Complications Associated with Macrosomic Fetus in Calabar South
J. Ekabua, T. Agan, C. Iklaki, E. Ekanem, I. Itam, F. Odey
A retrospective study to determine adverse perinatal outcome
associated with macrosomic births was carried out at the University of
Calabar Teaching Hospital, Calabar (1994-2000). The incidence of
macrosomic births was 1 in 25 deliveries. Perinatal mortality rate (PNMR)
was 83 per 1000 births Was highest in the birth weight range of 4.0 –
4.4kg (P = 0.004) and in macrosomic babies born by caesarean section
(P=0.0019). The commonest indication for abdominal delivery was
obstructed labour (14.4%) with an associated PNMR of 21.8 per 1000
births. Perinatal morbidity and mortality were seen in 25.3% of cases.
Perinatal mortality is significantly high in the birth weight range of
4.0-4.4kg and in babies born abdonminally, mainly because of obstructed
labour and ruptured uterus. Intervention before these complications
occur may significantly reduce the adverse pregnancy outcome associated
with macrosomic births.
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