DOI: 10.36347/sjams.2022.v10i11.004

Pages: 1845-1850

Fetal macrosomia is associated with several maternal and fetal complications. Early detection of macrosomia may allow preventive measures to be taken to avoid the occurrence of these complications. The aim of our study was to evaluate the value of ultrasound in late pregnancy in the detection of fetal macrosomia and its impact on obstetric and neonatal outcomes. Patients and Methods: We conducted a retrospective cross-sectional study from 01 January to 31 June 2017. The study included 123 women who gave birth in the obstetric gynaecology department of the Groupe Hospitalier Intercommunal le Raincy-Montfermeil in France. The data were entered using Microsoft Excel 2013 and analysed with Epi info Version 6 software. The fisher's exact test and Pearson correlation were used with a significance level set at 0.05. Results: Out of 1082 live births, the incidence of fetal macrosomia was 6.3%. An emergency caesarean section was performed in 26.1% of cases. Neonatal status was better with a good Apgar (>7) in 89%. There was a weak correlation of 0.01 between uterine height and birth weight of the child, but a significant correlation between ultrasound fetal weight estimation at the end of pregnancy and birth weight of the child was found (0.56). Conclusion: Screening for fetal macrosomia appears to be more effective in late pregnancy with ultrasound. Rigorous training in the technique of measuring ultrasound biometrics should be required.