Does type of delivery prevent complications in macrosomic fetuses?

Objective: This study aims to analyze the effect of delivery method and birth weight over maternal and neonatal complications in 643 women who gave birth to babies weighing 4000 g or above. Material method: 643 patients were divided into groups according to their delivery method (vaginal or caesarean) and birth weight (4000-4500 g or ≥4500 g). Patients who delivered babies weighing over 4000 g were compared in terms of complication rates according to their delivery method. Subsequently, groups of patients were compared according to delivery weighing 4000 – 4499 g and ≥4500 g, and were analyzed to find out whether there are differences between in terms of complications. Results: Macrosomic infant history, neonatal weight and concomitant DM were observed higher in the group of caesarean delivery patients. No difference was found in neonatal complications. Maternal postpartum hemoglobin levels were significantly lower in caesarian delivery group. No difference was found in terms of complication rates between both delivery method groups in babies born over 4500 g, whereas postpartum hemoglobin level was significantly lower in the group of caesarian delivery of babies weighing 4000 – 4499 g. Conclusion: It is observed that routine caesarian delivery does not provide a significant advantage in reducing complications in macrosomic infants. Women with suspected fetal macrosomia should be individualized and prophylactic cesarean delivery may be considered for patients who has the risk of delivery complications