STRUCTURE AND FREQUENCY OF CHILDBIRTHCOMPLICATIONS OF MACROSOMIA

Abstract

The relevance study macrosomia’s problem lies in the fact that the great mass of the fetus at birth is
associated with increased frequency of obstetric pathology, which in turn leads to an increase in
perinatal mortality and have a negative impact on the further development of children [11,12,13,14,15].
Research objectives: Determine the structure of childbirth complications and the frequency at
macrosomia.
Materials and Methods: Study design: US -skrining. The study group included 147 birth stories with
large fetus. Selection of cases in the control group held "random digits generator Randomus" in the
program. The control group included 328 physiological childbirth. Statistical processing performed using
SPSS software, version 20.
Results: It was performed the analysis of the frequency of birth complications in the basic group.
Structure and frequency of birth complications in the study group were as follows: prenatal rupture of
membranes - 23.1% of cases (n = 34), the scar on the uterus - 29.9% (n = 44); gestational hypertension
- 7,5% (n = 11); In the control group data were as follows: prenatal rupture of membranes - 11,7 (n =
39), the scar on the uterus - 13,8 (n = 46), gestational hypertension - 10,8 (n = 36).
In the main group a surgical delivery by cesarean section was performed in 89 (60.5%) women, in
the control group - in 14.1% cases.
In large newborn shoulder dystocia occurred in 17 cases, when the CA ≥350mm (13.6%) and in 2
cases, when the CA <350 mm (12.5%), p <0.01.
Conclusions: Thus, the most frequent complications in the study group and control groups such as
the scar on the uterus and prenatal outpouring of water, the frequency in the main group was 2 times
higher, than in control group. The frequency of cesarean section in the main group was - 60.5%, while in
the control group 14.1%, indicating a higher incidence of complications of macrosomia. The frequency
of shoulder dystocia in the second stage of labor in the group of newborns with abdominal
circumference of 350 mm was 13.6% (p <0.01)