2015, Number 3
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ABSTRACTIntroduction: foetal macrosomia has been associated with higher morbidity and mortality rates, in both the infant and the mother.
Objective: to identify maternal and perinatal morbidity and mortality in patients with foetal macrosomia.
Methods: across-sectional descriptive study was performed to identify maternal and foetal morbidity and mortality in patients with foetal macrosomia, at "Mariana Grajales" Gynaecobstetric University Hospital of Santa Clara City, Villa Clara Province, from January 2009 to December 2010. The sample group was made up of all the patients who had macrosomic labor (557), which coincided with the sample. The variables included were maternal and perinatal morbidity and mortality, moment of the diagnosis, type of labor, degree of macrosomia and birth trauma. Descriptive and inferential statistics were used; and the information was summarized in charts.
Results: obstetrical haemorrhage was the main cause of maternal morbidity (80 cases, 58.0%), birth trauma was the most frequent perinatal morbidity (33 cases, 42.8%) and there was not any significant statistical relationship between birth trauma and the degree of macrosomia (χ2 = 43.4 y p=0.120).
Conclusions: in the period of study, the patients with foetal macrosomia presented, as it was observed: maternal morbidity, associated to postpartum haemorrhage; and perinatal morbidity, associated to birth trauma. The degree of macrosomia and birth trauma were independent variables.
Gary Cunningham F, Norman Gant F, Kenneth Leveno J, Larry Gilstrapc, John Hanth C, Katerine Wenstrom D. Alteraciones del crecimiento fetal. In: Gary Cunningham F, Norman Gant F, Kenneth Leveno J, Larry Gilstrapc, John Hanth C, Katerine Wenstrom D. Williams Obstetricia. La Habana: Editorial Ciencias Médicas, 2007 p. 636-651.