Frequency of intrapartum complications in macrosomic fetuses

Objective: to study the frequency of intrapartum complications of macrosomic fetuses. study design: descriptive case series settings: this study was conducted in the department of obstetrics and gynaecology fatima memorial hospital lahore for a period of six months from october 2011 to march 2012. methods: this study included 80 patients with diagnosis of macrosomic fetus. all the patients were evaluated for the presence of intrapartum complications (ceasarean section,shoulder dystocia and perineal lacerations) which was described as frequency and percentage. the data was collected in specially designed performa. results: majority of the patients were between 26-30 years,i.e. 38.75%(n=31) mean + sd was recorded as 30.85+4.27 years,30%(n=24) were with 0 para,38.75%(n=31) were between para 1-2 and 31.25%(n=25) were with para >2,mean+sd was 1.9+0.84,61.25%(n=49) with 41+1 weeks of gestation,while 38.75%(n=31 were recorded with 41+3 weeks of gestation,mean+sd was 41.15+0.17 weeks,frequency of intrapartum complications of macrosomic fetus was recorded in 63.75%(n=51) with perineal tear,33.75%(n=27) with ceasarean section and shoulder dystocia was recorded in 8.75%(n=7). conclusion: the result of the study reveals that frequency of intrapartum complications i.e. (ceasarean section,perineal tears and shoulder dystocia) is high among patients with macrosomic fetus.