- Type of paper
: Paper in journal
Title: THE MACROSOMIC NEWBORN INFANT WEIGHING 4500 g AND OVER
- Authors:
- Mikulandra, Frane (75086)
- Periša, Mila (164120)
- Jakšić, Jasminka (183132)
Journal: Gynaecol Perinatol
ISSN: 1330-0091
Year: 1995
Number of references: 34
Language: hrvatski
Summary: Male macrosomic infants accounted for 55.1% versus
50.2% in the control group (P>0.05). Apgar scores of ó 7 were present in
7.8% and 4.7% of newborn infants in the study and control groups,
respectively (P>0.05). Macrosomic infants with hyperbilirinaemia (12.8%)
and weight loss above 10% of their birthweight (12.5%) were more frequent
in the control group (P<0.05), whereas the rates of central nervous system
syndrome (2.5%), respiratory distress syndrome (1.9%), congenital
abnormalities (1.9%), septic conditions (2.2%) and other complitacions
(10.9%) were similar in the two groups (P>0.05). Due to suspected
hypoglicaemia, 156 (48.6%) macrosomic infants and 32 (10.0%) were
ivestigated for blood glucose (P<0.001). The overall neonatal morbidity
rates was higer in the macrosomic than the control group (22.7% vs11.9%),
(P<0.001).
Plexus brachialis lesion were more frequent among the macrosomic
infants (2.8% : 0.3%),(P<0.05), whereas clavicular fractures were diagnosed
in 16 (5.6%) macrosomic and in one (0.3%) control newborn infant (P<0.001).
There were no late fetal deaths among the macrosomic, but two (0.62%)
eary neonatal deaths occured, resulting in an overall perinatal mortality
rate of 0.62%, wich did not differ from that in the control group.
The autors consider fetal macrosomia and underlying indication for
resolting to caesarean section delivery. The macrosomic infant is a
high-risk neonate requiring intesive surveillance.
Keywords: macrosomic newborn, neonatall morbidity, birth trauma, perinatal mortality
- Type of paper
: Paper in journal
Title:
- Authors:
- Mikulandra, Frane (75086)
- Periša, Mila (164120)
Journal: Croat-Med-Jour (CMJ)
ISSN: 0353-9504
Year: 1995
Number of references: 24
Language: engleski
Summary: AIM: To study the course of pregnancy and delivery of
macrosomic infants (birthweight ň4500).
METHOD: There were 10 852 deliveries at the General Hospital Department of
Obstetrics, Šibenik, Croatia, over the period from January 1, 1984 to
December 31, 1993. Of these, 321 (2.96%) macrosomic infants weighing ň4500
g were delivered. Staistical analysis was performed using the Xý-test and
t-tests.
RESULT: The incidence of macrosomic infants increased with increasing age
(1.0% : 2.99% : 4.0%) and parity (1.87% : 3.71% : 2.94%), (P<0.001). The
mean weight gain in pregnant women with macrosomic fetuses was 15.54 ń 5.13
kg, compared with 11.87 ń 4.72 kg in the control group (P<0.001).
Spontaneous delivery occured in 83.2%, cesarean section was used in
11.2%, breech delivery accounted for 0.6%, and vacuum extraction for 5%.
There was no death.
CONCLUSION: Pregnant women with suspected fetal macrosomia required
intensified antenatal care. Pregnant women with fetal macrosomia should be
delivered vagnaly. Decidion wheather to complet delivery by cesarean
section should be flexible.
Keywords: macrosomic infants (ň4500 g), pregnancy, delivery, sectio cesarea, women injuries
- Type of paper
: Paper in journal
Title: MATERNAL PARITY AND AGE - AETIOLOGICAL FACTORS IN FETAL
MACROSOMIA
- Authors:
- Mikulandra, Frane (75086)
Journal: Med. Jadr.
ISSN: 0351-0093
Year: 95
Number of references: 13
Language: hrvatski
Summary: The alm of this study was to investigate the influence
of maternal parity and age on fetal macrosomia (birthweight ň 4 500 g).
In the maternity unit of the Šibenik General Hospital - Department of
Obsterics and Gynaecology from January 1,1984 to December 31,1993 a total
of 10 852 infants were delivered (multiple pregnancies excluded), of these
321 (2.96%) weighing
ň4 500 g. Of 230 pregnant women with macrosomic fetuses (ň4 500 g), 84
(36,5%) had previously delivered a macrosomic infant, whereas 12 (5.2%)
controls had previous history on fetal macrosomia (Xý=68.24; P<0.001).
The incidence of macrosomic infants born to primiparous women was 1.87%
whereas it ranged from 3.71% to 12.94% in multiparous (2-4 deliveres) and
grandmultiparous (ň 5 deliveres), respectively (Xý=58.20; P<0.001). The
rates of macrosomic infants in pregnant adolescents (aged ó 18 years), in
pregnant women of optimal childbearing age (20-34 years) and in pregnant
women aged
ň35 years (1.0% : 2.99% : 4.09%) were highly significiant (Xý=9.69;
P<0.001).
The autors conclude that previous delivery of a macrosomic infant,
greater parity and andvancing age are predisponing factoes for fetal
macrosomia.
Keywords: fetal macrosomia (ň4 500 g); parity; maternal age; incidence
- Type of paper
: Paper in journal
Title: MATERNAL ANTHROPOMETRIC PARAMETERS AND FETAL MACROSOMIA
- Authors:
- Periša, Mila (164120)
- Mikulandra, Frane (75086)
Journal: Gynaecol Perinatol
ISSN: 1330-0091
Year: 95
Language: hrvatski
Summary: The anthropometric parameters of 50 macrosomic and 50
control newborn infants (weighing 3 000 to 3 499 g) were analysed. The
mothers of macrosomic infants were born with a mean birthweight of 4 261 g,
whereas those from control group were born with a mean birthweight of 3 130
g.
The fathers of macrosomic infants were also heavier at birth than the
fathers from the control group.
The mothers of macrosomic infants were heavier by 8.5 kg at the
beginning of pregnancy. The pregnant women with a macrosomic fetus had
higer weight gain during pregnancy than did the control pregnant women (P<
0.001).
The authors consider that parental anthopometric parameters play a role
in the birthweight of their infants.
Keywords: macrosomic infant; anthropometric parameters
- Type of paper
: Ph.D.
Title:
- Authors:
- Mikulandra, Frane (75086)
- Stojnić, Eugen (149070)
- Periša, Mila (164120)
- Merlak, Ivo (104472)
- Šikić, Dalibor
- Zenić, Nada
Faculty: MEDICINSKI FAKULTET U ZAGREBU
Author: JAKŠIĆ JASMINKA
Language: hrvatski
- Type of paper
: Mentorship
Title:
Faculty: MEDICINSKI FAKULTET U ZAGREBU
Mentor: MIKULANDRA FRANE
Author: Jakšić Jasminka
Degree level: Ph.D.