Volume 9, Issue 24 (Autumn 1999)
J Mazandaran Univ Med Sci 1999, 9(24): 32-38 |
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Fakhri M. Evaluation of Maternal and Neonatal Complications in Macrosomia . J Mazandaran Univ Med Sci 1999; 9 (24) :32-38
URL: http://jmums.mazums.ac.ir/article-1-933-en.html
URL: http://jmums.mazums.ac.ir/article-1-933-en.html
Abstract: (29569 Views)
Background and purpose : Macrosomia can increase maternal & neonatal complications.These complications and their relevance to macrosomia was evaluated in this study.
Materials and Methods: This was a cohort study done , by selecting 5440 delivery files, in which 4400 cases had natural delivery and 104 patients with cesarean section . Patients with full term delivery of neonate with 4000 grams were selected as a case group and the patients with full term delivery of neonate with 25000-3999 grams weight were selected as a control group. Factors like , parity , and delivery status were the same for both groups , the patients with repeated cesarean were omitted in this study.
Results : The results of this study showed that the total rate of cesarean section in control group was 15.5% against the rate of 11.5% in control group (P<0.037) , and the main reason of cesarean in macrosomic group was due to fetal distress. Shoulder dystocia and excretion of moconium was the only complication of Macrosomic infants , which showed no statistically significant difference (P<0.002) , post delivery bleeding and administration of oxytocin for acceleration of labour in case groups showed no significant difference with cantrol groups (P<0.01).
Conclusion : This study indicated that , despite high rate of vaginal delivery , of macrosomic infant , excluding shoulder dystocia , delivery of macrosomia and post delivery bleeding , there was no significant difference in maternal complications and further study is recemmonded in such type of deliveries
Materials and Methods: This was a cohort study done , by selecting 5440 delivery files, in which 4400 cases had natural delivery and 104 patients with cesarean section . Patients with full term delivery of neonate with 4000 grams were selected as a case group and the patients with full term delivery of neonate with 25000-3999 grams weight were selected as a control group. Factors like , parity , and delivery status were the same for both groups , the patients with repeated cesarean were omitted in this study.
Results : The results of this study showed that the total rate of cesarean section in control group was 15.5% against the rate of 11.5% in control group (P<0.037) , and the main reason of cesarean in macrosomic group was due to fetal distress. Shoulder dystocia and excretion of moconium was the only complication of Macrosomic infants , which showed no statistically significant difference (P<0.002) , post delivery bleeding and administration of oxytocin for acceleration of labour in case groups showed no significant difference with cantrol groups (P<0.01).
Conclusion : This study indicated that , despite high rate of vaginal delivery , of macrosomic infant , excluding shoulder dystocia , delivery of macrosomia and post delivery bleeding , there was no significant difference in maternal complications and further study is recemmonded in such type of deliveries
Type of Study: Research(Original) |
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