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KMID : 0377219810060010161
Medical Journal of Chosun Univercity
1981 Volume.6 No. 1 p.161 ~ p.169
Clinical and Statistical Observation of Large Fetus
Kang Young-Soon

Oh Hyun-Ei
Abstract
We studied 240 casea of large fetuses seen in Chosun university hospital, from Jan. 1, 1976 through Nov. 30, 1980. During which time 3754 cases of total deliveries occurred. The resulrs obtained were as follows ; 1) The incidence of large fetuses weighing 4§¸ or more was 6.39 per cent of the total deliveries and the babies weighing 4.6§¸ or more was 0. 42 per cent of the total. 2) 3.75 Per cent of the large fetuses was born at 40 or 41 weeks of gestation and 39.58 per cent were over 42 weeks of gestation. 3) The large fetus was more frequently seen in multipara and as parity increases, the incidence of large fetus was gradually elevated, in para 3(10.23%). 4) The majority of large fetuses were found to be born either in mothers aged 25~29(50.42%), or in 30~34(31.25%). 5) Most cases of large fetuses(63.33%) were male and the female fetuses were found in 36.66 per cent(male : female=1.72 : 1). Over 4.8§¸ in weight, all were male. 6) The babies were born spontaneous vaginal delivery in 68.33 Per cent, Cesarean section in 15.00 per cent, and vacuum delivery in 14.17 Per cent. 7) Indication for Cesarean section was cephalopelvic disproportion(52.78%), fetal malposition(19.44%), and repeat C-section(16.67%) in order. 8) Incidence of anemia in mothers with large fetuses was 30.83 per cent and the anemia was more common in multipara(23.75%) than in primipara(7.08%). 9) The Apgar score revealed 95.00 per cent in 7~10 and 5.00 per cent in below 6. 10) Incidence of toxemia was 5. 42 per cent (13 cases in number).
KEYWORD
Large Fetus
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