|
KMID : 0358419760190020109
|
|
Korean Journal of Obstetrics and Gynecology
1976 Volume.19 No. 2 p.109 ~ p.118
|
|
|
Clinical Survery of large fetuses
|
|
이남훈/Lee NH
이춘노/강정대/안관순/Lee CN/Kang JD/Ahn GS
|
|
|
Abstract
|
|
|
|
1. The incidence of large fetuses weighing 4 kg or more was 5.81% of the total deliveries and the babies weighing 4.5Kg or more was 0.79% of the total 2. Over half of large fetuses (50.87%) were born at 40 or 41 weeks of gestation and 40.53% were over 42 weeks of gestation. 3. The large fetus was more frequency seen in multipara and as the parity increases, the incidence of large fetus was gradually elevated, especially in pare 3 or 4. 4. The majority of large fetuses were found to be born either in mothers aged 30-34 (8.04%) or in 35-39 (8.68%) 5. Most cases of large fetuses were male (61.32%) in their sex and the female fetuses were found in 38.68%(male : female = 3:2) 6. Incidence of anemia in mothers with large fetuses was 7.32% and the anemia was more common in multipare (7.94%) than in primipara (5.48%) 7. Medical complications were noted in 17 cases (5.92%) among 287 mothers with large fetuses the most common complications were diabetes (12cases or 4.17%). Of which overt diabetes was found in 2 cases (1.10%) and prediabetes in 10 cases (5.5%) 8. Obstetrical complications were found in 106 cases (37.21%). The uterine dysfunction (12.89%) and the toxemias (6.97%) were most frequent complications. 9. The babies were born vaginarloute in 75.61% and abdominal route in 24.39%. 10. The rate of cesarean section was 3 times high compaaring with overall and major indication for cesarean section was cephalopelivic disproportion (62.8%) repeat cesarean section (17.14%) and fetal distress (12.86%) 11. The shoulder dystocia occured in 5 cases (1.74%) 12. There were 4 cases of perinatal loss, of which three cases were stillbirth and one cases was neonatal death.
|
|
|
KEYWORD
|
|
|
|
|
|
FullTexts / Linksout information
|
|
 
|
|
|
Listed journal information
|
|
  
|