TITLE:
Macrosomia at the Center Hospital of Montelimar (France): 141 Cases Report
AUTHORS:
Ignace N’guessan Yao, Paul Eric Kouamé Bohoussou, Michelle Messou Menin, Gaia Gianola, Eva Bazan, Pierre Dirix
KEYWORDS:
Macrosomia, Risk Factors, Complications, C.H. Montélimar
JOURNAL NAME:
Open Journal of Obstetrics and Gynecology,
Vol.7 No.9,
September
22,
2017
ABSTRACT: Introduction: Macrosomia is usually defined by the delivery of a
child over 4000 g at term. Because of the margins of error, the obstetrician must take into
account, in addition to ultrasound, the constitutional and acquired factors of
the mother in order to be able to prevent the complications expected during the
delivery of a large fetus. Material and method: We carried out a cross-sectional,
descriptive, 12-month study in a level 2 hospital in southern France
(Montélimar). The aim of the study was to assess the prevalence of macrosomia,
to identify the epidemiological characteristics of the patients, to specify the
management of obstetrics and complications in this hospital. Results: We
recorded 141 births with a weight greater than or equal to 4000 g. That
is a rate of 7.95%. The average age of our patients is 30 years. Half of
them had a BMI of less than 25 and were not diabetic. 75% of the patients gave
birth by a low-dose route. The sex ratio of the children is male to female 2:1.
The main maternal complications were the perineovaginal tears (39 cases) and the
hemorrhages of the deliverance (6 cases). Conclusion: The delivery of
macrosomia is not uncommon at the Hospital Center of Montélimar. It predominates
among Caucasians. Usual risk factors have rarely been found. Overall management
was without major complications for both the mother and the child.