Fetal Macrosomia in the Maternity Ward of the Community University Hospital: Risk Factors and Maternal-Fetal Prognosis  

作　　者：Gertrude Rose Lima Kogboma Wongo Thibaut Boris Clavaire Songo-Kette Gbekere Rodrigue Herman Doyama-Woza Alida Koirokpi Siméon Matoulou-M’bala Wa-Ngogbe Jean-Thimotée Hounda-Godro Norbert Richard Ngbale Abdoulaye Sepou Gertrude Rose Lima Kogboma Wongo;Thibaut Boris Clavaire Songo-Kette Gbekere;Rodrigue Herman Doyama-Woza;Alida Koirokpi;Siméon Matoulou-M’bala Wa-Ngogbe;Jean-Thimotée Hounda-Godro;Norbert Richard Ngbale;Abdoulaye Sepou(Department of Obstetrics and Gynecology, Community University Hospital Center, Bangui, Central African Republic;Department of Obstetrics and Gynecology, Sino-Central African Friendship University Hospital Center, Bangui, Central African Republic;Department of Public Health, Faculty of Health Sciences, University of Bangui, Bangui, Central African Republic)

机构地区：[1]Department of Obstetrics and Gynecology, Community University Hospital Center, Bangui, Central African Republic [2]Department of Obstetrics and Gynecology, Sino-Central African Friendship University Hospital Center, Bangui, Central African Republic [3]Department of Public Health, Faculty of Health Sciences, University of Bangui, Bangui, Central African Republic

出　　处：《Open Journal of Obstetrics and Gynecology》2024年第10期1561-1570,共10页妇产科期刊（英文）

摘　　要：Introduction: Fetal macrosomia is a birth weight greater than or equal to 4000 grams. The aim of this study is to determine the frequency of macrosomia, to identify the risk factors, and to evaluate the maternal and perinatal prognosis in the obstetrics and gynaecology department of the Community University Hospital Centre (CHUC). Methodology: This was a retrospective case-control study over a period of 24 months in the maternity ward of the CHUC. Results: The frequency of delivery of macrosomic fetuses was 4.1%, and the average age of women with large fetuses was 29.5 years. In 65.7% of cases, they were not engaged in any income-generating activity. Most of them had at least secondary education (65.7%) and were mainly multiparous (78.8%). The risk factors found were maternal age greater than or equal to 35 years, multiparity, previous large fœtus, gestational diabetes, obesity and male sex. Maternal complications were dominated by uterine atony (52.2%), perineal tear (31.9%), and cervical tear (15.9%). In our series, macrosomic newborns were three times more likely to present with a neonatal complication than normal-weight newborns. Neonatal mortality was 2.1%. Conclusion: Reducing macrosomia requires a better understanding of the risk factors, early detection, correct management during vaginal delivery and close monitoring of labour with good control of obstetric manoeuvres.Introduction: Fetal macrosomia is a birth weight greater than or equal to 4000 grams. The aim of this study is to determine the frequency of macrosomia, to identify the risk factors, and to evaluate the maternal and perinatal prognosis in the obstetrics and gynaecology department of the Community University Hospital Centre (CHUC). Methodology: This was a retrospective case-control study over a period of 24 months in the maternity ward of the CHUC. Results: The frequency of delivery of macrosomic fetuses was 4.1%, and the average age of women with large fetuses was 29.5 years. In 65.7% of cases, they were not engaged in any income-generating activity. Most of them had at least secondary education (65.7%) and were mainly multiparous (78.8%). The risk factors found were maternal age greater than or equal to 35 years, multiparity, previous large fœtus, gestational diabetes, obesity and male sex. Maternal complications were dominated by uterine atony (52.2%), perineal tear (31.9%), and cervical tear (15.9%). In our series, macrosomic newborns were three times more likely to present with a neonatal complication than normal-weight newborns. Neonatal mortality was 2.1%. Conclusion: Reducing macrosomia requires a better understanding of the risk factors, early detection, correct management during vaginal delivery and close monitoring of labour with good control of obstetric manoeuvres.

关 键 词：Fetal Macrosomia Risk Factors Maternal-Fetal Prognosis CHUC 

分 类 号：R73[医药卫生—肿瘤]