Risk of fetal macrosomia in Hospital Serdang

Chiar, Siou Mei and Mohd Aanifah, Muzammil (2013) Risk of fetal macrosomia in Hospital Serdang. [Project Paper] (Submitted)

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Abstract

A second year (Package 11) project dissertation. Project paper (Doctor of Medicine (MD)) - Universiti Putra Malaysia, 2013. Aim: Maternal characteristics such as maternal age, maternal weight at term and gestational diabetes mellitus are associated with macrosomia. We aimed to determine the association between maternal characteristics and fetal macrosomia, and its contribution to the clinician in managing the problem of fetal macrosomia. Methods: This study was a case control study. We look back of patient's medical history to determine the risk factor, maternal and neonatal outcome, and method of delivery among patients having macrosomic baby and the control group. Results: There were a total of 204 cases of fetal macrosomia out of 10461 deliveries in Hospital Serdang during last year. The incidence of fetal macrosomia was 1.95%. Statistically analysis showed that the mothers of macrosomic babies were older (OR 2.909, 95% CI 1.056; 8.011). The study group had more mothers with gestational diabetes mellitus (32.9% vs. 17.1%) and history of macrosomic babies (21.4% vs. 2.9%) compared with the control group. Conclusion: Estimating a fetal birth weight is difficult. A definitive diagnosis of fetal macrosomia is only through weighing the neonate once they are delivered. Although there are no intervention has been proven to significantly reduce the risk of macrosomia, several potentially useful strategies may be helpful to reduce the risk of macrosomia. For example, in diabetic patient, tight glucose control and insulin therapy can be practice to reduce the risk of macrosomia. Keywords: Macrosomic baby, Gestational Diabetes Mellitus, Perinatal complication

Item Type:	Project Paper
Faculty:	Faculty of Medicine and Health Science
Depositing User:	Ms Nabilah Rozali
Date Deposited:	19 Sep 2022 03:55
Last Modified:	19 Sep 2022 03:56
URI:	http://psaspb.upm.edu.my/id/eprint/101

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