Foetal macrosomia: risk factors, maternal and foetal outcomes in N’Djamena Mother and Child Hospital, Chad
Background: Macrosomia is a birth weight above the 90th percentile corrected for gestational age and sex, or birth weight of 4000-4500 g. Objective: To determine the incidence of foetal macrosomia and macrosomia-associated maternal and perinatal morbidity and mortality. Patients and method: Th...
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| Format: | Article |
| Language: | English |
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Health and Social Sciences Research Institute - South Sudan (HSSRI-SS)
2018-05-01
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| Series: | South Sudan Medical Journal |
| Subjects: | |
| Online Access: | https://bit.ly/2KfvnCj |
| _version_ | 1828074965128183808 |
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| author | Gabkika Bray Madoue Souan Nguele Sile Foumsou Lhagadang |
| author_facet | Gabkika Bray Madoue Souan Nguele Sile Foumsou Lhagadang |
| author_sort | Gabkika Bray Madoue |
| collection | DOAJ |
| description | Background: Macrosomia is a birth weight above the 90th percentile corrected for gestational age and sex, or birth weight of 4000-4500 g.
Objective: To determine the incidence of foetal macrosomia and macrosomia-associated maternal and perinatal morbidity and mortality.
Patients and method: This was a cross-sectional study covering a period of six months, from January to June 2016 in N’Djamena Mother and Child Hospital, Chad. The sample consisted of two groups: mothers who gave birth to macrosomic babies (the study group) and an equal number of mothers who gave birth to normosomic babies (the control group).
Results: Out of a total of 5,284 deliveries, 403 babies weighed 4.0 kg or more giving an incidence of macrosomia of 7.6%. The mean maternal age and mean birth parity of the study group were significantly greater than in the control group. There were significantly more mothers with a previous history of macrosomia in the study group than in the control group. Ninety three babies (23.1%) in the study group were delivered by Caesarean Section, and 76.9% by vaginal delivery. The commonest maternal complications were: postpartum haemorrhage (15.9%), prolonged labour (13.9%) and perineal laceration (4.4%). There were significantly more babies with a poor Apgar score in the first and the fifth minute in the study group than in the control group (P= 0.0009). Other complications among the macrosomic babies were: shoulder dystocia (1.3%), stillbirths (0.7%) and hypoglycaemia (8.4%).
Conclusion: Macrosomic neonates are more often delivered by Caesarean Section than normosomic babies. There is a clear need during prenatal care and delivery to minimise maternal and perinatal complications.
Keys words: Caesarean Section, foetal macrosomia, complications, N’Djamena Mother and Child Hospital |
| first_indexed | 2024-04-11T01:52:07Z |
| format | Article |
| id | doaj.art-85d39f25413a4fbe8698a8b608c3ea84 |
| institution | Directory Open Access Journal |
| issn | 2309-4605 2309-4613 |
| language | English |
| last_indexed | 2024-04-11T01:52:07Z |
| publishDate | 2018-05-01 |
| publisher | Health and Social Sciences Research Institute - South Sudan (HSSRI-SS) |
| record_format | Article |
| series | South Sudan Medical Journal |
| spelling | doaj.art-85d39f25413a4fbe8698a8b608c3ea842023-01-03T06:21:10ZengHealth and Social Sciences Research Institute - South Sudan (HSSRI-SS)South Sudan Medical Journal2309-46052309-46132018-05-011124043Foetal macrosomia: risk factors, maternal and foetal outcomes in N’Djamena Mother and Child Hospital, ChadGabkika Bray Madoue 0Souan Nguele Sile 1Foumsou Lhagadang 2Department of Gynaecology and Obstetrics, N’Djamena Mother and Child Hospital, Chad. Department of Paediatrics, N’Djamena Mother and Child Hospital, Chad. Department of Gynaecology and Obstetrics, N’Djamena Mother and Child Hospital, Chad Background: Macrosomia is a birth weight above the 90th percentile corrected for gestational age and sex, or birth weight of 4000-4500 g. Objective: To determine the incidence of foetal macrosomia and macrosomia-associated maternal and perinatal morbidity and mortality. Patients and method: This was a cross-sectional study covering a period of six months, from January to June 2016 in N’Djamena Mother and Child Hospital, Chad. The sample consisted of two groups: mothers who gave birth to macrosomic babies (the study group) and an equal number of mothers who gave birth to normosomic babies (the control group). Results: Out of a total of 5,284 deliveries, 403 babies weighed 4.0 kg or more giving an incidence of macrosomia of 7.6%. The mean maternal age and mean birth parity of the study group were significantly greater than in the control group. There were significantly more mothers with a previous history of macrosomia in the study group than in the control group. Ninety three babies (23.1%) in the study group were delivered by Caesarean Section, and 76.9% by vaginal delivery. The commonest maternal complications were: postpartum haemorrhage (15.9%), prolonged labour (13.9%) and perineal laceration (4.4%). There were significantly more babies with a poor Apgar score in the first and the fifth minute in the study group than in the control group (P= 0.0009). Other complications among the macrosomic babies were: shoulder dystocia (1.3%), stillbirths (0.7%) and hypoglycaemia (8.4%). Conclusion: Macrosomic neonates are more often delivered by Caesarean Section than normosomic babies. There is a clear need during prenatal care and delivery to minimise maternal and perinatal complications. Keys words: Caesarean Section, foetal macrosomia, complications, N’Djamena Mother and Child Hospitalhttps://bit.ly/2KfvnCj Caesarean Sectionfoetal macrosomiacomplicationsN’Djamena Mother and Child Hospital |
| spellingShingle | Gabkika Bray Madoue Souan Nguele Sile Foumsou Lhagadang Foetal macrosomia: risk factors, maternal and foetal outcomes in N’Djamena Mother and Child Hospital, Chad South Sudan Medical Journal Caesarean Section foetal macrosomia complications N’Djamena Mother and Child Hospital |
| title | Foetal macrosomia: risk factors, maternal and foetal outcomes in N’Djamena Mother and Child Hospital, Chad |
| title_full | Foetal macrosomia: risk factors, maternal and foetal outcomes in N’Djamena Mother and Child Hospital, Chad |
| title_fullStr | Foetal macrosomia: risk factors, maternal and foetal outcomes in N’Djamena Mother and Child Hospital, Chad |
| title_full_unstemmed | Foetal macrosomia: risk factors, maternal and foetal outcomes in N’Djamena Mother and Child Hospital, Chad |
| title_short | Foetal macrosomia: risk factors, maternal and foetal outcomes in N’Djamena Mother and Child Hospital, Chad |
| title_sort | foetal macrosomia risk factors maternal and foetal outcomes in n djamena mother and child hospital chad |
| topic | Caesarean Section foetal macrosomia complications N’Djamena Mother and Child Hospital |
| url | https://bit.ly/2KfvnCj |
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