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          VOLUME 35 / ISSUE 3

The Journal is Indexed in

3 - Macrosomia, incidence and risk factors

Güner Karatekin, Özgül Salihoğlu, Günay Cantürk, Füsun Okan, Asiye Nuhoğlu

Aim: Large-for -gestational age (LGA) babies, especially those whose birth weight is greater than 4000g, have elevated risk perinatal mortality and morbidity. The purpose of this study is to evaluate the incidence of macrosomia, risk factors and morbidity of the macrosomie babies.

Study Design: Clinical records of the newborn in Sisli Etfal Teaching Hospital between January 1999-December 1999 were reviewed retrospectively. Macrosomia was defined as a birth weight of4000 g or greater.

Results: A total of 3431 babies were born during the study period and 248 (7.2%) were weighing more than 4000 g at birth and 17 (0.8%) of these babies were weighing more than 4500 g. Of the 248 macrosomie babies 65.2% was male. Among macrosomie newborns the caesarean delivery rate was 31% (n:77), whereas in the appropriate gestational age group (AGA) was 21.8% (n:636). In the macrosomie group the incidence of hypoglycemia, polycythemia and birth trauma were higher than AGA group however, meconium stained amniotic fluid incidence was lower.

Conclusion: Macrosomia was associated with increased cesarean rate. It is important to recognise the morbidity of macrosomie infants and so to decrease the morbidity in these infants.

Keywords: Macrosomia, incidence, risk factors.

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