Neonatal Morbidity in Macrosomic Infants
Journal Title: Istanbul Medical Journal - Year 2019, Vol 20, Issue 5
Abstract
Introduction: Macrosomy is defined as birth weight being over 4000 grams. Neonatal complications are common in macrosomic infants. In this study, we aimed to compare macrosomic infants with normal weighed infants in terms of neonatal morbidities. Methods: Macrosomic infants born between 01.01.2015 and 31.08.2015 were included in the study. The study group consisted of 100 infants (group 1) with a birth weight above 4000 grams and the control group consisted of 100 infants (group 2) weighing between 2500-4000 grams. Antenatal, natal and postnatal data of macrosomic and normal weighed infants were recorded. Statistical analysis was performed using SPSS 22.0 for Windows. Results: Maternal age, macrosomic sibling history, prenatal body mass index (BMI), weight gain during pregnancy were found to be significantly higher in the macrosomic group (p=0.047, p=0.001, p=0.003, and p=0.007, respectively). Gestational week and male gender ratio of infants were higher in the macrosomic group. In the macrosomic group, 1-minute Apgar score was significantly lower, but there was no significant difference in 5-minute Apgar score. The rate of positive pressure ventilation was higher in the macrosomic group (p=0.04). The incidence of clavicle fracture, caput succadeneum and ecchymosis was higher in the macrosomic group (p=0.004, p=0.005 and p=0.022, respectively), but there was no significant difference in plexus brachialis paralysis and cephal hematoma. While hypoglycemia and pathological weight loss were significantly higher in the macrosomic group (p=0.03, p=0.038, respectively), there was no difference between the groups in terms of other variables. Conclusion: Maternal age, history of macrosomic birth, high prenatal BMI, excess weight gain during pregnancy and gestational diabetes in the mother constitute risk for macrosomic birth. Birth trauma, hypoglycemia and pathological weight loss are common in these infants. For this reason, it is very important to carry out the physical examination of macrosomic infants carefully after birth and to closely monitor them with blood sugar and weight control.
Authors and Affiliations
Asuman Güney, Didem Arman, Serdar Cömert
Keywords
Related Articles
- EP ID EP675957
- DOI 10.4274/imj.galenos.2019.26986
- Views 134
- Downloads 0
Comparison of Early Results Between Single and Quadruple Injection of Corticosteroid-local Anesthetic in Patients with Subacromial Impingement
Introduction: Subacromial impingement syndrome (SAS) is a painful condition of the shoulder that affects daily activities. The objective of this study was to compare the results of single and quadruple injection (with ad...
Comparative Evaluation of Three Different Treatment Approaches for Intertrochanteric Fracture in Advanced Age Patients
Introduction: Considering the general condition of elderly patients, it is important to treat intertrochanteric fracture along with early rehabilitation interventions. We compared the mortality and clinical outcomes amon...
Renal Involvement in Chronic Lymphocytic Leukemia: A Case Report
Chronic lymphocytic leukemia (CLL) is a neoplastic condition of B cells that frequently affects the lymph nodes, liver, spleen and bone marrow. The extranodal involvement of CLL is most commonly observed in the skin, whe...
Health Care Transitions for Children with Sickle Cell Disease: Interventions, Perspectives of Health Care Providers and Caregivers
The incapacitating episodic complications associated with the Sickle Cell disease (SCD) limit the opportunities of those SCD patients in education, societal roles, career options, and quality of life, leading to an incre...
The Effect of General and Spinal Anaesthesia on Pulmonary Function Tests in Geriatric Patients
Introduction: This study aimed to compare the effects of general and spinal anaesthesia on pulmonary function tests (PFT) in the postoperative period among patients aged ≥65 years. Methods: This prospective study includ...