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Published: 2024-07-24
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DOI: https://doi.org/10.52163/yhc.v65iCD7.1298
Issue
Vol. 65 No. CĐ 7
Section
Articles
How to Cite
Hà, N. T. T. ., Đạt, Đỗ T. ., Thương, P. T. H. ., Thành, L. H. ., & Thành, N. T. . (2024). 7. OUTCOMES OF PREGNANT WOMEN WHO GIVE BIRTH TO BABY OVER 4000 GRAMS AT HANOI OBSTETRICS AND GYNECOLOGY HOSPITAL IN 2023. Vietnam Journal of Community Medicine, 65(CĐ 7). https://doi.org/10.52163/yhc.v65iCD7.1298

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, Do Tuan Dat2, Phan Thi Huyen Thuong3, Luong Hoang Thanh3,4, Nguyen Tien Thanh4
1 National Hospital of Obstetrics and Gynecology
2 Hanoi Medical University
3 Hanoi Obstetrics and Gynecology Hospital
4 VNU, Univeristy of Medicine & Pharmacy

Main Article Content

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.

Article Details

Keywords

Macrosomia, gestational diabetes mellitus.

References

[1] Bộ môn Phụ sản Trường Đại học Y Hà Nội, Bài giảng sản phụ khoa, Nhà xuất bản Y học,1992, tr. 32-43.
[2] Johar R, Rayburn W, Weir D et al., Birth weights in term infants, A 50-year perspective, J. Reprod Med., 1988, 33 (10): 813.
[3] ACOG, ACOG Issues Guidelines on Fetal Macrosomia, ACOG News Release, 2020.
[4] Dagnew Getnet Adugna, Engidaw Fentahun Enyew, Molla Taye Jemberie, Prevalence and Associated Factors of Macrosomia Among Newborns Delivered in University of Gondar Comprehensive Specialized Hospital, Gondar, Ethiopia: An Institution-Based Cross-Sectional Study, 2020.
[5] Tamarova S, Popov I, Khristova I, Risk factors for fetal macrosomia, Akush Ginekol Sofia, 2005, 44 (2), pp. 3-9.
[6] Lưu Quốc Khải, Nghiên cứu xử trí thai từ 4000g trở lên ở những sản phụ đến đẻ tại Bệnh viện Phụ sản Hà Nội năm 2013, Luận văn tốt nghiệp bác sỹ chuyên khoa cấp II, Trường Đại học Y Hà Nội, 2013.
[7] Phạm Thị Quỳnh Hoa, Nghiên cứu một số yếu tố ảnh hưởng đến sơ sinh quá cân theo tuổi thai ở những sản phụ đẻ tại Bệnh viện Phụ sản Trung ương, Luận văn tốt nghiệp bác sỹ chuyên khoa cấp II, Trường Đại học Y Hà Nội, 2007.
[8] Woll Schlaeger K, Nieder J, Kopper I et al, A study of fetal macrosomia, Arch Gynecol Obstet, 1999, 263 (1-2), pp. 51-55.
[9] Nguyễn Đức Hinh, Một số nhận xét về các trường hợp đẻ có cân nặng của thai từ 4000g trở lên, Tạp chí Y học Việt Nam, 2004, tr. 19-25.