title: Macrosomia: maternal and fetal outcome.
abstract: This retrospective case--control study analyses the prevalence and outcome of macrosomia in a part of the underdeveloped world. Out of 6,093 deliveries at a large tertiary care centre, 234 (3.8%) were macrosomic. Maternal risk factors associated with the condition included age over 35, obesity, grand multiparity, postmaturity and impaired glucose tolerance. Operative deliveries were more common as was shoulder dystocia, birth trauma, fetal distress, the need for neonatal intensive care and perinatal loss.
authors.affiliation: Department of Obstetrics and Gynaecology, Aga Khan University Medical Centre, Karachi, Pakistan.
authors.forename: S A
authors.initials: SA
authors.lastname: Karim
authors.forename: M
authors.initials: M
authors.lastname: Mastoor
authors.forename: A J
authors.initials: AJ
authors.lastname: Ahmed
authors.forename: O
authors.initials: O
authors.lastname: Pasha
authors.forename: F
authors.initials: F
authors.lastname: Qureshi
authors.forename: S
authors.initials: S
authors.lastname: Akhtar
authors.forename: S C
authors.initials: SC
authors.lastname: Robinson
mesh_terms: D016022:Case-Control Studies; D016009:Chi-Square Distribution; D005260:Female; D005320:Fetal Macrosomia / Q000453:epidemiology*; D006801:Humans; D016017:Odds Ratio; D010154:Pakistan / Q000453:epidemiology; D011247:Pregnancy; D011256:Pregnancy Outcome; D015995:Prevalence; D012189:Retrospective Studies; D012307:Risk Factors