Prevalence of macrosomia and associated complications as seen in a neonatal unit of a Tertiary Hospital in South Eastern Nigeria

Daniyan OW1*, Ezeanosike OB1,2, Obu DC1, Onwe OE1,2, Asiegbu UV1,2, Joe-Akunne CI1
1Department of Paediatrics, Alex Ekwueme Federal University Teaching Hospital, Abakaliki Ebonyi State, Nigeria.
2Department of Paediatrics, Ebonyi State University, Abakaliki, Ebonyi State, Nigeria
*Correspondence:  Dr. Olapeju Wunmi Daniyan;

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Background: Macrosomia contributes to neonatal morbidity and mortality.  Macrosomic birth is associated with an increased need for Caesarean section or instrumental deliveries and neonatal resuscitation.
Objective: This study aims to determine the prevalence of macrosomia and associated complications among neonates admitted into a newborn unit in South Eastern Nigeria.
Materials and Methods:  It was a 3-year retrospective descriptive study, carried out at the Newborn Special Care Baby Unit of Alex Ekwueme Federal University Teaching Hospital, Abakaliki, Nigeria, between 1st May, 2016 and 30th April, 2019. Admission files of all babies with birth weight ≥ 4000g were retrieved for information including birth weight, length, head circumference, mode of delivery and duration of hospital stay. Maternal parity, maternal age, gestational age, history of previous delivery of a macrosomic baby and complications observed during pregnancy were also recorded in a proforma. Data obtained were analysed using SPSS version 22.
Results:  A total of 1133 babies were admitted during the study period, of these, 74 babies were macrosomic giving a prevalence of 6.5%. Most (66.2%) of the babies were males and fifteen (20.3%) of the mothers had a history of diabetes mellitus. The commonest complication was birth trauma.
Conclusion: Macrosomia contributes to neonatal morbidity, therefore adequate monitoring during antenatal care and during delivery of both mother and baby should be done to reduce neonatal complications.

Keywords:  Newborn, Macrosomia, Birth weight, Prevalence, Complications

Cite this article: Daniyan OW, Ezeanosike OB, Obu DC, Onwe OE, Asiegbu UV, Joe-Akunne CI. Prevalence of macrosomia and associated complications as seen in a neonatal unit of a Tertiary Hospital in South Eastern Nigeria. Yen Med J. 2021;3(3):187–191.


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