MATERNAL AND INFANT COMPLICATIONS IN MACROSOMIA BY METHOD OF DELIVERY

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FAKHRI MAHMOUD; ASKARIAN M.

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Journal Paper

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Journal: Journal of Shahid Sadoughi University of Medical Sciences Year:2000 | Volume:8 | Issue:2 Page(s): 62-69

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Information Journal Paper

Title

MATERNAL AND INFANT COMPLICATIONS IN MACROSOMIA BY METHOD OF DELIVERY

Author(s)

FAKHRI MAHMOUD | ASKARIAN M. | Issue Writer Certificate

Keywords

MACROSOMIAQ3

COMPLICATIONQ4

MANAGEMENTQ3

Abstract

Since difficult vaginal delivery is more frequent with macrosomic fetuses, routine cesarean section is recommended for the delivery of fetuses. The purpose of this study was to evaluate the maternal and neonatal COMPLICATIONs according to the method of delivery. This retrospective case control study was conducted comparing 232 macrosomic neonates weighing over 4kg. to a control group of 476 neonates, with mean birth weight of 2500 to 3999g. The MACROSOMIA occurred in 4.3% of deliveries in 1997 at Imam Khomaini hospital, Tehran. Cesarean section was carried out in 22.5% of macrosomic babies as compared to 15.7% of the controls. The most frequent indication for cesarean section was failure to progress and fetal distress. Post -partum hemorrhage and use of oxytocin to accelerate the labor was occurred significantly more in the study group. Shoulder dystocia and meconium in liquid occurred significantly more in the macrosomic group as neonatal COMPLICATIONs. In comparison between the fetal & maternal outcomes for the macrosomic group delivered vaginally versus C/S showed that more injuries of genital canal took place in vaginal delivery. This type of delivery is a reasonable alternative to elective cesarean section for infants with birth weights of less than 5000g. And a trial of labour can be offered. Furthermore, the occurrence of P.P.H shoulder dystocia and meconium in liquid is more frequent in macrosomic group. So, it may be of value to consider more diligence in identifying the macrosomic fetus prior to delivery in order to an appropriate approach in these cases.

Cites

THE PREVALENCE OF FETAL MACROSOMIA AND POST-TERM DELIVERY AND MULTIPARTY AS ITS RISK FACTORS

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APA: Copy

FAKHRI, MAHMOUD, & ASKARIAN, M.. (2000). MATERNAL AND INFANT COMPLICATIONS IN MACROSOMIA BY METHOD OF DELIVERY. JOURNAL OF SHAHID SADOUGHI UNIVERSITY OF MEDICAL SCIENCES, 8(2), 62-69. SID. https://sid.ir/paper/35773/en

Vancouver: Copy

FAKHRI MAHMOUD, ASKARIAN M.. MATERNAL AND INFANT COMPLICATIONS IN MACROSOMIA BY METHOD OF DELIVERY. JOURNAL OF SHAHID SADOUGHI UNIVERSITY OF MEDICAL SCIENCES[Internet]. 2000;8(2):62-69. Available from: https://sid.ir/paper/35773/en

IEEE: Copy

MAHMOUD FAKHRI, and M. ASKARIAN, “MATERNAL AND INFANT COMPLICATIONS IN MACROSOMIA BY METHOD OF DELIVERY,” JOURNAL OF SHAHID SADOUGHI UNIVERSITY OF MEDICAL SCIENCES, vol. 8, no. 2, pp. 62–69, 2000, [Online]. Available: https://sid.ir/paper/35773/en

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