Delivery assistance in fetal macrosomia
Autor(a) principal: | |
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Data de Publicação: | 2003 |
Outros Autores: | , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Revista Brasileira de Saúde Materno Infantil (Online) |
Texto Completo: | http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1519-38292003000400003 |
Resumo: | OBJECTIVES: to evaluate delivery assistance in fetal macrosomia. METHODS: this was a hospital-based cohort study of consecutive births at a tertiary perinatal center from January 1, 1996 to October 31, 1999. A total of 5261 pregnancies met the inclusion criteria which were singleton pregnancies with minimal birth weight of 1000 g. Fetal macrosomia was defined as birth weight of 4000 g or more. We studied the mode of delivery, the newborn condition at birth, considered low when the Apgar scored below seven in the first or fifth minute, and the presence of abnormalities that could indicate a Caesarian section (disproportion, uterine dysfunction, prolonged second period of birth and fetal distress). RESULTS: 296 (5,6%) of the babies were macrosomic. Macrosomia was a risk factor for Caesarian section (RR = 1,59, p <0,001) and for operative vaginal delivery RR = 1,12 (p <0,001). Newborn conditions was not worse in macrosomic babies. There was a positive correlation between fetal macrosomia and disproportion but not with uterine dysfunction, prolonged second period of birth or fetal distress. CONCLUSIONS: caesarian section was indicated more often for macrosomic babies, but our data did not suggest that a more extensive use of C-Sections was justified. |
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Delivery assistance in fetal macrosomiaFetal macrosomiaDeliveryobstetricsInfantnewbornOBJECTIVES: to evaluate delivery assistance in fetal macrosomia. METHODS: this was a hospital-based cohort study of consecutive births at a tertiary perinatal center from January 1, 1996 to October 31, 1999. A total of 5261 pregnancies met the inclusion criteria which were singleton pregnancies with minimal birth weight of 1000 g. Fetal macrosomia was defined as birth weight of 4000 g or more. We studied the mode of delivery, the newborn condition at birth, considered low when the Apgar scored below seven in the first or fifth minute, and the presence of abnormalities that could indicate a Caesarian section (disproportion, uterine dysfunction, prolonged second period of birth and fetal distress). RESULTS: 296 (5,6%) of the babies were macrosomic. Macrosomia was a risk factor for Caesarian section (RR = 1,59, p <0,001) and for operative vaginal delivery RR = 1,12 (p <0,001). Newborn conditions was not worse in macrosomic babies. There was a positive correlation between fetal macrosomia and disproportion but not with uterine dysfunction, prolonged second period of birth or fetal distress. CONCLUSIONS: caesarian section was indicated more often for macrosomic babies, but our data did not suggest that a more extensive use of C-Sections was justified.Instituto de Medicina Integral Prof. Fernando Figueira2003-12-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S1519-38292003000400003Revista Brasileira de Saúde Materno Infantil v.3 n.4 2003reponame:Revista Brasileira de Saúde Materno Infantil (Online)instname:Instituto de Medicina Integral Prof. Fernando Figueira (IMIPFF)instacron:IMIPFF10.1590/S1519-38292003000400003info:eu-repo/semantics/openAccessSá,Renato Augusto Moreira deBornia,Rita Bernadete GueriosCunha,Alfredo de AlmeidaSieczko,Ludmila SampaioSilva,Cristiane Barbosa daSilva,Fernanda Campos daeng2004-04-05T00:00:00Zoai:scielo:S1519-38292003000400003Revistahttp://www.scielo.br/rbsmihttps://old.scielo.br/oai/scielo-oai.php||revista@imip.org.br1806-93041519-3829opendoar:2004-04-05T00:00Revista Brasileira de Saúde Materno Infantil (Online) - Instituto de Medicina Integral Prof. Fernando Figueira (IMIPFF)false |
dc.title.none.fl_str_mv |
Delivery assistance in fetal macrosomia |
title |
Delivery assistance in fetal macrosomia |
spellingShingle |
Delivery assistance in fetal macrosomia Sá,Renato Augusto Moreira de Fetal macrosomia Delivery obstetrics Infant newborn |
title_short |
Delivery assistance in fetal macrosomia |
title_full |
Delivery assistance in fetal macrosomia |
title_fullStr |
Delivery assistance in fetal macrosomia |
title_full_unstemmed |
Delivery assistance in fetal macrosomia |
title_sort |
Delivery assistance in fetal macrosomia |
author |
Sá,Renato Augusto Moreira de |
author_facet |
Sá,Renato Augusto Moreira de Bornia,Rita Bernadete Guerios Cunha,Alfredo de Almeida Sieczko,Ludmila Sampaio Silva,Cristiane Barbosa da Silva,Fernanda Campos da |
author_role |
author |
author2 |
Bornia,Rita Bernadete Guerios Cunha,Alfredo de Almeida Sieczko,Ludmila Sampaio Silva,Cristiane Barbosa da Silva,Fernanda Campos da |
author2_role |
author author author author author |
dc.contributor.author.fl_str_mv |
Sá,Renato Augusto Moreira de Bornia,Rita Bernadete Guerios Cunha,Alfredo de Almeida Sieczko,Ludmila Sampaio Silva,Cristiane Barbosa da Silva,Fernanda Campos da |
dc.subject.por.fl_str_mv |
Fetal macrosomia Delivery obstetrics Infant newborn |
topic |
Fetal macrosomia Delivery obstetrics Infant newborn |
description |
OBJECTIVES: to evaluate delivery assistance in fetal macrosomia. METHODS: this was a hospital-based cohort study of consecutive births at a tertiary perinatal center from January 1, 1996 to October 31, 1999. A total of 5261 pregnancies met the inclusion criteria which were singleton pregnancies with minimal birth weight of 1000 g. Fetal macrosomia was defined as birth weight of 4000 g or more. We studied the mode of delivery, the newborn condition at birth, considered low when the Apgar scored below seven in the first or fifth minute, and the presence of abnormalities that could indicate a Caesarian section (disproportion, uterine dysfunction, prolonged second period of birth and fetal distress). RESULTS: 296 (5,6%) of the babies were macrosomic. Macrosomia was a risk factor for Caesarian section (RR = 1,59, p <0,001) and for operative vaginal delivery RR = 1,12 (p <0,001). Newborn conditions was not worse in macrosomic babies. There was a positive correlation between fetal macrosomia and disproportion but not with uterine dysfunction, prolonged second period of birth or fetal distress. CONCLUSIONS: caesarian section was indicated more often for macrosomic babies, but our data did not suggest that a more extensive use of C-Sections was justified. |
publishDate |
2003 |
dc.date.none.fl_str_mv |
2003-12-01 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1519-38292003000400003 |
url |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1519-38292003000400003 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
10.1590/S1519-38292003000400003 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
text/html |
dc.publisher.none.fl_str_mv |
Instituto de Medicina Integral Prof. Fernando Figueira |
publisher.none.fl_str_mv |
Instituto de Medicina Integral Prof. Fernando Figueira |
dc.source.none.fl_str_mv |
Revista Brasileira de Saúde Materno Infantil v.3 n.4 2003 reponame:Revista Brasileira de Saúde Materno Infantil (Online) instname:Instituto de Medicina Integral Prof. Fernando Figueira (IMIPFF) instacron:IMIPFF |
instname_str |
Instituto de Medicina Integral Prof. Fernando Figueira (IMIPFF) |
instacron_str |
IMIPFF |
institution |
IMIPFF |
reponame_str |
Revista Brasileira de Saúde Materno Infantil (Online) |
collection |
Revista Brasileira de Saúde Materno Infantil (Online) |
repository.name.fl_str_mv |
Revista Brasileira de Saúde Materno Infantil (Online) - Instituto de Medicina Integral Prof. Fernando Figueira (IMIPFF) |
repository.mail.fl_str_mv |
||revista@imip.org.br |
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1752129926899695616 |