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KMID : 0376219850220030549
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Chonnam Medical Journal
1985 Volume.22 No. 3 p.549 ~ p.555
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Obstetric Survey of Macrosomia
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Abstract
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The decline in perinatal morbidity and mortality in recent years is related to the improved obstetric and neonatal care given to the premature and small for-dates infant. By contrast, there has been relatively little concern about the large infant, despite the significant risks attendant on its delivery.
Large infants weighing 4,000 g or more and their mothers delivered at Chonnam National University Hospital from 1981 to 1985 (esp. from Aug. 1983 to Nov. 1985) were studied retrospectively.
The results obtained were as follows:
1. The incidence of macrosomia weighing 4, 000 g or more was 5.5 % (313 cases out of 5,677 total deliveries) and the incidence of babies weighing 4,500 g or more was 0.96% (55 cases out of 5, 677 deliveries)
2. In relationship between maternal age and macrosomia, the age group of 25~29 occupied 61.5%.
3. The frequency of post-term pregnancy in 104 cases of macrosomia was 38.5 % .
4. Male-to-female ratio in macrosomia of 104 cases was 142: 100.
5. The macrosomic infant was more frequently seen in multipara(65.4%) than in primipara (34.6%).
6. The majority of presentation in macrosomia were cephalic (94-2%)
7. The incidence of C-section in macrosomia (34.6%) was higher than that of control group(16.6%). CPD was the most common indication for C-section in macrosomia.
8. The prenatal mortality rate was 8.7%. 5 cases were stillbirth and 4 cases were neonatal death.
9. The frequency of maternal anemia was 24.0% and preeclampsia 19.2%.
10. Congenital anomalies in macrosomia were 3 cases (2.9%) out of 104 cases.
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