PDF(Pubmed)
Abstract：
UNASSIGNED: Evaluate the prevalence of macrosomic newborns (birth weight above 4000 grams) in a high-risk maternity from 2014 to 2019, as well as the maternal characteristics involved, risk factors, mode of delivery and associated outcomes, comparing newborns weighing 4000-4500 grams and those weighing above 4500 grams.
UNASSIGNED: This is an observational study, case-control type, carried out by searching for data in hospital\'s own system and clinical records. The criteria for inclusion in the study were all patients monitored at the service who had newborns with birth weight equal than or greater than 4000 grams in the period from January 2014 to December 2019, being subsequently divided into two subgroups (newborns with 4000 to 4500 grams and newborns above 4500 grams). After being collected, the variables were transcribed into a database, arranged in frequency tables. For treatment and statistical analysis of the data, Excel and R software were used. This tool was used to create graphs and tables that helped in the interpretation of the results. The statistical analysis of the variables collected included both simple descriptive analyzes as well as inferential statistics, with univariate, bivariate and multivariate analysis.
UNASSIGNED: From 2014 to 2019, 3.3% of deliveries were macrosomic newborns. The average gestational age in the birth was 39.4 weeks. The most common mode of delivery (65%) was cesarean section. Diabetes mellitus was present in 30% of the deliveries studied and glycemic control was absent in most patients. Among the vaginal deliveries, only 6% were instrumented and there was shoulder dystocia in 21% of the cases. The majority (62%) of newborns had some complication, with jaundice (35%) being the most common.
UNASSIGNED: Birth weight above 4000 grams had a statistically significant impact on the occurrence of neonatal complications, such as hypoglycemia, respiratory distress and 5th minute APGAR less than 7, especially if birth weight was above 4500 grams. Gestational age was also shown to be statistically significant associated with neonatal complications, the lower, the greater the risk. Thus, macrosomia is strongly linked to complications, especially neonatal complications.
UNASSIGNED: This is an observational study, case-control type, carried out by searching for data in hospital\'s own system and clinical records. The criteria for inclusion in the study were all patients monitored at the service who had newborns with birth weight equal than or greater than 4000 grams in the period from January 2014 to December 2019, being subsequently divided into two subgroups (newborns with 4000 to 4500 grams and newborns above 4500 grams). After being collected, the variables were transcribed into a database, arranged in frequency tables. For treatment and statistical analysis of the data, Excel and R software were used. This tool was used to create graphs and tables that helped in the interpretation of the results. The statistical analysis of the variables collected included both simple descriptive analyzes as well as inferential statistics, with univariate, bivariate and multivariate analysis.
UNASSIGNED: From 2014 to 2019, 3.3% of deliveries were macrosomic newborns. The average gestational age in the birth was 39.4 weeks. The most common mode of delivery (65%) was cesarean section. Diabetes mellitus was present in 30% of the deliveries studied and glycemic control was absent in most patients. Among the vaginal deliveries, only 6% were instrumented and there was shoulder dystocia in 21% of the cases. The majority (62%) of newborns had some complication, with jaundice (35%) being the most common.
UNASSIGNED: Birth weight above 4000 grams had a statistically significant impact on the occurrence of neonatal complications, such as hypoglycemia, respiratory distress and 5th minute APGAR less than 7, especially if birth weight was above 4500 grams. Gestational age was also shown to be statistically significant associated with neonatal complications, the lower, the greater the risk. Thus, macrosomia is strongly linked to complications, especially neonatal complications.
摘要：
■评估2014年至2019年高危产妇中宏观新生儿（出生体重超过4000克）的患病率，以及所涉及的产妇特征，危险因素，交付方式和相关结果，比较体重4000-4500克的新生儿和体重在4500克以上的新生儿。
■这是一项观察性研究，案例控制类型，通过在医院自己的系统和临床记录中搜索数据来进行。纳入研究的标准是在2014年1月至2019年12月期间监测的所有新生儿出生体重等于或大于4000克的患者，随后分为两个亚组（4000至4500克的新生儿和4500克以上的新生儿）。收集后,变量被转录到数据库中，排列在频率表中。为了对数据进行处理和统计分析，使用Excel和R软件。该工具用于创建有助于解释结果的图形和表格。收集的变量的统计分析包括简单的描述性分析和推断统计，单变量，双变量和多变量分析。
■从2014年到2019年，3.3%的分娩是宏观新生儿。出生时平均胎龄为39.4周。最常见的分娩方式（65％）是剖宫产。研究的分娩中有30％存在糖尿病，大多数患者缺乏血糖控制。在阴道分娩中，只有6％的患者接受了仪器检查，21％的患者有肩难产。大多数新生儿（62%）有一些并发症，黄疸（35%）是最常见的。
■出生体重超过4000克对新生儿并发症的发生具有统计学意义，如低血糖，呼吸窘迫和第5分钟APGAR小于7，特别是如果出生体重超过4500克。孕龄也显示与新生儿并发症有统计学意义的相关，较低的，风险越大。因此，巨大儿与并发症密切相关，尤其是新生儿并发症.
■这是一项观察性研究，案例控制类型，通过在医院自己的系统和临床记录中搜索数据来进行。纳入研究的标准是在2014年1月至2019年12月期间监测的所有新生儿出生体重等于或大于4000克的患者，随后分为两个亚组（4000至4500克的新生儿和4500克以上的新生儿）。收集后,变量被转录到数据库中，排列在频率表中。为了对数据进行处理和统计分析，使用Excel和R软件。该工具用于创建有助于解释结果的图形和表格。收集的变量的统计分析包括简单的描述性分析和推断统计，单变量，双变量和多变量分析。
■从2014年到2019年，3.3%的分娩是宏观新生儿。出生时平均胎龄为39.4周。最常见的分娩方式（65％）是剖宫产。研究的分娩中有30％存在糖尿病，大多数患者缺乏血糖控制。在阴道分娩中，只有6％的患者接受了仪器检查，21％的患者有肩难产。大多数新生儿（62%）有一些并发症，黄疸（35%）是最常见的。
■出生体重超过4000克对新生儿并发症的发生具有统计学意义，如低血糖，呼吸窘迫和第5分钟APGAR小于7，特别是如果出生体重超过4500克。孕龄也显示与新生儿并发症有统计学意义的相关，较低的，风险越大。因此，巨大儿与并发症密切相关，尤其是新生儿并发症.
