Neonatal outcome of macrosomic infants an analysis of a two-year period /

OBJECTIVE: To assess the neonatal outcome of macrosomic neonates in uncomplicated, singleton, term deliveries. STUDY DESIGN: A retrospective analysis was performed on 5738 live-born term neonates born in the period 2008-2009. The neonatal outcomes were compared between two birth weight (BW) groups:...

Teljes leírás

Elmentve itt :
Bibliográfiai részletek
Szerzők: Gyurkovits Zita
Kálló Karola
Bakki Judit
Jancsó Gáborné Katona Márta
Bitó Tamás
Pál Attila
Orvos Hajnalka
Dokumentumtípus: Cikk
Megjelent: 2011
Sorozat:EUROPEAN JOURNAL OF OBSTETRICS GYNECOLOGY AND REPRODUCTIVE BIOLOGY 159 No. 2
doi:10.1016/j.ejogrb.2011.08.003

mtmt:1770636
Online Access:http://publicatio.bibl.u-szeged.hu/12632
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490 0 |a EUROPEAN JOURNAL OF OBSTETRICS GYNECOLOGY AND REPRODUCTIVE BIOLOGY  |v 159 No. 2 
520 3 |a OBJECTIVE: To assess the neonatal outcome of macrosomic neonates in uncomplicated, singleton, term deliveries. STUDY DESIGN: A retrospective analysis was performed on 5738 live-born term neonates born in the period 2008-2009. The neonatal outcomes were compared between two birth weight (BW) groups: the macrosomic neonates born with BW>/=4000g and a control group: 2500-3999g. There were 410 (7.1%) neonates in the macrosomic group, 4757 (82.9%) in the control group, while 571 (10.0%) were less than 2500g at birth. A correlation analysis of two subgroups of the macrosomic neonates (4000-4499g vs. >/=4500g) was also carried out. RESULTS: The rate of caesarean section (CS) was significantly higher in the macrosomic group as compared with the control group (49.3% vs. 39.9%), as were the prevalences of hypoglycaemia (6.1% vs. 2.9%), adrenal haemorrhage (0.98% vs. 0.15%) and the male to female ratio (2.15 vs. 0.95). The rate of icterus was significantly higher in the control group (30.4% vs. 18.5%). The macrosomic subgroups were similar in many aspects, but we found significantly more neonates in the higher weight subgroup as regards a low Apgar score, clavicle fracture and the need for intensive care. CONCLUSIONS: The macrosomic infants were born in good general condition, although those with BW >/=4500g more frequently had an adverse outcome. The macrosomic and control groups' data revealed significant differences in the rate of CS, the male to female ratio, hypoglycaemia and adrenal haemorrhage. 
700 0 1 |a Kálló Karola  |e aut 
700 0 1 |a Bakki Judit  |e aut 
700 0 2 |a Jancsó Gáborné Katona Márta  |e aut 
700 0 2 |a Bitó Tamás  |e aut 
700 0 2 |a Pál Attila  |e aut 
700 0 2 |a Orvos Hajnalka  |e aut 
856 4 0 |u http://publicatio.bibl.u-szeged.hu/12632/1/gyurkovits_2011.pdf  |z Dokumentum-elérés