Indication of caesarean section in the childbirth of a macrosome in a Level 2 Health Center in DakarNiang MM1, Gaye Y2, Mbodj A2, Thiam M3 and Cisse CT1
- *Corresponding Author:
- Niang MM
Cheikh Anta DIOP University, Senegal
Tel: (221) 77-656-63-43
E-mail: [email protected]
Received date: July 03, 2017; Accepted date: July 26, 2017; Published date: July 28, 2017
Citation: Niang MM, Gaye Y, Mbodj A, Thiam M, Cisse CT (2017) Indication of caesarean section in the childbirth of a macrosome in a Level 2 Health Center in Dakar. Gynecol Obstet (Sunnyvale) 7: 445. doi: 10.4172/2161-0932.1000445
Copyright: © 2017 Niang MM, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
Objectives: To determine the factors influencing the mode of delivery in case of fetal macrosomia.
Materials and Methods: That was a retrospective, descriptive and analytical study carried out from October 1st 2010 to March 31st 2013 at the maternity of Gaspard Kamara Health Center in Dakar. A multivariate analysis using logistic regression was used to determine the factors which influence the mode of delivery in case of fetal macrosomia.
Results: We collected 333 delivery records of macrosome on 10639 registered births, a rate of 3.1%. Two hundred and fifteen (215) patients met the inclusion criteria. The labor’s test was performed in 55.3% of patients with a failure rate of 15.1%. Caesarean section was performed in 22.8% of patients. The main indications were: acute fetal distress (36.7%), the fetal-pelvic disproportion (26.5%), premature rupture of membranes (12.2%), the extended labor (10.2%), and the lack of engagement (10.2%). All newborns had Apgar score in the fifth minute greater than or equal to 7. The factors that influenced the type of delivery were: fetal weight above 4300 g (p=0.007), nulliparity (p<0.001) and a uterine height upper than 34 cm (p=0.034).
Conclusion: In case of fetal macrosomia, fetal weight above 4300 g, nulliparity and the upper uterine height 34 cm are associated with a higher incidence of caesarean delivery.