Abstract
MACROSOMIA AT MEDANI HOSPITAL, SUDAN

Macrosomia can lead to adverse delivery outcomes. A case –control study was conducted at Medani Hospital (Sudan) to investigate the incidence, risk factors, and delivery outcomes of babies with macrosomia. Cases were newborns with macrosomia, which is defined as a neonatal birth weight of 4000g or more while the controls were normal birth weight (2500-3999g). Data of socio-demographic characteristics, obstetrical history and medical history were gathered using a questionnaire. During the study there were 2153 delivery and 82 macrosomic newborn, giving the incidence of 3.8%. There was no significant difference between the two groups (macrosomic and controls, 82 in each group) in age, parity, body mass index, and hemoglobin levels. Likewise, logistic regression reflected no association between the investigated factors (age, parity, body mass index, hemoglobin, and gender) and macrosomia. While the rate of cesarean delivery (54.9% vs 34.1%, P = 0.007) was significantly higher in the macrosomia group, there was no significant difference in the other maternal and perinatal outcome between the two groups. Macrosomia was prevalent in 3.8% of the newborn regardless to the maternal or newborn factors. Apart from cesarean delivery, there was no significant difference in the other maternal and perinatal outcome between the macrosomic and normal newborn.