TITLE:
Trends of Macrosomia at University Clinics of Kinshasa
AUTHORS:
Mbangama-Muela Andy, Mulumba Kapuku Sylvain, Tozin Rahma Rachid, Lumaya Ambis Joëlle, Tandu-Umba Barthélémy, Mbungu Mwimba Roger, Lokomba Bolamba Vicky, Mbanzulu Pita Damien
KEYWORDS:
Macrosomia, Adverse Obstetrical Outcomes, University Clinics of Kinshasa
JOURNAL NAME:
Open Journal of Obstetrics and Gynecology,
Vol.8 No.3,
March
30,
2018
ABSTRACT: Context. The prevalence of macrosomia varies through the world according to
racial and ethnic factors, life style and importance of non communicable
diseases (maternal obesity, diabetes-gestational and type 2), post-term gestation
and multiparity. At the University Clinics of Kinshasa (UCK), 30 years ago, the
frequency of macrosomia was 2.4%. Objectives. To update data on the frequency of
macrosomia at UCK, regarding variations in maternal anthropometrics (obesity)
and socio-demographic factors. Methods. A cross-sectional study was conducted at UCK from 1
January 2007 to 31 December 2016. Mothers who delivered babies weighing at
least 4000 g were included in this study. Results. The frequency of macrosomia was 3.7%. Trend shows a variation of this
frequency over time with lowest frequency (2.1%) in 2012 and highest (5.3%) in
2009. The mother average age and parity were 32.3 ± 5.4 years and 3 ± 2,
respectively. Pregnancies were complicated by polyhydramnios (48%) and
gestational diabetes (19.7%). Caesarean section was performed in 60.5% cases,
mainly for macrosomia (47.8%) and 81.6% of newborns had constitutional
macrosomia. Adverse obstetrical outcomes of macrosomia were dominated by
caesarean section (28.9%), lacerations of birth canal (23%) and neonatal
distress (9.2%). Conclusion. Macrosomia remains a constant finding at UCK, and is associated with
maternal, fetal and neonatal adverse outcomes. Trend shows a variation of the
frequency over time between 2.1% and 5.3%.