Maternal Prognosis During Childbirth of 111 Newborns Macrosomes at Chu Sylvanus Olympio

Author(s): Akila Bassowa, Ayoko Ketevi, Palakiyem Panassa, Baguilane Douaguibe, Dede Ajavon, Kodjo Fiagnon, Samadou Aboubakari, Koffi Akpadza

Objective: To determine the maternal prognosis during macrofen delivery at Sylvanus Olympio CHU. 

Method and framework: This was a descriptive cross-sectional study that took place in the Obstetrics Gynecology department of the University Hospital Center of Sylvanus Olympio University Hospital in Lome. June 30, 2017 over a period of 5 months. The statistical analysis was done using the software: Microsoft Excel. 

Results and discussion: Of 3468 deliveries recorded during the study period, 111 resulted in macrosomes, a macrosomia frequency of 3.2%. The highest incidence was observed among parturients in the 26-30 age group at 38.7%. Delivery occurred spontaneously vaginally in 30%, caesarean section in 20%, forceps 1.5%. Maternal complications were: perineal tears (2.2%), delivery hemorrhage (2.2%), cervical tears (0.5%). These complications are more frequent in case of non-prenatal monitoring of pregnant women.

Conclusion: Since fetal macrosomia is a real public health problem because of its strong association with infant morbidity and mortality, such a detailed study of children born with excess weight would make it possible to detect the most important factors in order to improve their health. management of this gravido-puerperal pathology in our African environments

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