과대아의 임상적 연구 = Studies on Excessive Sized New Born Baby

다국어 초록 (Multilingual Abstract)

Among the total number of 1927 deliveries at Kyungpook National Unⅳersity Hospital during five years from Jan.1 1978 to Dec. 31 1982 fetal body weight 3800 gm or more were 100 cases. Their clinical characteristics were analysed various aspects and results obtained were summarized as follows. Frequency of excessⅳe sized baby, 3800gm or more was l00 cases out of 1927 total deliveries revealed 5.2%. Among their mean body weight by gestational age at delivery and standard deviation, the biggest were 4155gm at 42 weeks gestation and ±311.4gm at 39 weeks gestation with fetal weight 3998gm. There was no significant sex difference, revealed male 48.0% whereas female 52.0% respectively, The most frequent occurance of excessⅳe baby by gestational age was gestational age at 40~41 weeks or 60.0%. There was tendency that the more was the parity, the more was the frequency. ln relation between maternal age and fetal body weight, the age group 25~29 occupied 57.0%, the most ln medical complications of excessive baby, anemia was the most frequently encountered with 5.0% and followed by overt diabetes with 4.0%. ln obstetrical complication PROM was the most frequent with 23.2% followed by pre-celampsia 15.0%. Presentation of excessive baby, cephalic presentation was overwhelming with 86.0%. Concerning to the method of delivery non specific delivery was the most frequent with 44.0% followed by C-section with 36.0% Among indications of C-section for excessive baby CPD was the leading cause with 55.6%, previous C-section with 19.4% was the second. Indication of CPD in excessive baby was also much higher than that of control group. The perinatal mortality rate was 9.0% and it was thought unusual high rate. Among 9 cases perinatal death 7 cases were still birth with 3 cases of uterine rupture. Neonatal death was 2 cases.