Ávila RR, Herrera PM, Salazar CCI, Camacho RRI

Language: Spanish
References: 11
Page: 6-11
PDF size: 63.92 Kb.

ABSTRACT

Introduction: A number of maternal factors have been identify for the development of giving birth a macrosomia newborn as preconceptional overweight, gestational diabetes, maternal height, maternal age, being multipart, previous macrosomia childbearing among others. Also macrosomia neonates are associated with a number of morbidities such as hypoglycemia, obstetric trauma such as clavicle fracture, brachial plexus elongation, and head injuries. Macrosomia is also associated with high mortality. This study explores factors related to macrosomia morbidity
Results: One hundred newborns with macrosomia were compared with an equal number of infants with normal birth weight looking for maternal and morbility neonatal factors associated with macrosomia. Maternal factors such as older maternal age, gestational weight gain › 11 kg, › 2 pregnancies, gestational diabetes, previous macrosomia children, › 40 weeks gestation and semi-professional educational level were associated with fetal macrosomia. In newborns, macrosomia was associated with male gender; the morbility was lower one minute Apgar and hypoglycemia. The birth injuries were minor in the macrosomia group than normal birth weight.
Discussion: Several maternal factors largely described in the literature that are associated in the development of macrosomia were present a study. Newborn lesions were fewer in macrosomia than the neonates with normal birth weight in our study. It is necessary to preconceptional counseling in women at high risk of having a macrosomia child.

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