Macrosomia: effect, predictive maternal factor, neonatal complications. Our casuistry

Palumbo, Marco A. and Fauzia, M. and Gulino, Ferdinando Antonio and Di Grazia, Francesco M. and Giunta, M.R. and Giannone, T.T. and Grasso, Francesco and Zarbo, Giuseppe (2013) Macrosomia: effect, predictive maternal factor, neonatal complications. Our casuistry. Giornale italiano di ostetricia e ginecologia, 35 (3). pp. 453-456. ISSN 1971-1433

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Method. 6.692 pregnant women gave birth at the P.O. Santo Bambino University Hospital "Policlinico - V. Emanuele" Catania from the 1st of January 2010 to the 31st of December 2012. Every healthy child, full-term, with weight equal to or greater than 4.000 g was classified as macrosoma. Mode of delivery, indications for cesarean section, incidence of shoulder dystocia, clavicle fracture, perineal laceration and postpartum haemorrhage were evaluated. Data were analyzed using the Chi-square test with a level of statistical significance determined by a value of P <0.05. Results. 305 cases of macrosomia were found. In macrosomia group 157 (51.4%) caesarean sections and 148 spontaneous delivery (48.5%) were carried out, while in control group there were 134 caesarean sections (43.9%) and 171 spontaneous (56%). The increased use of operative delivery in macrosomia group compared to control was not statistically significant (P=0.074). The most frequent indications for cesarean section in macrosomia group were: cephalo-pelvic disproportion (12.1%), uterine inertia (7.8%) and unengaged fetal head (6.8%). Conclusions. Fetal macrosomia is not an indication to elective caesarean section. Vaginal delivery, when macrosomia is suspected and there is no contraindication, still remains the safest mode of delivery.

Item Type: Article
Uncontrolled Keywords: Pregnancy, fetal macrosomia, obstetrical morbility, neonatal complications, caesarean section
Subjects: 600 Tecnologia - Scienze applicate > 610 Medicina e salute (Classificare qui la tecnologia dei servizi medici) > 618 Altri rami della medicina; Ginecologia e ostetricia, Pediatria, Geriatria
Depositing User: Matteo Viola
Date Deposited: 11 Sep 2013 16:21
Last Modified: 11 Sep 2013 16:21

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