EUROPEAN JOURNAL OF
PHARMACEUTICAL AND MEDICAL RESEARCH

( An ISO 9001:2015 Certified International Journal )

An International Peer Reviewed Journal for Pharmaceutical, Medical & Biological Sciences

An Official Publication of Society for Advance Healthcare Research (Reg. No. : 01/01/01/31674/16)

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 ISSN 2394-3211

Impact Factor: 6.222

 ICV - 79.57

Abstract

FETO-MATERNAL OUTCOME OF PREGNANCIES COMPLICATED WITH FETAL MACROSOMIA AT THE UNIVERSITY OF ABUJA TEACHING HOSPITAL: A 3-YEAR REVIEW

Dr. Mba G. O. and Dr. Abdullahi I. H.*

ABSTRACT

Background: Fetal macrosomia has remained a considerable challenge in current obstetric practice due mainly to fetal and maternal complications associated with this condition. Aim: The aim of this study is to determine the incidence of fetal macrosomia and feto-maternal outcome in University of Abuja Teaching Hospital. Materials and method: This was a 3-year retrospective study of pregnant women with fetal macrosomia (defined as a baby weighing 4kg or above) managed in this hospital from 1st January 2012 to 31st December 2014. Data was collected from labour ward, maternity ward and theatre registers; and patients’ folders from the medical records and analyzed using descriptive statistics. Results: There were a total of 341 macrosomic babies delivered within the study period and a total of 5097 deliveries, giving an incidence of 6.7%, however, only 332 had adequate and complete information and were analyzed giving a retrieval rate of 97.4%. Booked cases were 244(73.5%) while the unbooked were 98(26.5%) of the parturients. Age range of 31-35 had a total of 119(35.9%) of the babies which was the highest among others. Caeserean delivery accounted for 174(52.4%), spontaneous vaginal delivery and exploratory laparotomy due to ruptured uterus constituted 157(47.3%) and 1(0.3%) respectively. Out of the 174(52.4%) that had caesarean section, 146(83.9%) were emergency while 28(16.1%) were elective. The commonest maternal complication was genital laceration which accounted for 37(11.1%) and the least was shoulder dystocia and accounted for 4(1.2%) of the cases. Primary post-partum haemorhage occurred in 21(6.3%) of the cases and 1(0.3%) of maternal mortality as a result of primary postpartum haemorrhage was found. One parturient had subtotal hysterectomy due to uncontrollable postpartum haemorrhage. A total of 139(41.9%) of the babies were delivered by women of Ibo tribe and far higher than found among other tribes. Of the total number of babies, 216(65.1%) were male while 116(34.9%) were females. Babies with severe birth asphyxia amounted to 1.9% and stillbirth accounted for 23(6.9%) of the babies. No incidence of fractures, Erb’s or Klumpke’s palsy was recorded. Conclusion: Fetal macrosomia is more frequent among multiparas who are between 31-35 years. The common complications include cephalopelvic disproportion, higher frequency of caesarean section, perineal laceration, postpartum haemorrhage, birth asphyxia and stillbirth Though the study showed minimal fetal morbidity; fetal mortality was still high.

Keywords: Fetal macrosomia, big baby, feto-maternal outcome, maternal morbidity, perinatal outcome.


[Full Text Article]

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Google Scholar Indian Science Publications InfoBase Index (In Process) SOCOLAR, China Research Bible, Fuchu, Tokyo. JAPAN International Society for Research activity (ISRA) Scientific Indexing Services (SIS) Polish Scholarly Bibliography Global Impact Factor (GIF) (Under Process) Universal Impact Factor International Scientific Indexing (ISI), UAE Index Copernicus CAS (A Division of American Chemical Society) USA (Under Process) Directory of Open Access Journal (DOAJ, Sweden, in process) UDLedge Science Citation Index CiteFactor Directory Of Research Journal Indexing (DRJI) Indian citation Index (ICI) Journal Index (JI, Under Process) Directory of abstract indexing for Journals (DAIJ) Open Access Journals (Under Process) Impact Factor Services For International Journals (IFSIJ) Cosmos Impact Factor Jour Informatics (Under Process) Eurasian Scientific Journal Index (ESJI) International Innovative Journal Impact Factor (IIJIF) Science Library Index, Dubai, United Arab Emirates Pubmed Database [NLM ID: 101669306] (Under Process) IP Indexing (IP Value 2.40) Web of Science Group (Under Process) Directory of Research Journals Indexing Scholar Article Journal Index (SAJI) International Scientific Indexing ( ISI )