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Ultima descărcare din IBN: 2024-04-08 22:16 |
SM ISO690:2012 STRATULAT, Petru, CARAUŞ, Tatiana, CURTEANU, Ala, SÎRGHE, Inna. Macrosomia fetală – factor de risc pentru morbiditatea şi mortalitatea neonatală. In: Buletin de Perinatologie, 2014, nr. 2(62), pp. 177-182. ISSN 1810-5289. |
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Buletin de Perinatologie | ||||||
Numărul 2(62) / 2014 / ISSN 1810-5289 | ||||||
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Pag. 177-182 | ||||||
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Introduction. Pregnancy and birth with macrosomic fetus becomes an actual problem in modern obstetrics due to the association with increased morbidity and mortality among these children. The study aim: This study was conducted to estimate the incidence of macrosomia among births from the Mother and Child Institute (MCI), to determine the characteristic features and predictive factors of mothers to these children, and the contribution to morbidity and mortality, as well as to neonatal macrosomia. Materials and methods: The study was conducted in the III level Perinatal Center of the MCI in the period 20112013 and I trimester 2014. This article included a survey of two groups: basic group I - 232 macrosomic children (weighing less than 4000 g) and the control group - 235 children with a birth weight 3500-3999 g. Results: The most common obstetric complication associated with macrosomia is the shoulder dystocia that is common up to 6% of cases in our study group versus 1,8% in the control group. As a result of this complication, an obstetrical traumatism occurs, in our study in the main group there were registered 53 cases of obstetrical trauma, having an incidence of 228,4 ‰/1000 live newborns, compared to 59,57‰, after which we can observe that traumatism is 4 times more frequently associated with a weight bigger than 4000 kg in newborns. Conclusions: The incidence of macrosomia in our study consisted 6,0%. Maternal risk factors for macrosomic fetuses were: age over 30 in women, multi pregnancy, obesity, diabetes, macrosomic male fetuses. These children are more vulnerable and are at high risk for complications in the early neonatal period. Obstetrical traumatism occurs four times more frequently in this group of children. |
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