Abstract 4.4
 

 

 

 

A Seven Year Clinical Review of Macrosomic Births in Calabar 
 

 

J. Ekabua, E. Ukombe, T. Agan, C. Iklaki, S. Etuk, I. Itam 
 

Department. of Obstetrics and Gynaecology, 
University of Calabar Teaching Hospital, 
P M B 1278, Calabar, Nigeria. 
 

Abstract



 

Pregnancies associated with fetal macrosomia in the University of Calabar Teaching Hospital, Calabar, over a seven years period were studied. The aims were to establish the incidence of fetal macrosomia and possible risk factors associated with macrosomic births. The incidence of macrosomic births was 4.0% or 1 in 25 deliveries. Mean maternal age was 27.2 years. About 58% of women were para 5 and above. Sex ratio of babies showed a male predominance of 2.1 to 1. History of previous macrosomic birth was obtained in 28.0% of cases. Maternal weight greater than 90kg was observed in 31.4%, gestational diabetes in 2.6% and post-term pregnancies in 9.6% of cases. Main disorder of labour were obstructed labour (14.4%) and prolonged second stage of labour (5.2%). The use of instrumental vaginal delivery was significantly higher in macrosomic than in non-macrosomic births (x2 = 14.34 p=0.0001). However the use of abdominal delivery in macrosomic birth was not significantly higher than in non-macrosomic births (x2=0.22 p=0.6415). Fetal macrosomia is a cause of peri-natal morbidity and mortality in Calabar. There is a call for a high index of suspicion whenever the identified risk factors are present


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