Document Detail


Suspected macrosomia? Better not tell.
MedLine Citation:
PMID:  18299867     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: To evaluate the management policy of delivery in a suspected macrosomic fetus and to describe the outcome of this policy. STUDY DESIGN: For this prospective observational study we followed the management by reviewing the medical records of 145 women and their infants. The study population included women at term admitted to the obstetrics department with suspected macrosomic infants, as was diagnosed by an obstetrician and/or by fetal sonographic weight estimation of > or =4,000 g. The comparison group (n = 5,943) consisted of all women who gave birth during the data collection period. RESULTS: Induction of labor and cesarean delivery rates in the macrosomic pregnancies (actual birth weight >4,000 g) of the study group were significantly higher when compared with the macrosomic pregnancies of the comparison group. When comparing the non-macrosomic to the macrosomic pregnancies (actual birth weight </>4,000 g) of the study group no significant difference was demonstrated regarding maternal or infant complications. The sensitivity, specificity and positive predictive value of the methods used for detecting macrosomia were 21.6, 98.6 and 43.5%, respectively. CONCLUSION: Our ability to predict macrosomia is poor. Our management policy of suspected macrosomic pregnancies raises induction of labor and cesarean delivery rates without improving maternal or fetal outcome.
Authors:
D Sadeh-Mestechkin; A Walfisch; R Shachar; I Shoham-Vardi; H Vardi; M Hallak
Related Documents :
2662077 - Dilemmas in the pharmacological management of preterm labor.
312017 - Obstetric cholestasis. a 14 year review.
17601897 - Magnesium sulfate compared with nifedipine for acute tocolysis of preterm labor: a rand...
11128407 - Labor induction.
12827097 - The role of bath seats in unintentional infant bathtub drowning deaths.
15561017 - Interim mortality in pulmonary atresia with intact ventricular septum.
Publication Detail:
Type:  Journal Article     Date:  2008-02-26
Journal Detail:
Title:  Archives of gynecology and obstetrics     Volume:  278     ISSN:  1432-0711     ISO Abbreviation:  Arch. Gynecol. Obstet.     Publication Date:  2008 Sep 
Date Detail:
Created Date:  2008-07-28     Completed Date:  2009-01-15     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8710213     Medline TA:  Arch Gynecol Obstet     Country:  Germany    
Other Details:
Languages:  eng     Pagination:  225-30     Citation Subset:  IM    
Affiliation:
Department of Obstetrics and Gynecology, Faculty of Health Sciences, Soroka University Medical Center, Ben-Gurion University of the Negev, Beer-Sheva, Israel. mestechk@bgu.ac.il
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Descriptor/Qualifier:
Adult
Case-Control Studies
Delivery, Obstetric / methods*
Female
Fetal Macrosomia / diagnosis*,  therapy*,  ultrasonography
Humans
Infant, Newborn
Pregnancy
Prospective Studies

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


Previous Document:  Endothelial nitric oxide synthase gene polymorphisms in recurrent spontaneous abortions.
Next Document:  Local IgE and inflammation in chronic rhinosinusitis of asthmatics and non-asthmatics.