Ávila-Reyes R, Rodríguez-Ramírez JM, López-Contreras MG, Herrera-Pen M, Camacho-Ramírez RI, Velázquez-Quintana NI

Language: Spanish
References: 10
Page: 16-20
PDF size: 321.43 Kb.

ABSTRACT

Introduction: The measurement of height, weight and head circumference at birth are crucial for assessing intrauterine growth, there has been intrauterine growth curves according to each population; however, due to the lack of intrauterine growth curves in macrosomic newborns this study was held. Material and methods: We included newborns with weight equal to or greater than 4,000 g, with 38-42 gestational weeks. They were weighted and their height and head circumference were measured at birth and percentile curves were performed with the results. Results: There were 203 macrosomic, 138 male and 65 female (ratio 2:1), 52% of the mute of birth was by delivery, and the rest were by cesarean operation. The maternal average age was 21 years (SD 6.4). The gestational average age was 39.8 weeks (SD 0.78). The average birth weight of the infants was 4,279 g (SD 269), the average height was 53.8 cm (SD 2.32) and average head circumference of 35.5 cm (SD 1.41). The, prevalence of macrosomia during the study was 9.4%. Discussion: Intrauterine growth curve of birth weight showed a greater weight gain around 40 weeks of gestation, the curves of height at birth had a linear behavior while the head circumference curves showed steady growth from 38th week until 42nd week.

REFERENCES

1. Ponce-Saavedra AS, González-Guerrero O, Rodríguez-García R, Echeverría-Landa A, Puig-Nolasco A, Rodríguez-Guzmán LM. Prevalencia de macrosomía en recién nacidos y factores asociados. Rev Mex Pediatr. 2011; 78 (4): 139-142.

2. NOM-007-SSA2-1993. Atención de la mujer durante el embarazo, parto y puerperio y del recién nacido. Criterios y procedimientos para la prestación de servicios. Diario Oficial de la Federación 6 de enero 1995. México.

3. Bromwich P. Big babies. Br Med J. 1986; 293: 1387-1388.

4. Heywood RE, Megann EF, Rich DL, Chauhan SP. The detection of macrosomia at a teaching hospital. Am J Perinatol. 2009; 26: 165-168.

5. Ballesté-López I, Alonso-Uria RM. Factores de riesgo del recién nacido macrosómico. Rev Cubana Pediatr. 2004; 76 (1): 13.

6. Ávila-Reyes R, Herrera-Pen M, Salazar-Cerda CL, Camacho-Ramírez RI. Factores de riesgo del recién nacido macrosómico. Pediatría de México. 2013; 15: 6-11.

7. Gómez-Gómez M, Danglot-Banck C, Aceves-Gómez M. Clasificación de los niños recién nacidos. Rev Mex Pediatr. 2012; 79 (1): 32-39.

8. Ávila-Reyes R, Yunes-Zárraga JLM, Méndez-López E, Camacho- Ramírez RI, Sánchez-Zapata MH, Velázquez-Quintana NI. Curvas de crecimiento intrauterino en gemelos mexicanos. Bol Med Hosp Infant Mex. 2002; 59: 693-699.

9. Goretti S, Morán-López G, Rivero-Cervantes AE, Zamora-Santiago G, González-Santes M. Curvas de crecimiento intrauterino a nivel del mar. Bol Hosp Infant Mex. 2006; 63: 301-306.

10. Yunes-Zárraga JLM, Herrera-Pen M, Ávila-Reyes R. Composición corporal en el recién nacido. Pediatría de México. 2011; 13: 114-119.