Abstract 5.2




Complications Associated with Macrosomic Fetus in Calabar South Eastern Nigeria



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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