Fetal macrosomia in a military hospital: incidence, risk factors, and outcome.
Publication/Presentation Date
2-1-1991
Abstract
The purpose of this paper is to determine the incidence of fetal macrosomia, analyze risk factors, and review maternal and fetal outcome. Macrosomia occurred in 15.1% of deliveries, with very macrosomic fetuses comprising 4.1% of these pregnancies; 61.3% were male. Diabetes mellitus, post-term pregnancy, and excessive weight gain were identified as maternal risk factors. The incidence of shoulder dystocia, birth injury, and low Apgar scores was significantly higher than in controls. In addition, cesarean section rates were higher for the macrosomic groups. Fetuses delivered vaginally had more frequent birth injury than those delivered by cesarean section. Women at risk for fetal macrosomia should be screened, and liberal use of cesarean section is recommended.
Volume
156
Issue
2
First Page
55
Last Page
58
ISSN
0026-4075
Published In/Presented At
Sarno AP Jr, Hinderstein WN, Staiano RA. Fetal macrosomia in a military hospital: incidence, risk factors, and outcome. Mil Med. 1991 Feb;156(2):55-8. PMID: 1900588.
Disciplines
Medicine and Health Sciences
PubMedID
1900588
Department(s)
Department of Obstetrics and Gynecology
Document Type
Article