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Foetal Macrosomia and Foetal-Maternal Outcomes at Birth
Umeå University, Faculty of Medicine, Department of Clinical Sciences, Obstetrics and Gynecology. Department of Obstetrics and Gynecology, Sundsvall County Hospital, Sundsvall 85186, Sweden.
2018 (English)In: Journal of Pregnancy, ISSN 2090-2727, E-ISSN 2090-2735, article id 4790136Article in journal (Refereed) Published
Abstract [en]

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.

Place, publisher, year, edition, pages
Hindawi Publishing Corporation, 2018. article id 4790136
National Category
Obstetrics, Gynecology and Reproductive Medicine
Identifiers
URN: urn:nbn:se:umu:diva-151412DOI: 10.1155/2018/4790136ISI: 000441978800001OAI: oai:DiVA.org:umu-151412DiVA, id: diva2:1244837
Funder
Swedish Association of Local Authorities and RegionsAvailable from: 2018-09-03 Created: 2018-09-03 Last updated: 2018-09-04Bibliographically approved

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Turkmen, Sahruh

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