FETAL MACROSOMIA;

ITS MATERNAL AND NEONATAL COMPLICATIONS

Abstract

Objective: To review the deliveries of macrocosmic babies and their obstetrical
and neonatal outcomes. Methods: A prospective case control study involving a total of 3700
deliveries at term of macrocosmic babies between Jan 2011 to Dec 2012 in Ziauddin Hospital
Kemari Campus. The study concerned risk factors, mode of delivery and the incidence of
maternal and perinatal complications. Results: Macrosomia occurred in 5.2% of all deliveries.
The main risk factors of macrosomia identified in our study were multiparty and diabetes mellitus.
The significant maternal complications were caesarean section, postpartum hemorrhage and
perineal tear. Significantly male gender, shoulder dystocia and admission to NICU were noted in
macrosomic group compared to controls. Conclusions: Macrosomia is potentially dangerous
for the mother and the neonate. It is important to identify the suspected fetal macrosomia to
prevent its risk factors and complications. There is a need to provide all delivery facilities and care
services to prevent and reduce the maternal and neonatal complications.