Delivery assistance in fetal macrosomia

Detalhes bibliográficos
Autor(a) principal: Sá,Renato Augusto Moreira de
Data de Publicação: 2003
Outros Autores: Bornia,Rita Bernadete Guerios, Cunha,Alfredo de Almeida, Sieczko,Ludmila Sampaio, Silva,Cristiane Barbosa da, Silva,Fernanda Campos da
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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spelling 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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