title: [Obstetric problems of newborn infants with a birth weight over 4,500 g].
abstract: Analysis of birth records of neonates a birth weight of 4,500 g or more (n = 83) has been made in order to compare the course of pregnancy and delivery to a normal birth weight of 3,000-3,500 (n = 100) among 14,193 newborns observed from 1983 to 1987 in Obstetric department of district hospital Berlin-Friedrichshain. On both groups mortality rate amounted to nil. Maternal morbidity is mainly caused by delivery injuries and postpartal atony. The perinatal morbidity which accounts for 7.2% is caused to increased acidosis rate (9.6%), complications of birth traumas such as shoulder dystocia (4.8%), fractures (2.4%) and paresis of nerve plexes (2.4%). The antenatal ultrasound assessment of fetal weight has been emphasized. Caesarean section is advised in cases of a fetal weight of 5,000 g, or more malpresentation and in a primipara with a history of previous caesarean section and with fetal weight more than 3,500-4,000 g. The problems of shoulder dystocia are being discussed.
authors.affiliation: Frauenklinik des Städtischen Krankenhauses, Berlin-Friedrichshain.
authors.forename: K
authors.initials: K
authors.lastname: Joschko
mesh_terms: D001724:Birth Weight; D005113:Extraction, Obstetrical; D005260:Female; D005316:Fetal Distress / Q000209:etiology; D005320:Fetal Macrosomia / Q000150:complications*; D006801:Humans; D007231:Infant, Newborn; D007746:Labor Presentation; D008297:Male; D007744:Obstetric Labor Complications / Q000209:etiology*; D010387:Pelvimetry; D011247:Pregnancy; D012189:Retrospective Studies; D012307:Risk Factors; D014593:Uterine Inertia / Q000209:etiology; D014597:Uterine Rupture / Q000209:etiology
vernacular_title: Geburtshilfliche Probleme der Neugeborenen mit einem Geburtsgewicht über 4500 g.