栄養と食品科学ジャーナル
オープンアクセス
ISSN: 2155-9600
ISSN: 2155-9600
Mai AH and Demmouche Abbassia
Introduction: Fetal macrosomia is generally defined as a birth weight greater than 4000 grams and it is related to some adverse neonatal outcomes and maternal complications. The aim of our work is to identify the clinical profile of mothers who give birth to a macrosomic infant, and to study the maternal complications associated with delivering infants with a birthweight of 4000 grams or greater. Methods: We did both a retrospective and prospective study, we collected 970 births over a period of one year that ranged from 1st January 2012 to 31 December 2012 for the retrospective study using the archived files, and we recorded 130 birth in the first semester of 2013 for the prospective study by means of interviewing the mother, all births were collected in the specialized hospital center of Gynecology and Obstetrics in Sidi Bel Abbes. Results: The frequency of macrosomia in our study was estimated at 10.19%. Fetal macrosomia was more frequent in mothers aged between 29 and 38 years, who were taller, multiparous, and obese, had diabetes and a history of macrosomia, and had a Fundal height greater than or equal to 34 cm. About the obstetric outcomes, caesarean was indicated in 45.72% of cases and vaginal delivery occurred in 53.90% of cases. The percentage of neonatal morbidity was 4.55%, it was dominated by neonatal infections (4%), and obstetric trauma dominated by shoulder dystocia (0.55%). No maternal deaths were reported in our study Conclusion: The evaluation of the obstetrical management in our series is acceptable given the good neonatal outcomes but is still limited because of insufficient technical capacity, and more efforts should be made for a better monitoring of pregnant women to detect patients at risk such as patient having obesity and diabetes in order to improve maternal and fetal prognosis.