Author/Authors :
Saleh, Ahmed M. Riyadh Military Hospital - Department of Obstetrics and Gynecology, Saudi Arabia , Al-Sultan, Sultan M. Riyadh Military Hospital - Department of Obstetrics and Gynecology, Saudi Arabia , Moria, Anwar M. Riyadh Military Hospital - Department of Obstetrics and Gynecology, Saudi Arabia , Rakaf, Fatema I. Riyadh Military Hospital - Department of Obstetrics and Gynecology, Saudi Arabia , Turkistani, Yasmin M. Riyadh Military Hospital - Department of Obstetrics and Gynecology, Saudi Arabia , Al-Onazi, Shaha H. Riyadh Military Hospital - Department of Obstetrics and Gynecology, Saudi Arabia
Abstract :
Objective: To compare maternal and neonatal outcomes of fetal macrosomia in diabetic and nondiabetic women. Method: A retrospective case-control study was conducted at Riyadh Military Hospital, Riyadh, Kingdom of Saudi Arabia from January 2004 to December 2006. A total of 766 macrosomic newborns met the inclusion criteria. We compared maternal and neonatal characteristics and outcomes between diabetic (group 1, n=207) and nondiabetic (group 2, n=559) women. Results: There were significantly more macrosomic newborns in nondiabetic women; 73% versus 27% in diabetic women, p=0.0001. Cesarean deliveries were significantly higher in diabetic women compared to nondiabetic women (30.4% versus 19.5%, p=0.002). There were no significant differences between either group in total maternal morbidity (12.6% versus 14.1%, p=0.7). There were significantly more severe cases of shoulder dystocia occurring in newborns of diabetic women compared to nondiabetic women (1.9% versus 0.2%, p=0.03). Conclusion: Elective cesarean delivery for estimated fetal weight .4500g for nondiabetic women and ≥4250 g for diabetic women may avoid severe shoulder dystocia without increasing maternal morbidity rates.
