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Hindi Fetal Macrosomia at Gabriel Toure Hospital: Prevalence and Perinatal Prognosis
*Corresponding Author:Received Date: Oct 03, 2023 / Published Date: Oct 31, 2023
Copyright: © 2023 . This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
Abstract
Macrosomia is a concern in the daily practice of the neonatologist. The aim of this work was to investigate the socio-demographic, clinical and survival aspects of macro-somic neonates. It was a retrospective and descriptive study ran from 01/01/2017 to 31/12/2019. Were included, all macro-somic neonates hospitalized in neonatology service during the study period. Forty-six macro-somic new-borns were included, accounting for a hospital frequency of 0.71%. The predominant maternal age group was 20-29 years. Pregnancy was monitored in 73.9% of cases. Gestational diabetes represented 30.4% of cases. Pregnancy term was not specified in 43.5% of cases, and was exceeded in 6.5%. The main complications recorded were a sero-sanguineous bump observed in 41.3% of cases, clavicle fracture in 10.9%, cephalo-haematoma in 6.5%, humerus fracture and obstetric brachial plexus palsy in 2.2% each. Hypoglycemia was observed in 39.1% of patients, 13% of whom died. New-borns were hospitalized for perinatal anoxia in 52.2% of cases, followed by neonatal infection in 47.8% and respiratory distress in 41.3%. At least a quarter of new-borns (26.1%) were resuscitated at birth. The average hospital stay was 5.39 ± 2.902 days, with extremes ranging from one to twelve days.
