Makrozomik bebeklerin doğum şekli ve sonuçlarının incelenmesi. Materyal Metod: Zeynep Kamil Kadın ve Çocuk Hastalıkları Eğitim ve Araştırma Hastanesi Kadın Doğum Kliniği'ndeki 01/01/2006 ve 31/12/2008 tarihleri arasındaki doğum kayıtları retrospektif olarak incelendi. Çalışma grubu, doğum ağırlığı 4

Mehmet GÜL,OYA DEMİRCİ,Oya PEKİN,Hamdullah SÖZEN,Doğan VATANSEVER,ARİF AKTUĞ ERTEKİN

Abstract

Mode of Deliveries and Consequences of the Pregnancies with Macrosomia Objective: To evaluate the mode of deliveries and consequences of macrosomic pregnancies. Material and methods: The birth records between 1 st of January 2006 and 31 st of december 2008 in Obstetric Clinic of Zeynep Kamil Women's Health and Children Diseases Education and Research Hospital, were rewieved retrospectively. Study group was composed of with bith weight 4000 g and above, and the control group was composed of with birth weight between 2500-3999 g randomly selected pregnancies at the same time period. Results: Total study and the control cases were 2411; 2133 cases were in study group and 300 cases were in control group . Pregnancies under 37 weeks gestation, multiple pregnancy and the cases with IUGR were excluded to control group. Results: According t he birth records between 1 st of January 2006 and 31 st of december 2008 in Obstetric Clinic of Zeynep Kamil Women's Health and Children Diseases Education and Research Hospital, the insidance of macrosomia (>= 4kg) was found as 5,15%. Ultrasound to predict the weight over 4000 grams, compared to normal birth weight infants were less successful. cpd, was the primary risk factor and indication for primary cesarean section. The duration of labour was longer and caeserean section rate was higher viewed in the cases with oxytocin infused and in macrosomic group. Shoulder dystocia was more prevalent in macrosomic infants and cases with diabetes. Uterine atony was only prevalent in macrosomic pregnancies. Fetal trauma, in the cases with shoulder dystocia and who delivered vaginally were more prevalent. The rate of perinatal mortality in the study group was 0.51%,

Özet

Amaç: Makrozomik bebeklerin doğum şekli ve sonuçlarının incelenmesi