Trends of Macrosomia at University Clinics of Kinshasa
| Autor: | Mbanzulu Pita Damien, Mulumba Kapuku Sylvain, Lokomba Bolamba Vicky, Lumaya Ambis Joëlle, Mbungu Mwimba Roger, Mbangama-Muela Andy, Tozin Rahma Rachid, Tandu-Umba Barthélémy |
|---|---|
| Rok vydání: | 2018 |
| Předmět: |
Polyhydramnios
medicine.medical_specialty 030219 obstetrics & reproductive medicine endocrine system diseases business.industry Obstetrics medicine.medical_treatment Context (language use) Anthropometry medicine.disease Obesity female genital diseases and pregnancy complications Gestational diabetes 03 medical and health sciences 0302 clinical medicine medicine Gestation Caesarean section 030212 general & internal medicine Parity (mathematics) business |
| Zdroj: | Open Journal of Obstetrics and Gynecology. :263-272 |
| ISSN: | 2160-8806 2160-8792 |
| DOI: | 10.4236/ojog.2018.83028 |
| Popis: | Context. The prevalence of macrosomia varies through the world according to racial and ethnic factors, life style and importance of non communicable diseases (maternal obesity, diabetes-gestational and type 2), post-term gestation and multiparity. At the University Clinics of Kinshasa (UCK), 30 years ago, the frequency of macrosomia was 2.4%. Objectives. To update data on the frequency of macrosomia at UCK, regarding variations in maternal anthropometrics (obesity) and socio-demographic factors. Methods. A cross-sectional study was conducted at UCK from 1 January 2007 to 31 December 2016. Mothers who delivered babies weighing at least 4000 g were included in this study. Results. The frequency of macrosomia was 3.7%. Trend shows a variation of this frequency over time with lowest frequency (2.1%) in 2012 and highest (5.3%) in 2009. The mother average age and parity were 32.3 ± 5.4 years and 3 ± 2, respectively. Pregnancies were complicated by polyhydramnios (48%) and gestational diabetes (19.7%). Caesarean section was performed in 60.5% cases, mainly for macrosomia (47.8%) and 81.6% of newborns had constitutional macrosomia. Adverse obstetrical outcomes of macrosomia were dominated by caesarean section (28.9%), lacerations of birth canal (23%) and neonatal distress (9.2%). Conclusion. Macrosomia remains a constant finding at UCK, and is associated with maternal, fetal and neonatal adverse outcomes. Trend shows a variation of the frequency over time between 2.1% and 5.3%. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|