncbi.nlm.nih.gov/pubmed/22754881
http://dx.doi.org/10.4103/1947-2714.97212
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