,
Department of Obstetrics and Gynaecology, Cantonal Hospital Zenica , Zenica , Bosnia and Herzegovina
Department of Obstetrics and Gynaecology, Cantonal Hospital Zenica , Zenica , Bosnia and Herzegovina
Department of Obstetrics and Gynaecology, Cantonal Hospital Zenica , Zenica , Bosnia and Herzegovina
Department of Internal Medicine, Cantonal Hospital Zenica , Zenica , Bosnia and Herzegovina
Aim
To identify a rate of macrosomic births in a one-year review, associated maternal characteristics and pregnancy outcome.
Methods
This one-year retrospective review included all macrosomic deliveries at the Department of Obstetrics and Gynaecology
at the Cantonal Hospital Zenica between 1 January 2018 and 31 December 2018. The data were collected from maternal and newborn medical records. A total of 361 singleton normal birth weight term newborns (birth weight < 4000 g, but not small for gestational age) who were delivered in the same period, represented the control group.
Results
Among the total of 2758 women who gave birth, 360 (13.05%) macrosomic infants (birth weight more than 4000 g)
were delivered. Mean birth weight was 4258.90 g (maximum 5460g); nine (0.33%) were >5000g. Male macrosomic infants
were more frequently represented, 245 (68,1%) comparing to the control group (p<0.01); in the control group female infants were more frequently represented (p<0.01). The overall Cesarean section rate, including elective Cesarean delivery was 23.2%, and 76.1% underwent an attempt of labour delivered vaginally.
Conclusion
Macrosomia represents a risk for adverse outcome for the mother and neonate, with a higher risk for the operative mode
of delivery.
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