OBJECTIVE: To determine the frequency of macrosomia and the obstetrics complications such as shoulder dystocia and caesarean section in a tertiary care hospital.
STUDY DESIGN: A prospective cross sectional study
PLACE AND DURATION: The study was conducted in the Department of Obstetrics and Gynecology of Zaiuddin Hospital Kemari campus from 1st January 2015 to 30th December 2015.
METHODOLOGY: The cases included in the study were comprised of women with suspected macrosomia diagnosed on Ultrasound scan. Detailed clinical and demographic information such as maternal age, BMI, and other parameter collected on a prescribed performa.
RESULT: The prevalence of macrosomia babies was7.3 percent. Most of the women had a BMI of more than 26, a maternal age range between 20-32 years. No significant association was found between macrosomia and shoulder dystocia or history of shoulder dystocia in previous pregnancies. Significant relationship was found between fetal macrosomia and delivery by Caesarean section.
CONCLUSION: High frequency of macrosomia is found in our study. We could not found its association with shoulder dystocia however it increases the delivery by Caesarean section.
Macrosomia, Frequency, Shoulder Dystocia, Complications, Caesarean Section.