Maternal And Fetal Outcomes Of Fetuses With 4500 Grams And Over: Single Center Experiement

INTRODUCTION: This study aims to investigate the fetal and maternal outcomes associated with macrosomic fetuses in our hospital.
METHODS: Two hundred forty three fetuses (Group 1) with 4500 grams and above and 378 fetuses (Group 2) with 3500-4500 grams who were born in Zeynep Kamil Women’s and Children’s Hospital of Education and Research Hospital between August 2013 and October 2017 were included in this retrospective study.
RESULTS: The mean age was 30.97 ± 6.24 and the mean parity was 2.28 ± 1.24. The mean gestational week was 39.46 ± 1.30. There was no significant difference between the groups in terms of number of pregnancies and gestational week(p <0.05). There was statistically significant difference between the groups in terms of postpartum hemorrhage (p <0.01) and postterm rate (p <0.01). A significant difference was found in macrosomic group in terms of the number of cases with APGAR score <7 at 1 and 5 min, number of male infants and need for neonatal intensive care (p <0.05).
DISCUSSION AND CONCLUSION: Fetal macrosomia is associated with high mortality and morbidity. The type of delivery should be evaluated carefully.