Resumo

MOLINA HERNANDEZ, Orlando Rafael  e  MONTEAGUDO RUIZ, Consuelo Leonor. Perinatal characterization of newborn with macrosomia. Rev Cubana Obstet Ginecol [online]. 2010, vol.36, n.3, pp. 313-321. ISSN 1561-3062.

The macrosomia newborn is a heterogeneous group and of vital significance, its birth is a risky problem for the perinatology specialists. A case-control study was conducted to characterize the macrosomia newborn in the "Mariana Grajales" Teaching Provincial Hospital of Santa Clara in 2007, to relate the mother and neonatal variables selected for study and control groups, as well as to compare the morbidity of macrosomia newborns and of those with a normal weight. The study group included all the live births neonates weighing 4000g or more and the control group included the live births following macrosomia, excluding those with low-birth weight and twins. Information was gathered from a designed method to that end including the mother and neonatal variables and data were tabulated and showed in tables to express the results. It is emphasized that the 11 % of all live births had macrosomia with significant variables like age similar or greater than 35 years, multiparity, macrosomia and gestational diabetes. Also, there was an statistic association including the labor at 42 weeks or more of pregnancy, body mass index (BMI) higher than 26 at pregnancy onset and the excessive weight gain (more than 15 kg). Frequent neonatal morbidity: pulmonary edema, hypoglycemia, hypocalcaemia, metabolic acidosis, worsening physiological icterus, polyglobulin ant birth traumata without affecting the mortality in the institution. It is necessary the prenatal and perinatal care to limit the unfavorable results in the mother-child duo.

Palavras-chave : Macrosomia newborn; mother variables; neonatal morbidity.

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