Risk Factors for Macrosomia and Neonatal Complication in the Provincial Hospital Mohamed V of Chefchaouen, Morocco
Journal Title: ASIAN JOURNAL OF NATURAL & APPLIED SCIENCES - Year 2015, Vol 4, Issue 3
Abstract
The aim of the present work was to identify the prevalence and risk factors for macrosomia plus their impact on Maternal and Foetal Outcome. This retrospective study was carried out in the Mohamed V provincial Hospital of Chefchaouen, Morocco from September 1st, 2013 to august 30 st, 2014.Women who gave birth to ≥ 4,000 or 2500–3,499 g babies and gestational age ≥ 37 years were recruited. Variables recorded were fetal sex and birth weight, gestational age, maternal age, gestity, mother’s body mass index (BMI), weight gain during pregnancy, fundal height and neonatal complications. Approximately 4,4% % of the studied cases were macrosomic babies. The respiratory distress was associated with delivery cesarean section. But the Brachial plexus injury with those vaginally delivered translated by Fetal-pelvic disproportion. In the multivariate logistic regression model adjusted for fetal sex, fundal height and obesity, the risk for macrosomia was in women which had fundal height to ≥ 33 cm, almost three times (ORajusted=2,64) in case of male sex. Furthermore, after adjustment for sex-fundal height and BMI, the analyses revealed that patients having BMI normal: always gave birth to an eutrophic child (ORajusté=0,17 female vs 0,38 male sex). Moreover, in patients with obesity this risk was twice given birth a macrosomic child (ORajusted=1,80 ). Macrosomia by maternal obstetrical factor risk (excessive weight, diabete…) or fetal as sex, could be frequent perinatal complications that can be prevented by better management recognized risk factors.
Authors and Affiliations
M. El Bakkali, F. El Khlifi, B. El Houssain, A. Reda Daoud
Keywords
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