Unlabelled: Fetal macrosomia represents a continuing challenge in obstetrics. The delivery of macrosomic infant has potentially serious consequences for the infant and the mother.
Aim: To determine the influence of fetal macrosomia (FM) on some of maternal and fetal complications during vaginal delivery.
Materials And Methods: A five-year retro- and prospective study was conducted at the Department of Obstetrics and Gynecology, Medical University, Pleven (2001-2005). It included 524 vaginal deliveries: 286 cases of delivery of macrosomic infant--fetal birth weight (FBW) more than 4000 g and/or over 90-th percentile (Large for gestational age) and 238 cases of delivery of eutrophic infant at term--FBW between 10-th and 90-th percentile (Appropriate for gestational age). Analysis included: rate of episio- and perineotomy, perineal trauma, postpartum haemorrhage and fetal injury.
Results: It was found significant correlation (p < 0.05) for influence of FM on the rate of episio- and perineotomy, perineal trauma and haemorrhage (chi2 = 182.10; R = 0.14), fetal injuries (chi2 = 114.52; R = 0.19).
Conclusion: FM is associated with a higher risk for the mother and the infant during vaginal delivery compared to infants with normal birth weight.
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