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...
Autores principales: | , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
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Medknow Publications & Media Pvt Ltd
2012
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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. |
format | Online Article Text |
id | pubmed-3385366 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2012 |
publisher | Medknow Publications & Media Pvt Ltd |
record_format | MEDLINE/PubMed |
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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