Original article

A one-year review of macrosomic births at the Cantonal Hospital Zenica, Bosnia and Herzegovina

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Abstract

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.

Keywords: birth weight, delivery, fetal macrosomia, fetal outcome, pregnancy

How to Cite:

Štimjanin, H., Iriškić, R., Hodžić, J. & Štimjanin, E., (2019) “A one-year review of macrosomic births at the Cantonal Hospital Zenica, Bosnia and Herzegovina”, Medicinski glasnik 17(1), 141-144. doi: https://doi.org/10.17392/1063-20