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Macrosomia: maternal and fetal outcome
S A Karim1, M Mastoor, A J Ahmed
1Department of Obstetrics and Gynaecology, Aga Khan University Medical Centre, Karachi, Pakistan.
Asia-Oceania Journal of Obstetrics and Gynaecology
|March 1, 1994
Summary
Macrosomia, a condition of excessive fetal growth, affected 3.8% of deliveries. Maternal age, obesity, and diabetes were key risk factors, leading to increased birth complications and neonatal intensive care needs.
Area of Science:
- Obstetrics and Gynecology
- Neonatal Health
- Public Health in Developing Nations
Background:
- Macrosomia (fetal macrosomia) presents significant risks during childbirth.
- Understanding its prevalence and associated maternal factors is crucial for improving perinatal outcomes, especially in resource-limited settings.
Purpose of the Study:
- To determine the prevalence and outcomes of macrosomia.
- To identify maternal risk factors associated with macrosomia in a developing region.
Main Methods:
- Retrospective case-control study design.
- Analysis of 6,093 deliveries at a tertiary care center.
- Identification of macrosomic births and associated maternal and neonatal data.
Main Results:
- Macrosomia prevalence was 3.8% (234 cases).
- Maternal risk factors included advanced maternal age (>35), obesity, grand multiparity, postmaturity, and impaired glucose tolerance.
- Increased rates of operative delivery, shoulder dystocia, birth trauma, fetal distress, neonatal intensive care, and perinatal loss were observed.
Conclusions:
- Macrosomia is a significant obstetric complication in this underdeveloped region.
- Maternal factors like advanced age, obesity, and glucose intolerance are strongly linked to macrosomia.
- Effective management of these risk factors and delivery protocols are essential to reduce adverse perinatal outcomes.
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