Gul Fatima, Hafiza Saima Naseem, Saba Fayyaz Jeelani, Maria Khan.
Frequency of Fetal Macrosomia in Obese Pregnant Women.
Pak J Med Health Sci Jan ;6(2):417-22.

Objective: To determine frequency of fetal macrosomia in obese pregnant women. Study design: Descriptive case series. Place and duration of study: Department of Obstetrics and Gynecology Unit III, Nishtar hospital Multan.Six months from 14th March 2010 to 13th September 2010. Material & methods: One hundred and seventy four women with singleton pregnancy with BMI of more than 30 kg/m2 were selected at gestational amenorrhea of 32 weeks or more. Fetal growth monitoring was done in these obese women twice weekly till delivery by ultrasonography (by measuring estimated fetal weight and abdominal circumference). It was done by the consultant radiologist having postgraduate qualification of at least fiver years and we observed whether these patients develop fetal macrosomia or not. Macrosomia was labelled as positive as per criteria mentioned in operational definition. Final outcome was measured after delivery of the baby and recorded in a proforma. Results: There were 23 women (42.6%) who delivered macrosomic babies in present study having history of macrosomia in previous pregnancy. Conclusion: Raised BMI increases the risk of fetal macrosomia and there is an association of maternal obesity and fetal macrosomia.

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