Macrosomia has many obstetrical problems because of increased risk of dystocia, birth trauma and postpartum hemorrhage.
We studied 523 cases of macrosomia, infants weighing 4,000gram or more, delivered at Seoul Paik Hospital from January 1983 to December 1992.
@ES The results were as follows:
@EN 1 The incidence of macrosomia weighing 4,000gram or more was 5.07%.
2. Most of macrosomia were born in mothers aged 25~29(57.93%), according to gestational weeks, 57.55% of macrosomia was born between 40 and 41 weeks of gestation.
3. there was no tendency of the increase in the incidence of macrosomia as the parity increases.
4. Male to female baby sex ratio was 174:100.
5. As for mode of delivery, cesarean section rate was 31.36% and the most common indication was cephalopelvic disproprtion(45.73%).
6. The most common antepartum maternal disease was anemia (27.53%) and others were pregnancy induced hypertension (5.93%), diabetes mellitus (0.96%) and thyroid disease (0.19%).
7. Maternal complications were perineal laceration(4.78%), bladder atony(2.49%) and postpartum hemorrhage(1.15%).
8. Neonatal complications were fetal hypoxia(4.02%), hypoglycemia(3.63%), cephalhematoma (2.10%), brachial paralysis(0.57%) and fracture of clavicle(0.38%).
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