Five-Year Retrospective Evaluation of large for gestational age (LGA) infants who Birth Weight of Over 90% Percentile : Evaluation of large for gestational age (LGA)

Hüseyin Altaş; Mehmet Sait İçen; Hıdır Budak; Rezan Bugday; Mehmet Şükrü Budak; Talip Gül

doi:10.46328/aejog.v2i1.21

Five-Year Retrospective Evaluation of large for gestational age (LGA) infants who Birth Weight of Over 90% Percentile

Evaluation of large for gestational age (LGA)

Authors

Hüseyin Altaş Obstetrics and Gynecology Department, Dicle University Medical Faculty, Diyarbakir, Turkey
Mehmet Sait İçen Obstetrics and Gynecology Department, Dicle University Medical Faculty, Diyarbakir, Turkey, https://orcid.org/0000-0001-7982-1407
Hıdır Budak Obstetrics and Gynecology Department, Dicle University Medical Faculty, Diyarbakir, Turkey, https://orcid.org/0000-0003-2308-2654
Rezan Bugday Obstetrics and Gynecology Department, Dicle University Medical Faculty, Diyarbakir, Turkey, https://orcid.org/0000-0001-7473-9674
Mehmet Şükrü Budak Obstetrics and Gynecology Department, Dicle University Medical Faculty, Diyarbakir, Turkey, https://orcid.org/0000-0001-7328-4188
Talip Gül Obstetrics and Gynecology Department, Dicle University Medical Faculty, Diyarbakir, Turkey, https://orcid.org/0000-0002-6941-6851

DOI:

https://doi.org/10.46328/aejog.v2i1.21

Keywords:

Pregnancy, large for gestational age, gestational diabetes mellitus, cesarean

Abstract

Objective: The aim of this study is to evaluate the obstetric and neonatal outcomes of pregnant women delivering large for gestational age (LGA) infants.

Material and Methods: A total of 399 pregnant women giving birth to LGA infants in the Gynecology and Obstetrics Department of Dicle University Medical Faculty Hospital between January 2014 and December 2018 were included in this retrospective study. Demographic features, pregnancy and infant data, delivery type (vaginal delivery/cesarean delivery), and patients’ indications for cesarean section were assessed.

Results: The mean age of the patients was 32.34±6.63, their gravida was 5.16±2.65 and parity was 3.55±2.36. The mean gestational week was 37.12±2.840 weeks and the mean birth weight was 3922.46±643.546 g. Of all patients, diabetes was detected in 28.5%, polyhydramnios in 11.3%, placental invasion anomaly in 4%, and preeclampsia in 9%. While 83.7% (334) of the patients underwent cesarean section, the remaining 16.3% (65) underwent normal delivery. 3.25% (13) of the patients developed complications during delivery. The rate of fetal anomaly was 11.7% (47) in existing pregnancies while the rate of fetal death was 5.01% (20).

Conclusion: A cesarean delivery was performed in the majority of pregnant women with a suspected LGA infant. This group of patients exhibited a very high rate of gestational diabetes mellitus and diabetes mellitus. Existing pregnancies constitute a specifical pregnancy population that should be taken into consideration regarding probable complications and problems with the infant.

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Published

2020-04-21 — Updated on 2021-12-20

How to Cite

Altaş H, İçen MS, Budak H, Bugday R, Budak M Şükrü, Gül T. Five-Year Retrospective Evaluation of large for gestational age (LGA) infants who Birth Weight of Over 90% Percentile : Evaluation of large for gestational age (LGA). Aegean J Obstet Gynecol [Internet]. 2021 Dec. 20 [cited 2025 Jan. 24];2(1):1-4. Available from: https://aejog.com/index.php/aejog/article/view/21

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Issue

Vol. 2 No. 1 (2020): Aegean Journal of Obstetrics and Gynecology

Section

Original Article

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