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ORIGINAL ARTICLE
Year : 2012  |  Volume : 4  |  Issue : 6  |  Page : 283-286

Fetal and maternal outcomes in pregnancies complicated with fetal macrosomia


Department of Obstetrics and Gynecology, Qassim University, College of Medicine, Buraidah, Saudi Arabia

Correspondence Address:
Mohamed Alkhatim Alsammani
Department of Obstetrics and Gynecology, Qassim University, College of Medicine, P.O. Box: 665. Buraidah, 51452
Saudi Arabia
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/1947-2714.97212

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Background: Fetal macrosomia remains a considerable challenge in current obstetrics due to the fetal and maternal complications associated with this condition. Aim: This study was designed to determine the prevalence of fetal macrosomia and associated fetal and maternal morbidity and mortality in the Al Qassim Region of Saudi Arabia. Materials and Methods: This register-based study was conducted from January 1, 2011 through December 30, 2011 at the Maternity and Child Hospital, Qassim, Saudi Arabia. Macrosomia was defined as birth weight of 4 kg or greater. Malformed babies and those born dead were excluded. Results: The total number of babies delivered was 9241; of these, 418 were macrosomic. Thus, the prevalence of fetal macrosomia was 4.5%. The most common maternal complications were postpartum hemorrhage (5 cases, 1.2%), perineal tear (7 cases, 1.7%), cervical lacerations (3 cases, 0.7%), and shoulder dystocia (40 cases, 9.6%) that resulted in 4 cases of Erb's palsy (0.96%), and 6 cases of bone fractures (1.4%). The rate of cesarean section among women delivering macrosomic babies was 47.6% (199), while 52.4% (219) delivered vaginally. Conclusion: Despite extensive efforts to reduce fetal and maternal complications associated with macrosomia, considerable fetal and maternal morbidity remain associated with this condition.


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