Document Detail


Obstetric outcome of excessively overgrown fetuses (> or = 5000 g): a case-control study.
MedLine Citation:
PMID:  12951884     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
AIMS: To compare the obstetric outcome of excessively- and appropriately-grown fetuses. METHODS: Medical records of mothers who delivered excessively overgrown fetuses, defined as birthweight > or = 5000 g, in our hospital between 1996 and 2000 (n = 47, study group), and a control group who delivered fetuses with normal birthweight (n = 47) were reviewed. RESULTS: Incidence of excessively overgrown fetuses was 0.24% and 68% were boys. Mothers in this group were significantly older, overweight and multiparous (p < 0.0001) and had gestational diabetes mellitus (p < 0.0001) and prolonged pregnancies (p = 0.04). A previous big baby was also significant (p < 0.0001) and the commonest risk factor. There were no obvious risk factors in nine (19.1%) cases. More than half (n = 28, 59.5%) of these babies were delivered vaginally without clinical suspicion of excessive fetal size. Duration of second stage of labor and incidence of maternal trauma were similar in both groups. Cesarean delivery (p = 0.0003), postpartum hemorrhage (p = 0.004), birth asphyxia (p = 0.007), shoulder dystocia (p < 0.0001) and fetal trauma (p = 0.03) were significantly more frequent in the study group. CONCLUSIONS: Excessively overgrown fetuses are associated with the same risk factors as fetal macrosomia and should be delivered by cesarean if diagnosed antenatally because of increased maternal and perinatal morbidity during vaginal delivery.
Authors:
Summaya S Anoon; Diaa E E Rizk; Mutairu Ezimokhai
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Journal of perinatal medicine     Volume:  31     ISSN:  0300-5577     ISO Abbreviation:  J Perinat Med     Publication Date:  2003  
Date Detail:
Created Date:  2003-09-03     Completed Date:  2003-12-11     Revised Date:  2005-11-17    
Medline Journal Info:
Nlm Unique ID:  0361031     Medline TA:  J Perinat Med     Country:  Germany    
Other Details:
Languages:  eng     Pagination:  295-301     Citation Subset:  IM    
Affiliation:
Department of Obstetrics and Gynecology, Al-Ain Hospital, United Arab Emirates.
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MeSH Terms
Descriptor/Qualifier:
Birth Injuries / epidemiology
Case-Control Studies
Cesarean Section / statistics & numerical data
Delivery, Obstetric / statistics & numerical data*
Diabetes, Gestational / epidemiology
Female
Fetal Macrosomia / epidemiology*
Humans
Incidence
Infant, Newborn
Male
Obstetric Labor Complications / epidemiology
Pregnancy
Pregnancy Outcome
Retrospective Studies
United Arab Emirates / epidemiology

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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