ĐẶC ĐIỂM LÂM SÀNG VÀ KẾT CỤC THAI KÌ CỦA TRẺ SINH RA TỪ SẢN PHỤ THAI TO TẠI BỆNH VIỆN ĐA KHOA TỈNH VĨNH LONG

Abstract

Background: With the improvement of both material and spiritual life, excessive nutritional supplementation and overcare during pregnancy have led to an increase in fetal macrosomia. This condition results in numerous unfavorable outcomes, especially for the newborns.Objective: To describe the clinical characteristics and pregnancy outcomes of fetal macrosomia at Vĩnh Long General Hospital. Materials and Methods: A cross-sectional descriptive study was conducted on 541 pregnant women who gave birth at 37 weeks of gestation or later at the Department of Obstetrics, Vinh Long General Hospital, from September 2022 to June 2023. Results: The mean gestational age was 38.8 ± 0.9 weeks. A gestational age of ≥40 weeks increased the likelihood of fetal macrosomia by 1.3 times (p=0.02). The rate of low Apgar scores in both the macrosomia group and the normal birthweight group was similar (6.3%; 7.2%). The average birthweight in the macrosomia group was 3,775.91 grams. Among newborns weighing ≥4,000 grams, 75.4% were male and 24.6% were female. A birthweight ≥4,000 grams increased the risk to the fetus by 9.6 times. Conclusion: The rate of fetal macrosomia was relatively high. A gestational age of ≥40 weeks increased the risk of macrosomia by 1.3 times, while a birthweight ≥4,000 grams increased fetal risk by 9.6 times.