Perinatal Outcome of Macrosomic Births in Port Harcourt

Ojule, JD MB,BS, FWACS, Fiebai PO MB,BS, FWACS, FICS, Okongwu C MB,BS, FWACS

Available online Jul 13, 2018.

[ Original ] Volume 19, Issue 4, 2010, Pages 436-446


Abstract

Background: Macrosomic babies are at increased risk
of adverse perinatal outcome and therefore constitute a
high risk group of neonates and the incidence appears
to be rising. The objective was to determine the
incidence of fetal macrosomia, and the perinatal
outcome of macrosomic babies, compare with matched
term, appropriate weight neonates in the booked
antenatal population of the UPTH.
Methods: It was a- one year prospective study of the
perinatal outcome of singleton babies whose birth
weights were 4000g and above (macrosomia) delivered
to booked antenatal mothers in UPTH between 1st
October 2003 and 30th September 2004, comparing
them with term appropriate (2500-3999g) weight
babies. The birth weight, sex, perinatal and maternal
complications documented from direct observations,
questioning and other information extracted from
patients' case notes, were entered into a personal
computer, analysed and presented as frequency tables,
percentages, Chi-square x2, calculated as appropriate
using Epi info version 3.4.3 statistical soft ware. P< 0.05
was considered statistically significant.
Results: Fetal macrosomia occurred in 354 out of 2417
singleton term deliveries, giving an incidence of 1in 7
deliveries or 14.65%.The birth asphyxia (7.90% vs
2.60%, p= 0.011), Neonatal admission (29.54% vs
2.85%, p= 0.001) and perinatal mortality (48/1000 vs
23/1000 births, p=0.001), caesarean delivery (55.70%
vs18.64%, p=0.001) rates were significantly higher in
the macrosomic than the control group.
Conclusion: There is a high incidence of fetal
macrosomia in Port Harcourt with associated relatively
higher adverse perinatal outcome compared to
singleton term normal weight babies.
.


Keywords

Keywords: Fetal macrosomia, incidence, perinatal outcome, perinatal mortality, Port Harcourt,

October - December 2010

Volume 19 | Issue 4

Page Nos. 436-446

Online since Jul 13, 2018

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