SVIBOR - Papers - project code: 3-01-481

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Published papers on project 3-01-481


Quoted papers: 10
Other papers: 6
Total: 16


  1. 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

  2. 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

  3. 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

  4. 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

  5. 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

  6. Type of paper: Mentorship

    Title:
    Faculty: MEDICINSKI FAKULTET U ZAGREBU
    Mentor: MIKULANDRA FRANE
    Author: Jakšić Jasminka
    Degree level: Ph.D.



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