Mehmet AK, Emine AYDIN, Ayça Nazlı BULUT, Venhar CEYHAN, Mustafa Bertan DEMİR, Mehmet DOLANBAY

Makrozomik Fetuslar 38. Gebelik Haftasında Doğurtulabilir Mi?

Amaç: Makrozomik fetüsler hakkında, Amerikan Obstetrik ve Jinekoloji Derneğinin bültenleri de dahil olmak üzere çok sayıda makale yazılmıştır. Ancak doğum zamanı konusunda net bir fikir birliği yoktur. Bu çalışmanın amacı fetal makrozomi ile komplike gebeliklerde 38+0-38+6 hafta arasında doğum yapan kadınlar ile ≥39 hafta sonrasında doğum yapan kadınların maternal ve fetal sonuçlarını karşılaştırmak ve doğum haftasının 38. haftaya çekilmesinin yenidoğanın morbidite ve mortalitesini etkileme düzeyini belirlemektir.

Anahtar Kelimeler:

Makrozomi, travma, LGA, distosi

CAN MACROSOMIC FETUSES BE DELIVERED AT 38 WEEKS OF GESTATION?

Objective: Numerous articles have been written on macrosomic fetuses, including the American College of Obstetricians and Gynecologists practice bulletin. However, there is no clear consensus about the time of birth. The aim of this study was to compare the maternal and fetal outcomes of women giving birth at 38+0-38+6 weeks and those with deliveries at ≥39 weeks in pregnancies complicated by fetal macrosomia, and to determine the effect on morbidity and mortality of delivery in the 38th gestational week.

Keywords:

Macrosomia, trauma, LGA, dystocia,

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1. Macrosomia: ACOG Practice Bulletin, Number 216. Obstet Gynecol. 2020;135(1):18-35.
2. American College of Obstetricians and Gynecologists’ Committee on Practice Bulletins-Obstetrics. Practice Bulletin No. 173: Fetal Macrosomia. Obstet Gynecol. 2016;128(5):195-209.
3. Chauhan SP, Grobman WA, Gherman RA, Chauhan VB, Chang G, Magann EF et al. Suspicion and treatment of the macrosomic fetus: a review. Am J Obstet Gynecol. 2005;193:332-46.
4. Martin JA, Hamilton BE, Osterman MJK, Driscoll AK, Drake P. Births: Final Data for 2017. Natl Vital Stat Rep. 2018;67(8):1-50.
5. Li G, Kong L, Li Z, Zhang L, Fan L, Zou L et al. Prevalence of macrosomia and its risk Factors in China: A multicentre survey based on birth data involving 101 723 singleton term infants. Paediatr Perinat Epidemiol. 2014;28(4):345-50.
6. Koyanagi A, Zhang J, Dagvadorj A, Hirayama F, Shibuya K, Souza JP et al. Macrosomia in 23 developing countries: an analysis of a multicountry, facility-based, cross-sectional survey. Lancet. 2013;381(9665):476-83.
7. Zhu Y, Olsen SF, Mendola P, Yeung EH, Vaag A, Bowers K et al. Growth and obesity through the first 7 y of life in association with levels of maternal glycemia during pregnancy: a prospective cohort study. Am J Clin Nutr. 2016;103(3):794-800.
8. Glodean DM, Miclea D, Popa AR. Macrosomia. A systematic review of recent literature. Rom J Diabetes Nutr Metab Dis. 2018;25(2):187-95.
9. Araujo Júnior E, Peixoto AB, Zamarian ACP, Elito Júnior J, Tonni G. Macrosomia. Best Pract Res Clin Obstet Gynaecol. 2017;38:83-96.
10. Stotland NE, Caughey AB, Breed EM, Escobar GJ. Risk factors and obstetric complications associated with macrosomia. Int J Gynaecol Obstet. 2004;87(3):220-6.
11. Sinkey RG, Blanchard CT, Szychowski JM, Ausbeck E, Subramaniam A, Neely CL et al. Elective induction of labor in the 39th week of gestation compared with expectant management of low-risk multiparous women. Obstet Gynecol. 2019;134(2):282-7.
12. Sancetta R, Khanzada H, Leante R. Shoulder shrug maneuver to facilitate delivery during shoulder dystocia. Obstet Gynecol. 2019;133(6):1178–81.