|Year : 2021 | Volume: 1 | Issue : 1 | Page : 1-8|
Macrosomic Babies: An Audit of Five Years Admission Records at a Tertiary Health Centre in North-Eastern Nigeria
Department of Paediatrics, College of Medical Sciences, University of Maiduguri, Department of Paediatrics, University of Maiduguri Teaching Hospital, Maiduguri
Source of Support: none , Conflict of Interest: none
Introduction: Macrosomia is defined as birth weight of ≥4000 grams according to world health organization (WHO). The prevalence of macrosomia varies worldwide as it is said to be high in the developed countries of Europe and America and lower in Asia and African countries such as Nigeria.
Objective: The main objective of the study was to determine the prevalence of macrosomic babies at the University of Maiduguri Teaching Hospital, Maiduguri, Borno State, North-East sub-region.
Methods: This is a retrospective audit of all macrosomic babies (including inborn and out born) admitted in Special Care Baby Unit (SCBU) of the University of Maiduguri Teaching Hospital (UMTH) between 2010 and 2014.
Results: One hundred and thirty-two babies were macrosomic out of the 2800 admissions into the SCBU giving a prevalence of 4.7%. There were 70 (53.10%) males and 62 (46.9%) females with M: F of 1.2:1. Most of the babies (81.8%) were born to mothers between the ages of 30 to 35 years with weight ranges between 80 to 100 kilograms (kg). A total of 62.1% babies were delivered vaginally (SVD=53%, Forceps =2.3%, Vacuum=8%). Most of the babies weighed between 4000 and 5000 grams (70.5%). The common complications among the babies in this study were neonatal sepsis (22.0%), respiratory distress (15.9%) and asphyxia (12.9%). Other complications documented were hypoglycaemia and polycythaemia, (p-value=0.031). Birth trauma such as cephalhaematoma, Erb’s palsy among others were few and insignificant.
Conclusion: The prevalence of macrosomia in this study was low compared to other reported prevalence in Nigeria. There is the need to conduct a prospective controlled study to further document details for informed pronouncement on the prevalence rate.
Keywords: Macrosomic babies, Prevalence, Complications, North Eastern Nigeria
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