Research Journal of Medical Sciences
ISSN: Online 1993-6095ISSN: Print 1815-9346
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Abstract
Macrosomia is defined as birth weight of >4000g irrespective of gestational age. It is associated with maternal and foetal complications like Cephalo Pelvic Disproportion, PROM, Prolonged Labour, Shoulder Dystocia, Operative Delivery, Perineal Trauma, Post Partum Hemorrhage, and Birth Trauma like Obstetric Brachial Plexus Injury, Birth Fracture of Humerus or Clavicle and Birth Asphyxia. To study the Prevalence and Risk Factors of Macrosomia. This was a retrospective study of the mothers with neonates (birth weight of >4000 g) in Government General Hospital, Nellore for a period of one year. 35 babies were found to be macrosomic per 2500 deliveries. Prevalence was 1.4%. Younger age group were associated with Macrosomia (17‐25 yrs ) in this study. The gestational age >40 weeks were associated with Macrosomia. BMI >30 Kg/m2 was associated with Macrosomia in 5.71% of cases. Previous history of Macrosomia was seen in 11.42% of cases. Males were being macrosomic by more than 2 times than female sex. Gestational diabetes was a risk factor seen in 14.28% of cases. Preeclampsia was a risk factor seen in 14.28% of cases. Rh negative pregnancy was a risk factor in 8.57% of cases. Polyhydramnios was associated with 11.42% of cases. The prevalence of Macrosomia was 1.4% and the risk factors associated with Macrosomia were age (17‐25 yr), Maternal Obesity, >40 weeks GA, Multiparity, history of Macrosomia, Gestational Diabetes, Rh negative pregnancy, Polyhydramnios, Hypothyroidism and Male sex. Early detection and management of these mothers prevents the maternal and neonatal complications of Macrosomia.
How to cite this article:
Nayanamgari Mounika, Kavitha Mettu, Uriti Sujatha Patnaik and Koppala Bhavani. A Study on Prevalence and Risk Factors of Macrosomia in A Tertiary Care Centre.
DOI: https://doi.org/10.36478/10.36478/makrjms.2024.9.225.227
URL: https://www.makhillpublications.co/view-article/1815-9346/10.36478/makrjms.2024.9.225.227