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Affiliated Author(s)
김종인이태성윤성도이두룡
Alternative Author(s)
Kim, Jong InLee, Tae SungYoon, Sung DoLee, Du Ryong
Journal Title
대한산부인과학회잡지
ISSN
0494-4755
Issued Date
1994
Abstract
Since the delivery of fetus weighing 4,000 gm or more brings dangerous complication to mother and fetus during pregnancy, delivery and after delivery, this is one of the most important problem in obstetrics. We studied 545 cases of large babies weighing 4,000 gm or more among 13,334 cases of total deliveries during past 3 years from Jan. 1991 to Dec. 1993. The results were as flows: 1. The incidence of macrosomia weighing 4,000 gm or more was 3.64%, and that of macrosomia weighing 4,500 gm or more was 0.45%. 2. The highest age distribution of mother was found between 25 to 29 year of age. The mean age was 28.90 year. There was no tendency of the increase in the incidence of macrosomia as the parity increase. 3. Mean weight gain during pregnancy was 14.78 Kg and mean weight of pregravida was 55.14 Kg. 4. Mean gastational age during pregnancy was 40.02 weeks. 5. Male to female ratio was 194.60:100. 6. The Apgar score of the 1 minute was 7.92, and 5 minute was 8.99. 7. 71.74% of patients had normal vaginal delivery, and 28.26% were delivered by cesarean section. 8. The indications for cesarean sections; the most common indication was large baby (25.32%), previous C-section(22.73%), cephalopelvic disproportion(17.53%) in the order. 9. The most common maternal antepartum complication was anemia (14.68%) and others were pregnancy induced hypertension(2.20%), thyroid disease (0.55%), and gestational diabetes mellitus(0.37%). 10. The most common maternal complication of intrapartum and postpartum period were vaginal laceration (4.40%) and postpartum beeding(3.85%). 11. Neonatal complication in macrosomia were cephalhematoma (1.47%), brachial plexus paralysis (0.55%), and fracture of clavicle (0.14%). Perinatal death was not visible.
Alternative Title
Clinical Survey of Fetal Macrosomia
Department
Dept. of Obstetrics & Gynecology (산부인과학)
Publisher
School of Medicine
Citation
대한산부인과학회잡지, Vol.37(6) : 1186-1193, 1994
Type
Article
URI
http://kumel.medlib.dsmc.or.kr/handle/2015.oak/38856
Appears in Collections:
1. School of Medicine (의과대학) > Dept. of Obstetrics & Gynecology (산부인과학)
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