Evaluation of Maternal and Neonatal Complications in Macrosomia

Background and Macrosomia can increase maternal & neonatal complications.These complications and their relevance to macrosomia was evaluated in this study. This was a cohort study done, by selecting 5440 delivery files, in which 4400 cases had natural delivery and 104 patients with cesarean section. Patients with full term delivery of neonate with 4000 grams were selected as a case group and the patients with full term delivery of neonate with 25000-3999 grams weight were selected as a control group. Factors like, parity, and delivery status were the same for both groups, the patients with repeated cesarean were omitted in this study. The results of this study showed that the total rate of cesarean section in control group was 15.5% against the rate of 11.5% in control group (P<0.037), and the main reason of cesarean in macrosomic group was due to fetal distress. Shoulder dystocia and excretion of moconium was the only complication of Macrosomic infants, which showed no statistically significant difference (P<0.002), post delivery bleeding and administration of oxytocin for acceleration of labour in case groups showed no significant difference with cantrol groups (P<0.01). This study indicated that, despite high rate of vaginal delivery, of macrosomic infant, excluding shoulder dystocia, delivery of macrosomia and post delivery bleeding, there was no significant difference in maternal complications and further study is recemmonded in such type of deliveries.