THE PREVALENCE OF MACROSOMIA IN NEWBORNS AND ITS ASSOCIATION WITH MATERNAL DIABETES
Article Sidebar
Main Article Content
Abstract
Objective: To find out the prevalence of macrosomic births and its obstetric outcome in diabetic and non diabetic
maternities of Saudi nationality of Al-Jouf Region.
Material and Methods: This one year study was carried out from January 2012 to December 2012 in Department of
Obstetrics and Gynaecology at “Al-Jouf Maternity and Children Hospital”, Sakakha, Al-Jouf Region. Kingdom of Saudi
Arabia. All patients having given birth to a singleton newborn weighing 4000 g or more, and those having diabetes
and delivered of a singleton neonate after 37 completed weeks of gestation were included in the study group. Mothers
name, admission number, noted from labour and delivery register and the case files requested from the hospital’s
patient record section. Information was collected on performa and analyzed using SPSS version 16.
Results: Out of 3820 singleton maternities of Saudi nationality, the frequency of macrosomia was (8.21%). The mean
maternal age was 30.30 years ± 5.3 standard deviation. Out of the 314 mothers of macrosomic newborns, 157 (50%)
were grand multi gravida and 76(24.2%) were postdate. Eighty six mothers were known diabetic at the time of delivery
and of these, 26 (30.23%) had macrosomic births. The odds of having a macrosomic newborn were 5 times for
mothers with diabetes compared to mothers without diabetes. The overall caesarean section rate in 314 maternities
with macrosomic newborns was 38.9%. Diabetic mothers with macrosomic newborn, however had a higher chance of
caesarean delivery 73% with no incidence of shoulder dystocia in this group. The frequency of shoulder dystocia was
2.08% in total macrosomic births compared to the rate of 0.155% seen in non-macrosomic newborns delivered vaginally
in the same study period. Based on increasing birth weight, the macrosomic newborns were further divided into three
groups and the difference in shoulder dystocia was noted to be statistically significant with increasing birth weight.
Conclusions: Diabetes puts an infant at higher risk of macrosomia and mothers at higher risk of caesarean section.
Fetal macrosomia are increased 5 times by maternal diabetes.
Article Details
All articles published in the Journal of Medical Sciences (JMS) are licensed under the Creative Commons Attribution 4.0 International License (CC-BY 4.0). Under the CC BY 4.0 license, author(s) retain the ownership of the copyright publishing rights without restrictions for their content, and allow others to copy, use, print, share, modify, and distribute the content of the article even for commercial purposes as long as the original authors and the journal are properly cited. No permission is required from the author/s or the publishers for this purpose. Appropriate attribution can be provided by simply citing the original article. The corresponding author has the right to grant on behalf of all authors, a worldwide license to JMS and its licensees in all forms, formats, and media (whether known now or created in the future), The corresponding author must certify and warrant the authorship and proprietorship and should declare that he/she has not granted or assigned any of the article’s rights to any other person or body.
The corresponding author must compensate the journal for any costs, expenses, or damages that the JMS may incur as a result of any breach of these warranties including any intentional or unintentional errors, omissions, copyright issues, or plagiarism. The editorial office must be notified upon submission if an article contains materials like text, pictures, tables, or graphs from other copyrighted sources. The JMS reserves the right to remove any images, figures, tables, or other content, from any article, whether before or after publication, if concerns are raised about copyright, license, or permissions and the authors are unable to provide documentation confirming that appropriate permissions were obtained for publication of the content in question.