Foetal Macrosomia and Foetal-Maternal Outcomes at Birth
To investigate how macrosomia affects foetal-maternal birth outcomes, we conducted a retrospective cohort study of singleton pregnant women who gave birth at gestational age ≥37+0 weeks. The patients were divided into three groups according to birth weight: “macrosomia” group, ≥4500 g, n=285; “upper...
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Wiley
2018-01-01
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| Series: | Journal of Pregnancy |
| Online Access: | http://dx.doi.org/10.1155/2018/4790136 |
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| author | Sahruh Turkmen Simona Johansson Marju Dahmoun |
| author_facet | Sahruh Turkmen Simona Johansson Marju Dahmoun |
| author_sort | Sahruh Turkmen |
| collection | DOAJ |
| description | To investigate how macrosomia affects foetal-maternal birth outcomes, we conducted a retrospective cohort study of singleton pregnant women who gave birth at gestational age ≥37+0 weeks. The patients were divided into three groups according to birth weight: “macrosomia” group, ≥4500 g, n=285; “upper-normal” group, 3500–4499 g, n=593; and “normal” group, 2500–3499 g, n=495. Foetal-maternal and delivery outcomes were compared among the three groups after adjustment for confounders. Caesarean section was more frequent in the macrosomia group than in upper-normal and normal groups. The duration of labour (p < 0.05) and postpartum care at the hospital (p < 0.001) were the highest in the macrosomia group. Increased birth weight was associated with higher risks of shoulder dystocia (p < 0.001), increased bleeding volume (p < 0.001), and perineal tear (p < 0.05). The Apgar score at 5 minutes (p < 0.05), arterial cord pH (p < 0.001), and partial pressure of O2 (p < 0.05) were lower, while the arterial cord partial pressure of CO2 was higher (p < 0.001), in the macrosomia group. Macrosomia has potentially serious impacts for neonate and mother as a result of a complicated and occasionally traumatic delivery. |
| format | Article |
| id | doaj-art-4e30832b69c7434dae028e2978d649ce |
| institution | Kabale University |
| issn | 2090-2727 2090-2735 |
| language | English |
| publishDate | 2018-01-01 |
| publisher | Wiley |
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| series | Journal of Pregnancy |
| spelling | doaj-art-4e30832b69c7434dae028e2978d649ce2025-02-03T06:12:27ZengWileyJournal of Pregnancy2090-27272090-27352018-01-01201810.1155/2018/47901364790136Foetal Macrosomia and Foetal-Maternal Outcomes at BirthSahruh Turkmen0Simona Johansson1Marju Dahmoun2Department of Clinical Sciences, Obstetrics and Gynecology, Sundsvalls Research Unit, Umeå University, Umeå 90185, SwedenDepartment of Clinical Sciences, Obstetrics and Gynecology, Sundsvalls Research Unit, Umeå University, Umeå 90185, SwedenDepartment of Obstetrics and Gynecology, Sundsvall County Hospital, Sundsvall 85186, SwedenTo investigate how macrosomia affects foetal-maternal birth outcomes, we conducted a retrospective cohort study of singleton pregnant women who gave birth at gestational age ≥37+0 weeks. The patients were divided into three groups according to birth weight: “macrosomia” group, ≥4500 g, n=285; “upper-normal” group, 3500–4499 g, n=593; and “normal” group, 2500–3499 g, n=495. Foetal-maternal and delivery outcomes were compared among the three groups after adjustment for confounders. Caesarean section was more frequent in the macrosomia group than in upper-normal and normal groups. The duration of labour (p < 0.05) and postpartum care at the hospital (p < 0.001) were the highest in the macrosomia group. Increased birth weight was associated with higher risks of shoulder dystocia (p < 0.001), increased bleeding volume (p < 0.001), and perineal tear (p < 0.05). The Apgar score at 5 minutes (p < 0.05), arterial cord pH (p < 0.001), and partial pressure of O2 (p < 0.05) were lower, while the arterial cord partial pressure of CO2 was higher (p < 0.001), in the macrosomia group. Macrosomia has potentially serious impacts for neonate and mother as a result of a complicated and occasionally traumatic delivery.http://dx.doi.org/10.1155/2018/4790136 |
| spellingShingle | Sahruh Turkmen Simona Johansson Marju Dahmoun Foetal Macrosomia and Foetal-Maternal Outcomes at Birth Journal of Pregnancy |
| title | Foetal Macrosomia and Foetal-Maternal Outcomes at Birth |
| title_full | Foetal Macrosomia and Foetal-Maternal Outcomes at Birth |
| title_fullStr | Foetal Macrosomia and Foetal-Maternal Outcomes at Birth |
| title_full_unstemmed | Foetal Macrosomia and Foetal-Maternal Outcomes at Birth |
| title_short | Foetal Macrosomia and Foetal-Maternal Outcomes at Birth |
| title_sort | foetal macrosomia and foetal maternal outcomes at birth |
| url | http://dx.doi.org/10.1155/2018/4790136 |
| work_keys_str_mv | AT sahruhturkmen foetalmacrosomiaandfoetalmaternaloutcomesatbirth AT simonajohansson foetalmacrosomiaandfoetalmaternaloutcomesatbirth AT marjudahmoun foetalmacrosomiaandfoetalmaternaloutcomesatbirth |