Document Detail

Macrosomic newborns: a 3-year review.
MedLine Citation:
PMID:  21043383     Owner:  NLM     Status:  MEDLINE    
The objective of this study was to determine the incidence, perinatal complications and the outcome of macrosomic infants. A retrospective analysis was made of macrosomic deliveries and of those admitted into the Neonatology Unit. A control group of 854 deliveries weighing between 2500-4000 g was randomly composed. The incidence of macrosomic deliveries, stillbirth rates, sex, parity, maternal age, mode of delivery, perinatal complications like birth traumas, hypoglycemia, polycythemia, asphyxia, admission rate into the neonatal intensive care unit (NICU), and outcome were analyzed. Among a total of 11,827 deliveries, 829 (7%) were macrosomic neonates. Statistical analysis showed male predominance (p = 0.0001), a significant increase in cesarean section (p = 0.0001), and higher parity for the macrosomic group (p = 0.0001). The mothers of macrosomic newborns were older (p = 0.0001). The admission frequency of macrosomic deliveries into the NICU was almost two-fold. Birth injuries were found in 53 (6.4%) macrosomic infants, and macrosomic deliveries had a two-fold risk for birth injuries. Statistical analysis showed a significant difference between macrosomics and the control group for the frequency of birth traumas (p = 0.0007), hypoglycemia (p = 0.0001) and polycythemia (p = 0.0006). There were two deaths in macrosomic group versus one among control cases. Regarding the high birth trauma and NICU admission rates of macrosomic infants, it is important to emphasize the significance of prenatal diagnosis of fetal macrosomia and of management of these high-risk pregnancies in tertiary level hospitals.
Yasemin Akin; Serdar Cömert; Cem Turan; Abdülkadir Piçak; Turgut Ağzikuru; Berrin Telatar
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The Turkish journal of pediatrics     Volume:  52     ISSN:  0041-4301     ISO Abbreviation:  Turk. J. Pediatr.     Publication Date:    2010 Jul-Aug
Date Detail:
Created Date:  2010-11-03     Completed Date:  2010-12-10     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0417505     Medline TA:  Turk J Pediatr     Country:  Turkey    
Other Details:
Languages:  eng     Pagination:  378-83     Citation Subset:  IM    
Department of Pediatrics I, Dr. Lütfi Kirdar Kartal Training and Research Hospital, Istanbul, Turkey.
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MeSH Terms
Birth Injuries / epidemiology
Chi-Square Distribution
Delivery, Obstetric / methods
Fetal Macrosomia / complications,  epidemiology*
Infant, Newborn
Intensive Care Units, Neonatal / utilization
Middle Aged
Retrospective Studies
Risk Factors
Turkey / epidemiology

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