Özet:

INTRODUCTION: To evaluate the mode of deliveries and consequences of macrosomic pregnancies. METHODS: The birth records between 1 st of January 2006 and 31 st of december 2008 in Obstetric Clinic of Zeynep Kamil Women’s Health and Children Diseases Education and Research Hospital, were rewieved retrospectively. Study group was composed of with bith weight 4000 g and above, and the control group was composed of with birth weight between 2500-3999 g randomly selected pregnancies at the same time period. RESULTS: According t he birth records between 1 st of January 20 06 and 31 st of december 2008 in Obstetric Clinic of Zeynep Kamil Women’s Health and Children Diseases Education and Research Hospital, the insidance of macrosomia (≥ 4kg) was found as 5,15%. Ultrasound to predict the weight over 4000 grams, compared to normal birth weight infants were less successful. cpd, was the primary risk factor and indication for primary cesarean section. The duration of labour was longer and caeserean section rate was higher viewed in the cases with oxytocin infused and in macrosomic group. Shoulder dystocia was more prevalent in macrosomic infants and cases with diabetes. Uterine atony was only prevalent in macrosomic pregnancies. Fetal trauma, in the cases with shoulder dystocia and who delivered vaginally were more prevalent. The rate of perinatal mortality in the study group was 0.51%, and none in the control group DISCUSSION AND CONCLUSION: Estimated fetal weight with ultrasound in macrosomic group was less successful and cesarean section rate was high, and also in cases delivered vaginally shoulder dystocia and fetal trauma was more frequently observed in macrosomic group.

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