Introduction:

fetal macrosomia has been associated with a high rate of maternal and perinatal morbidity and mortality.

Objective:

to identify the maternal peculiarities that associated with a macrosomic fetus in the Abel Santamaría Hospital, between 2018 and 2020.

Methods:

an observational, cross-sectional and retrospective study was conducted at the Abel Santamaría Hospital, between 2018 and 2020; the universe was made up of all the neonates born in the aforementioned period, while the sample was formed by a group of macrosomic fetuses chosen according to the sample formula and two neonates weighing between 3000 and 3500 grams (control group); the results were analyzed by different statistical methods, in addition Chi-square with significance level of p < 0,05 and Odds Ratio were used.

Results:

macrosomic fetuses had a highly significant relationship with gestational age from 40 to 41,6 weeks, and cesarean section; likewise, male sex, low Apgar at one minute and five minutes were associated with macrosomia. There were more maternal and neonatal complications in the study group.

Conclusions:

fetal macrosomia is an obstetric event that is highly associated with unfavorable maternal and perinatal outcomes.

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