Articles Vol. 65 No. CĐ 7 - NCKH 24/07/2024

7. OUTCOMES OF PREGNANT WOMEN WHO GIVE BIRTH TO BABY OVER 4000 GRAMS AT HANOI OBSTETRICS AND GYNECOLOGY HOSPITAL IN 2023

Nguyen Thi Thu ha1,2, Do Tuan Dat3,4, Phan Thi Huyen Thuong5,6, Luong Hoang Thanh5,6,7,8, Nguyen Tien Thanh7,8
1 National Hospital of Obstetrics and Gynecology
2 Bệnh viện Phụ Sản Trung ương
3 Hanoi Medical University
4 Trường Đại học Y Hà Nội
5 Hanoi Obstetrics and Gynecology Hospital
6 Bệnh viện Phụ Sản Hà Nội
7 VNU, Univeristy of Medicine & Pharmacy
8 Trường Đại học Y Dược, Đại học Quốc gia Hà Nội
Corresponding author: thuha.ivf@gmail.com
DOI: 10.52163/yhc.v65iCD7.1298
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Keywords
Macrosomia, gestational diabetes mellitus.
Abstract

Objectives: To review some related factors and outcomes of pregnant women who give birth to babies over 4000g at Hanoi Obstetrics and Gynecology Hospital in 2023.

Materials and methods: A retrospective cross-sectional descriptive study was conducted on 87 women who gave birth to babies over 4000g at Hanoi Obstetrics and Gynecology Hospital in 2023.

Results: Macrosomia is common in pregnant women aged 25-35 years old (accounting for 77.1%). The group of pregnant women giving birth to macrosomia with BMI ≥ 25 kg/m2 accounted for 90.81%. 25 cases had concomitant diseases, of which 14 cases had gestational diabetes (56%). In 87 studied cases, the rate of multiparous women accounted for 62.1%, maternal birth weight over 4000g accounted for 25.3%, the common gestational age group of 39-40 weeks accounted for 79.2%, the rate of male and female fetuses were 72.4% and 27.6%, respectively. The rate of cesarean section was 86.2%. There were no cases of postpartum hemorrhage. The rate of perineal injury was 8/12 pregnant women giving birth vaginally. The main neonatal complication was postpartum respiratory failure (4.6%).

Conclusion: Macrosomia is related to several factors: nutrition, history of macrosomia, gestional diabetes, and fetal sex. Most cases are indicated for cesarean section. However, there is no difference in the rate of postpartum complications between cesarean and vaginal deliveries.

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