Macrosomic Newborn Anthropometric Parameters and the Mode of Delivery

Valère, Mve Koh; Belinga, Etienne; Paul, Engbang Ndamba Jean; Marie, Kasia Jean

doi:10.4172/2161-0932.1000490

Cited by 3 publications

(4 citation statements)

References 21 publications

(22 reference statements)

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“…but data on height are wandering thus require more attention [25]. At last, the HIV factor found in this study should without doubt be linked to the therapies taken by HIV infected women; some of those drugs may induce metabolic effects, in particular disturbing the metabolism of carbohydrates and lipids.…”

Section: Discussionmentioning

confidence: 79%

Outcomes of Fetal Macrosomia and Associated Factors: A Case-Control Facility Based Study

Nlend¹,

Gwodog²,

Sandie³

2023

OJPed

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Objective: To identify risk factors of perinatal complications among macrosomic babies in a third level health care facility. Method: We conducted a case-control institutional based study. Cases (macrosomic babies and mothers with perinatal complications) and controls (pairs free of perinatal complication) of singleton live births were extracted from the maternity registry from January 2017 to December 2019. Matching was done for sex and gestational age after exclusion of genetic cause of macrosomia. The main primary outcome was the risk factors for complications. Logistic regression was used to estimate the odds ratio and the magnitude of association between the primary endpoint and the different covariates of the study. Results: Out of 362 couples included, we had 186 cases and 176 controls. The main perinatal complications were the delivery by caesarean section (26.5%) and lesions of the genital canal, 20.2%. There were no maternal deaths. Among newborns, metabolic complications (19.6%) were a leading cause of harmful outcomes before respiratory complications (12.4%), dystocic presentations (6.3%) or traumatic injuries (1.7%). The neonatal case fatality rate was 2.8%. Maternal age ≥30 years (p = 0.024); non-screening for gestational diabetes (p = 0.027); history of caesarean section (p = 0.041); weight gain ≥16 kg (p < 0.001); maternal HIV (p = 0.047); birth weight ≥4500 g (p = 0.015) and birth height ≥52.7 ± 1.7 cm (p = 0.026) were risk factors for perinatal adverse outcomes. Conclusion: The delivery of a macrosomic baby remains problematic in this setting, and emphasizes the need to improve routine screening of gestational diabetes within a quality of prenatal follow-up through a multidisciplinary perinatal team involving obstetricians, endocrinologists and neonatal pediatricians.

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Section: Discussionmentioning

confidence: 79%

Outcomes of Fetal Macrosomia and Associated Factors: A Case-Control Facility Based Study

Nlend¹,

Gwodog²,

Sandie³

2023

OJPed

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“…In Hessian Hospitals, Germany, there was a 20% increase in newborns with a birth weight between 4000-4499 g and a 17% increase in newborns weighing more than 4499 g over a 13-year period (Berle 1997). In a study conducted in Sub Saharan Africa, the incidence of macrosomia varied between 2% to 15% (Valère et al 2018). Macrosomia can occur due to various factors, including genetics, maternal diabetes, maternal obesity and gestational age.…”

Section: Introductionmentioning

confidence: 99%

“…Overall, the evidence suggests that parity may be a risk factor for macrosomia, but the relationship is not always statistically significant. Other factors, such as maternal weight gain, age, and gestational age, may also play a role (Valère et al 2018, Amini et al 2016. There is no clear answer to whether macrosomic newborns are more often male or female based on the search results.…”

Section: Introductionmentioning

confidence: 99%

“…There is no clear answer to whether macrosomic newborns are more often male or female based on the search results. However, one study found that the percentage of female infants was higher than male among macrosomic infants (Al-Qashar et al 2016) while another study shown that male newborns are more likely to be macrosomic compared to female new-borns (Valère et al 2018). The most common way of giving birth to macrosomic children is through cesarean section (Yamasmit 2011).…”

Section: Introductionmentioning

confidence: 99%

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Aspects of the Macrosomic Newborn in a One-Year Cohort

Jerković Raguž,

Azinović,

Kolobarić

2024

Medicina Academica Integrativa

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Background:Todeterminethefrequency,course,complicationsandoutcomeofmacrosomiainnewborns.Subjects and Methods: A cross-sectional epidemiological study was conducted. The research was conducted at the Department of Gynecology and Obstetrics of the University Clinical Hospital Mostar (UCH Mostar), as well as at the ClinicalDepartmentforIntensiveCareandNeonatologyUCHMostarintheperiodfromJanuary1,2022to31December 2022. Data from the protocol, medical history and discharge letters of pregnant women who gave birth at the Clinic for Gynecology and Obstetrics, as well as data from the above for newborns transferred to the Clinical Department for Intensive Care and Neonatology was used. The parameters considered in newborns are: anthropometric measurements (birth weight, birth length, head circumference), sex, month of birth, gestational age, Apgar index, and for newborns transferredtopaediatrics:pathologicalconditions(asphyxia,jaundice,sepsis,perinatalinfection),respiratorydistress syndrome,) and the method and length of treatment.Results:Theoccurrenceofmacrosomicnewbornsinthisstudyis10.4%ofthetotalnumberofbirthsinayear. A significant increase in the frequency of giving birth to macrosomic newborns from the second or more pregnancies was observed, and the number of birth complications was lower. Statistically, significantly more medication use and pregnancy pathology were found in the group of macrosomic newborns with pathology. Thus, in the group of newborns with pathology, it is more significant that they had jaundice and perinatal infection among the pathological conditions.Conclusion:Thefrequencyofmacrosmiainnewbornswasdetermined,andtwomostcommonpathologicalconditions were jaundice and perinatal infection with a favorable perinatal background.Keywords:fetalmacrosomias,birthoutcome,perinataloutcome

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Delivery of macrosomia in a Cameroonian referral facility: epidemiological, clinical, therapeutic and prognostic aspects

Tatsipie¹,

Metogo²,

Mballa³

et al. 2022

OGIJ

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Introduction: Macrosomia represents a high-risk obstetrical situation because it is at the origin of an important maternal-fetal morbidity through its numerous complications, reason for which it would put at risk the maternal-fetal vital prognosis. However, few studies have been carried out in our environment, hence the need to contextualize and update the data. Objective: Our objective was to study the epidemiological, clinical and therapeutic aspects of the delivery of macrosomia at the Gynaecological-Obstetric and Paediatric Hospital of Yaoundé. Methodology: This was a descriptive cross-sectional study with prospective data collection at the Gynaecological-Obstetric and Paediatric Hospital in Yaoundé. The recruitment period was spread over 4 months, from 03 January to 07 May 2021. Thus, we included in our study, women who delivered a macrosomic newborn and gave their informed consent for the study. The data collected were analyzed using SPSS version 22.0 software. Results: In total, we included 52 participants. We obtained a frequency of 6.23% of macrosomal deliveries at the HGOPY. The most represented age group was between 25 and 30 years for an average age of 29 years.Diabetes was found in a small proportion (1.9%), Obesity was found in 12% of cases. Induction of labour was necessary in 13% of cases. Uterine heights between 34 and 37 cm were predominant in 56% of cases. Multiparous women were the most common in 32% of cases, and postterm in 7% of cases. The most common presentation was cephalic at 92%. Caesarean section was necessary in 37% of cases and occurred mostly in emergency at 85% and the use of oxytocin was the majority. Complications at delivery were dominated by perineal lesions in 70% of cases and delivery haemorrhage in 60% of cases. We observed 92% of macrosomic newborns with a weight between 4000 and 4499 grams. Male sex was predominant in 72%. Fetal complications occurred in 11% of cases and were dominated by hypoglycemia and fetal death in utero. We did not record any neonatal or maternal deaths. Conclusion: Macrosomia is common in our study site. It mainly concerns women from the western region, with an average age of 30 years. The rate of caesarean section is high allowing the birth of a boy in the majority of cases. Maternal complications are dominated by perineal lesions and delivery haemorrhage, fetal complications by in utero fetal death and hypoglycaemia. Perinatal mortality is high.

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Macrosomic Newborn Anthropometric Parameters and the Mode of Delivery

Cited by 3 publications

References 21 publications

Outcomes of Fetal Macrosomia and Associated Factors: A Case-Control Facility Based Study

Outcomes of Fetal Macrosomia and Associated Factors: A Case-Control Facility Based Study

Aspects of the Macrosomic Newborn in a One-Year Cohort

Delivery of macrosomia in a Cameroonian referral facility: epidemiological, clinical, therapeutic and prognostic aspects

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