[Fetal macrosomia--risks for the mother and the infant during vaginal delivery].
Fetal macrosomia represents a continuing challenge in obstetrics. The delivery of macrosomic infant has potentially serious consequences for the infant and the mother.


OBJECTIVE
To determine the influence of fetal macrosomia (FM) on some of maternal and fetal complications during vaginal delivery.


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).


CONCLUSIONS
FM is associated with a higher risk for the mother and the infant during vaginal delivery compared to infants with normal birth weight.
Tatarova
S
S
Vŭlkova
A
A
Popov
I
I
D001720:Birth Injuries / Q000453:epidemiology / Q000209:etiology*; D001724:Birth Weight; D036861:Delivery, Obstetric / Q000379:methods*; D005260:Female; D005320:Fetal Macrosomia; D005865:Gestational Age; D006801:Humans; D007231:Infant, Newborn; D007744:Obstetric Labor Complications / Q000453:epidemiology / Q000209:etiology*; D011247:Pregnancy; D011446:Prospective Studies; D012189:Retrospective Studies; D012306:Risk