SVIBOR - Papers quoted in CC - project code: 3-01-481
MINISTRY OF SCIENCE AND TECHNOLOGY
Strossmayerov trg 4, HR - 10000 ZAGREB
tel.: +385 1 459 44 44, fax: +385 1 459 44 69
E-mail: ured@znanost.hr
SVIBOR - Collecting Data on Projects in Croatia
Papers quoted in Current Contents on project 3-01-481
Quoted papers: 10
Other papers: 6
Total: 16
Title: Fetal macrosomia-pregnancy and delivery
- Authors:
- Mikulandra, Frane (75086)
- Stojnić, Eugen (149070)
- Periša, Mila (164120)
- Merlak, Ivo (104472)
- Šikić, Dalibor
- Zenić, Nada
Journal: Zentralblatt fur Gynakologie
ISSN: 0044-4197
Volume: 115
Year: 1993
Pages: from 553 to 561
Number of references: 38
Language: engleski
Summary: From 9980 singleton pregnacies,2021 (20.3%)macrosomic
weredelivered.The rates ofň16 kg weight gain in the macrosomic andcontrol
gruop were 36,2%(mean 14,30ń4,46 kg) and 16,7%(mean12,18ń4,46
kg),respectively (t=12.05; P<0,001).
The rate of secondary caesarean section was 5,2% in themacrosomic group,and
in the control group it was 3,6%(P<0,01),with no difference for primary
(elective) caesareansection (0,3% vs 0,5%) (P>0.05).Neonatal morbidity
rates were21,6% and 14,5% in the macrosomic and control
groups,respectively(P<0,001).
AS the resul of modern antental,intrapartum and neonatalcare,the autors
conclude that pragnancy,delivery and themacrosomic infant do not represent
an obsteric problem.
Keywords: Macrosomia,pregnancy,delivery,newborn,perintal morbidity,perintal mortality
Title: WANN IST DIE FETALE MAKROSOMIE (4500 g UND MEHR) EINE
INDIKATION FšR DEN KAISERSCHNITT
- Authors:
- Mikulandra, Frane (75086)
- Periša, Mila (164120)
- Stojnić, Eugen (149070)
Journal: Zentralblatt fur Gynakologie
ISSN: 0044-4197
Year: 1995
Number of references: 24
Language: engleski
Summary: Between 1 January 1984 and 31 December 1993, of whom
321 (2.96%) weighed ň 4500 g (290weighing 4500-4999 g, and 31 weighing ň
5000 g). Caesarean section was performed in 36 (11.2%) and 14 (4.4%) in the
macrosomic and control groups, respectively (P<0.01). The rates of
macrosomic infants delivered from primiparous and grand multiparous women
by caesarean section (i.e., 23.1% vs. 5.9% vs. 18.2%) were highly
significant (P<0.001), as were the rates in adolescent pregnant women, in
those of optimal childbearing age and in old pregnant women (60.0% vs. 9.0%
vc. 26.9%),(P<0.001).
Injuries were sustaines by 28 (9.8%) women with a macrosomic infant
delivered vaginaly and by 12 (3.9%) cintrolls (P<0.05).No maternal injuries
were reported with caesarean delivery in eight group.There was no birth
trauma in the macrosomic and control infants delivered by caesarean
section. With vaginal delivery birty trauma involved clavicular fracture
(5.6%), brachial plexus palsy (2.8%) and central nervous system syndrome
(2.1%). A total of 30 (10.5%) macrosomic infants and 4 (1.3%) controles,
were identified as having birth trauma (P<0.001).
In conclusion,abnormal presentations, as well as malpresentations in
primiparous women, are an absolute indicatione for caesarean section,
wereas malpresentations in multiparous women are a relative indication for
caesaren sectin.
Keywords: macrosomia,caesarean section,vaginal delivery,maternal injuries,neonatal injuries
Title: PREGRAVID BODY MASS INDEX IN PREGNENT WOMEN WITH A
MACROSOMIC FETUS
- Authors:
- Mikulandra, Frane (75086)
- Periša, Mila (164120)
Journal: Med Vjesn
ISSN: 0350-6487
Year: 95
Number of references: 15
Language: hrvatski
Summary: From July 18, 1992 to December 31, 1993 ther were 1 284
deliveries in the maternity unit of the Šibenik General Hospital (multiple
pregnancies excluded, as well as those of displaced and refugee woman). Of
these, 198 (15.4%) newborn infants had a birthweight of ň 4 000 g.
Low pregravid body mass indexes were found in the control pregnant
women more frequently than in those from the macrosomic group (27.3% vs.
10.1%) (Xý=19.20; P<0.001) as opposed to high body mass indexes more
frequently found in the macrosomic group (15.7% vs. 4.5%) (Xý=13.46;
P<0.001). The mean value of pregravid body mass index was X=23.3 ń 5.9 and
X=22.0 ń 5.2 for the macrosomic and control groups, respectively (t=2.74;
P<0.01). No diference was observed in paternal body mass index between the
two groups (P>0.05). 39% of pregnant women with a macrosomic fetus had a
weight gain of ň 20 kg more frequently than those from the control group
(17.7% vs. 6.6%) (Xý=11.47; P<0.001). The mean weight gain was X=15.12 ń
5.16 and X=12.21 ń 5.82 kg in the macrosomic and control groups,
respectively (t=5.26; P<0.001). The mean weight gain in pregnant women with
a macrosomic fetus was higer by 2.91 kg when compared with that of the
control group.
The autors conclude that the pregravid body mass index is an important
predictor of fetal macrosomia, i.e., it helps in indetifying those pregnant
women who require special attention during pregnancy and delivery.
Keywords: macrosomic infant (ň 4 000 g); pregravid body mass index; paternal body mass index; weight gain during pregnancy
Title: PREGNANCY AND DELIVERY OF NEWBORN INFANTS WITH EXCESSIVE
BIRTHWEIGHT
- Authors:
- Mikulandra, Frane (75086)
- Periša, Mila (164120)
- Merlak, Ivo (104472)
Journal: Gynaecol Perinatol
ISSN: 1330-0091
Year: 95
Language: hrvatski
Summary: From July 18,1992 to December 31, 1993 there were 1 284
deliveries; of these, 198 (15.4%) were women delivering macrosomic infants
(ň 4 000 g). The control group consisted of 198 pregnant women delivering
infants weighing 3 000 to 3 499 g from the same period.
There was no difference as regards age between the macrosomic and
control groups (P< 0.001), whereas the difference in parity was significant
frequency! (P< 0.001).
Ther was no difference in the incidence of pregnant women with
threatend abortion and EPH gestosis. Maternal weight gain during pregnancy
was higer in women with macrosomic fetuses (P<0.001).
There were more planned deliveries in the macrosomic group and the use
of oxytocin was also more frequent than in the control group (P<0.001).
There was no difference in the mode of delivery between the two groups
(P>0.05).
The autors conclude that the pregnancy and delivery of a macrosomic
fetus are at high risk, but they should not represent a major problem owhen
effective perinatal care is provided.
Keywords: macrosomic infant; pregnancy; delivery
Title: THE NEWBORN INFANT WITH A GREAT BIRTHWEIGHT
- Authors:
- Periša, Mila (164120)
- Mikulandra, Frane (75086)
- Stojnić, Eugen (149070)
Journal: Gynaecol Perinatol
ISSN: 1330-0091
Year: 95
Language: hrvatski
Summary: Macrosomic infants weighing 4 000 g or more delivered
from JUly 15, 1992 to December 31, 1993 are dscribed. Control newborn
infants had a birthweight of 3 000 to 3 499 g. The average birthweight of
macrosomic and control infants was X=4226.3 g and X=3279.2 g, respectively.
Among the macrosomic infants there were 26 (13.1%) infants weighing 4 500
to 4 999 g and 2 (1.1%) weighing 5 000 g or more.
No differences in neonatal condition at delivery as well as in the rate
of birth trauma were observed between the two groups (P>0.05). There were
more infants with hyperbilirubinemia in the macrosomic than in the control
group. Neonatal morbidity was also higer.
The autors conclude that the macrosomic infant is at higer risk in the
early neonatal period than other newborn infants.
Keywords: macrosomic newborn; birth trauma; apgar score
Title: GROWTH AND PSYCHOMOTOR DEVELOPMENT IN MACROSOMIC INFANTS
- Authors:
- Stojnić, Eugen (149070)
- Jakšić, Jasminka (183132)
- Mikulandra, Frane (75086)
Journal: Gynaecol Perinatol
ISSN: 1330-0091
Year: 95
Language: hrvatski
Summary: Growth and psychomotor development in macrosomic
infants were analysed from birth up to 17 months of age. The control group
consisted of infants with a birthweight between 3 000 and 3 499 g. Up to
the age of 6 months the macrosomic infants were heavier than the control
infants (P<0.001), but the difference disappeared in the later period. Up
to nine months of age the macrosomic infants were longer, wich was not
observed later.
There was no difference in the start of head raising and walking
without help (P>0.05) as well as in emotional development between the two
groups.
The autors conclude that macrosomic infants show more intesive growth
in the early infant period, which disappears later in early childhood.
However, no difference can be observed in motor, mental and emotional
development.
Keywords: Growth; mental and emontional development; motor development; macrosomic infant
Title: THE FUNDUS OCULI OF NEWBORN INFANTS WITH GREAT BIRTHWEIGHT
- Authors:
- Miletić-Jurić, Alenka (164116)
- Kapeli, Katarina (164105)
- Mikulandra, Frane (75086)
Journal: Gynaecol Perinatol
ISSN: 1330-0091
Year: 95
Language: hrvatski
Summary: Fundus examinations were done within 24 hours after
delivery. A total of 126 newborn infants whit great birthweight (ň 4 500 g)
and 130 control newborn infants weighing 3 000 to 3 499 g were analysed.
The rate and intensity of retinal hemorrharge in relation to birthweight,
Apgar score, duration of delivery and mode of delivery were studied.
First-degree retinal hemorrhage was found in 4(3.2%) macrosomic and
15(11.5%) control newborn infants (P<0.05). There was no third-degree
retinal hemorrhage. Overall, retinal hemorrharge occured in 22 (17.5%) and
31(23.8%) in the macrosomic and control groups, respectively (P>0.05).
We observed no influence of Apgar csores and delivery duration on the
occurrence of retinal hemorrhage. No retinal hemorrhage occured to newborn
infants delivered by cesarean sectin.
The authors conclude that high birthweight does not contribute to the
risk of retinal hemorrhage occurence.
Keywords: macrosomic infant; Apgar score; mode of delivery; retinal hemorrhage
Title: DELIVERY OF THE MACROSOMIC INFANT (ň 4 500)
- Authors:
- Mikulandra, Frane (75086)
- Periša, Mila (164120)
Journal: Gynaecol Perinatol
ISSN: 1330-0091
Year: 95
Language: hrvatski
Summary: A total of 341 deliveries of macrosomic infants were
analysed, 41(12.0%) of which were perfomed by cesarean section. The
most common indication for cesarean delivery were cephalopelvic
disproportion, breech presentation, fetal distres, prolonged labor, etc.
The frequency of caserean section deliveres among primiparous, multiparous
and grand multiparous pregnant women (2.0% vs. 6.9% vs. 16.7%) is
statistically highly significant (P<0.001).
In conclusion, the autors consider that, when delivering a macrosomic
fetus, it is important to have information on maternal parity and age as
well as on fetal presentation.
Keywords: macrosomic infant (ň 4 500 g); delivery; age; parity
Title: THE MACROSOMIC INFANTS (ň4 500 g)
- Authors:
- Periša, Mila (164120)
- Mikulandra, Frane (75086)
Journal: Gynaecol Perinatol
ISSN: 1330-0091
Year: 95
Language: hrvatski
Summary: A total of 50 macrosomic infants were analysed. The
mean birthweight was 4 677 g and 3 326 g in the macrosomic and control
groups, respectively. The Apgar score of 7 or lower was found in 7.1% of
the macrosomic and 3.9% of the control infants. Neonatal morbisity for
macrosomic and 3.9% of the control infants. Neonatal morbidity for
macrosomic infants was higer as compared to the control group (22% vs.
11.0%).
The central nervous system syndrome as well as respiratory distress
syndrome were found more frequently in the macrosomic group. Birth injuries
were also more frequent than in the control group.
The autors conclude that the macrosomic infant weighing
ň 4 500 g is at high risk.
Keywords: macrosomic infant (ň 4 500 g); neonatal condition at delivery; neonatal morbidity; birth injuries
Title: PSYHOMOTOR DEVELOPMENT IN THE MACROSOMIC INFANT (ň 4 500
g)
- Authors:
- Stojnić, Eugen (149070)
- Mikulandra, Frane (75086)
- Periša, Mila (164120)
Journal: Gynaecol Perinatol
ISSN: 1330-0091
Year: 95
Language: hrvatski
Summary: A total of 111 macrosomic and 111 control newborn
infants (weighing 3 000 to 3 499 g) were evaluated from birth to the age of
one year.
There was no difference either in motor development or in mental and
emotional develompent between the two groups (P>0.05).
The autors conclude that the psyhomotor development of macrosomic and
control newborn infants is almost indetical up to one year of age.
Keywords: macrosomic infant (ň 4 500 g); motor development; mental and emotional development
Information: svibor@znanost.hr