Obstetric and neonatal risks among extremely macrosomic babies and their mothers.
Am J Obstet Gynecol
; 204(5): 423.e1-6, 2011 May.
Article
em En
| MEDLINE
| ID: mdl-21306700
ABSTRACT
OBJECTIVE:
We estimated the risk of complications at birth of extremely large babies (≥5000 g). STUDYDESIGN:
This was a cohort study including all births of extremely large babies in 1996 through 2005 and comparison cohort with normal birthweight (12) identified in the national birth registration.RESULTS:
There were 343 extremely large babies or 0.9% of all singletons. Compared to the normal birthweight cohort (n = 679), there were increased odds of shoulder dystocia (odds ratio [OR], 26.9; 95% confidence interval [CI], 11.1-65.1), emergency cesarean section (OR, 5.2; 95% CI, 3.4-8.0), and failed labor induction (OR, 4.3; 95% CI, 1.7-11.0). The risk of elective section was not increased (OR, 1.1; 95% CI, 0.6-2.0). Minor congenital malformations were more frequent (OR, 2.1; 95% CI, 1.2-3.7), as were birth injuries (OR, 3.7; 95% CI, 2.1-6.8) and minor metabolic disturbance (OR, 2.5; 95% CI, 1.1-6.2), but not asphyxial births.CONCLUSION:
The risk of shoulder dystocia for very large babies is markedly raised, as are minor complications, while for mothers the main risk is emergency section.
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Traumatismos do Nascimento
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Macrossomia Fetal
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Cesárea
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Distocia
Tipo de estudo:
Etiology_studies
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Observational_studies
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Prognostic_studies
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Risk_factors_studies
Limite:
Adult
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Female
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Humans
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Male
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Newborn
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Pregnancy
Idioma:
En
Revista:
Am J Obstet Gynecol
Ano de publicação:
2011
Tipo de documento:
Article
País de afiliação:
Islândia