MODERN ASPECTS OF OBSTETRIC TACTICS FOR FETAL MACROSOMIA
- Autores: ODINOKOVA V.A.1, SHMAKOV R.G.1
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Afiliações:
- Academician V.I. Kulakov National Medical Research Center of Obstetrics, Gynecology, and Perinatology, Ministry of Health of the Russian Federation
- Edição: Nº 7 (2022)
- Páginas: 21-27
- Seção: Articles
- URL: https://journals.eco-vector.com/0300-9092/article/view/249467
- DOI: https://doi.org/10.18565/aig.2022.7.21-27
- ID: 249467
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Resumo
Fetal macrosomia occurs in about 10% of all pregnancies, tends to increase constantly, and is often associated with an increased risk of maternal and perinatal complications. Despite the relatively high incidence of fetal macrosomia, many aspects of management and delivery in this category of pregnant women are controversial. Some authors adhere to expectant tactics, while others prefer active strategies (early pre-induction/induction of labor or planned cesarean section). Questions remain about the impact of early pre-induction/induction of labor on the risk of cesarean section and perinatal morbidity in patients with suspected fetal macrosomia. The lack of generally accepted obstetric tactics has the reason for determining the purpose of our study, namely, to assess the data available in Russian and foreign literature on the methods and terms of delivery of pregnant women with fetal macrosomia, depending on their existing carbohydrate metabolism disorders. The analysis of the data available in the literature and the results of previous studies have shown that there is a need to elaborate Russian clinical guidelines for the management of pregnant women with fetal macrosomia, the introduction of which will be able to facilitate the decision-making process when choosing obstetric tactics, as well as to reduce the rates of cesarean section and maternal and perinatal complications. Conclusion: Future investigations should aim at clarifying the optimal timing of pre-induction/induction of labor and the method of delivery for women without diabetes and fetal macrosomia, taking into account their parity and history. Increasing the accuracy of diagnosing the estimated fetal weight remains one of the priority tasks for an obstetrician/gynecologist, the solution of which will lead to a decrease in the rate of planned caesarean section and to inappropriate labor induction.
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Sobre autores
Victoria ODINOKOVA
Academician V.I. Kulakov National Medical Research Center of Obstetrics, Gynecology, and Perinatology, Ministry of Health of the Russian Federation
Email: v_odinokova@oparina4ru
postgraduate student Moscow, Russia
Roman SHMAKOV
Academician V.I. Kulakov National Medical Research Center of Obstetrics, Gynecology, and Perinatology, Ministry of Health of the Russian Federation
Email: r_shmakov@oparina4ru
Dr. Med. Sci., Professor of the RAS, Head of the Institute of Obstetrics Moscow, Russia
Bibliografia
- Ye J., Torloni M.R., Ota E., Jayaratne K., Pileggi-Castro C., Ortiz-Panozo E. et al. Searching for the definition of macrosomia through an outcome-based approach in low- and middle-income countries: a secondary analysis of the WHO Global Survey in Africa, Asia and Latin America. BMC Pregnancy Childbirth. 2015; 15: 324. https://dx.doi.org/10.1186/s12884-015-0765-z.
- Weissmannbrenner A., Simchen M.J., Zilberberg E., Kalter A., Weisz B., Achiron R., Dulitzky M. Maternal and neonatal outcomes of large for gestational age pregnancies. Acta Obstet. Gynecol. Scand. 2012; 91(7): 844-9. https://dx.doi.org/10.1111/j.1600-0412.2012.01412.x.
- Мирошник Е.В., Рюмина И.И., Зубков В.В. Влияние сахарного диабета матери на здоровье новорожденного. Акушерство и гинекология. 2016; 9: 45-9. [Miroshnik E.V., Ryumina I.I., Zubkov V.V. Impact of maternal diabetes mellitus on neonatal health. Obstetrics and Gynecology. 2016; 9: 45-9. (in Russian)]. https://dx.doi.org/10.18565/aig.2016.9.45-9.
- Сухих Г.Т., Краснопольский В.И., Рунихина Н.К., Ткачева О.Н., Ходжаева З.С., Петрухин В.А., Шестакова М.В., Бурумкулова Ф.Ф., Есаян Р.М., Колегаева О.И., Шарашкина Н.В., Кирсанова Т.В., Кошель Л.В. Переход на новый уровень ведения гипертензивных и метаболических осложнений при беременности: современные критерии диагностики гестационного сахарного диабета. Акушерство и гинекология. 2013; 3: 4-9.
- Macrosomia: ACOG Practice Bulletin, Number 216. Obstet. Gynecol. 2020; 135(1): e18-e35. https://dx.doi.org/10.1097/AOG.0000000000003606.
- Boulet S.L., Alexander G.R., Salihu H.M., Pass M. Macrosomic births in the united states: determinants, outcomes, and proposed grades of risk. Am. J. Obstet. Gynecol. 2003; 188(5): 1372-8. https://dx.doi.org/10.1067/mob.2003.302.
- Acker D.B., Sachs B.P., Friedman E.A. Risk factors for shoulder dystocia. Obstet. Gynecol. 1985; 66(6): 762-8.
- Nesbitt T.S., Gilbert W.M., Herrchen B. Shoulder dystocia and associated risk factors with macrosomic infants born in California. Am. J. Obstet. Gynecol. 1998; 179(2): 476-80. https://dx.doi.org/10.1016/s0002-9378(98)70382-5.
- Spellacy W.N., Miller M.S., Winegar A., Peterson P.Q. Macrosomia - maternal characteristics and infant complications. Obstet. Gynecol. 1985; 66(2): 158-61.
- Ecker J.L., Greenberg J.A., Norwitz E.R., Nadel A.S., Repke J.T. Birth weight as a predictor of brachial plexus injury. Obstet. Gynecol. 1997; 89(5, Pt 1): 643-7. https://dx.doi.org/10.1016/s0029-7844(97)00007-0.
- Gregory K.D., Henry O.A., Ramicone E., Chan L.S., Platt L.D. Maternal and infant complications in high and normal weight infants by method of delivery. Obstet. Gynecol. 1998; 92(4, Pt 1): 507-13. https://dx.doi.org/10.1016/s0029-7844(98)00224-5.
- Committee on Practice B-O. ACOG Practice Bulletin No. 190: Gestational diabetes mellitus. Obstet. Gynecol. 2018; 131(2): e49-e64. 10.1097/ AOG.0000000000002501.
- Royal College of Obstetricians and Gynaecologists. Shoulder dystocia ( Green-Top Guideline No. 42). March 28, 2012.
- Клинические рекомендации «Роды одноплодные, родоразрешение путем кесарева сечения». М.; 2021. 106с.
- Шмаков Р.Г., Баев О.Р., Пекарев О.Г., Пырегов А.В., Приходько А.М., Павлович С.В. Кесарево сечение. Показания, хирургическая техника, методы обезболивания. Учебное пособие. М.: Системные решения; 2016. 65 с.
- Grobman W.A., Bailit J., Lai Y., Reddy U.M., Wapner R.J., Varner M.W. et al. Defining failed induction of labor. Am. J. Obstet. Gynecol. 2018; 218(1): 122. e1-122. e8. https://dx.doi.org/10.1016/j.ajog.2017.11.556.
- Practice Bulletin No 178: Shoulder dystocia. Obstet. Gynecol. 2017; 129(5): e123-e133. https://dx.doi.org/10.1097/AOG.0000000000002043.
- Bingham J., Chauhan S.P., Hayes E., Gherman R., Lewis D. Recurrent shoulder dystocia: a review. Obstet. Gynecol. Surv. 2010; 65(3): 183-8. https://dx.doi.org/10.1097/OGX.0b013e3181cb8fbc.
- Kleitman V., Feldman R., Walfisch A., Toledano R., Sheiner E. Recurrent shoulder dystocia: is it predictable? Arch. Gynecol. Obstet. 2016; 294(6): 1161-6. https://dx.doi.org/10.1007/s00404-016-4139-1.
- Sentilhes L., Sénat M.-V., Boulogne A.-I., Deneux-Tharaux C., Fuchs F., Legendre G. et al. Shoulder dystocia: guidelines for clinical practice-short text. J. Gynecol. Obstet. Biol. Reprod. (Paris). 2015; 44(10): 1303-10. https://dx.doi.org/10.1016/j.jgyn.2015.09.053.
- Boulvain M., Irion O., Dowswell T., Thornton J.G. Induction of labour at or near term for suspected fetal macrosomia. Cochrane Database Syst. Rev. 2016; 2016; (5): CD000938. https://dx.doi.org/10.1002/14651858.CD000938.pub2.
- Tita A.T., Landon M.B., Spong C.Y., Lai Y., Leveno K.J., Varner M.W. et al. Timing of elective repeat cesarean delivery at term and neonatal outcomes. Eunice Kennedy Shriver NICHD Maternal-Fetal Medicine Units Network. N. Engl. J. Med. 2009; 360(2): 111-20. https://dx.doi.org/10.1056/NEJMoa0803267.
- Reddy U.M., Bettegowda V.R., Dias T., Yamada-Kushnir T., Ko C.W., Willinger M. Term pregnancy: a period of heterogeneous risk for infant mortality. Obstet. Gynecol. 2011; 117(6): 1279-87. https://dx.doi.org/10.1097/AOG.0b013e3182179e28.
- Spong C.Y. Defining “term” pregnancy: recommendations from the Defining “Term” Pregnancy Workgroup. JAMA. 2013; 309(23): 2445-6. https://dx.doi.org/10.1001/jama.2013.6235.
- Souza J.P., Gu'lmezoglu A.M., Carroli G., Lumbiganon P., Qureshi Z.; WHOMCS Research Group. The World Health Organization Multicountry Survey on Maternal and Newborn Health: study protocol. BMC Health Serv. Res. 2011; 11: 286. https://dx.doi.org/10.1186/1472-6963-11-286.
- Avoidance of nonmedically indicated early-term deliveries and associated neonatal morbidities. ACOG Committee Opinion No. 765. American College of Obstetricians and Gynecologists. Obstet. Gynecol. 2019; 133: e156-e163. https://dx.doi.org/10.1097/AOG.0000000000003076
- Reddy U.M., Ko C. W., Raju T.N., Willinger M. Delivery indications at late-preterm gestations and infant mortality rates in the United States. Pediatrics. 2009; 124(1): 234-40. https://dx.doi.org/10.1542/peds.2008-3232.
- Dueker G., Chen J., Cowling C., Haskin B. Early developmental outcomes predicted by gestational age from 35 to 41 weeks. Early Hum. Dev. 2016; 103: 85-90. https://dx.doi.org/10.1016/j.earlhumdev.2016.07.006.
- Cheng Y.W., Sparks T.N., Laros R.K. Jr, Nicholson J.M., Caughey A.B. Impending macrosomia: will induction of labour modify the risk of caesarean delivery? BJOG. 2012; 119(4): 402-9. https://dx.doi.org/10.1111/j.1471-0528.2011.03248.x.
- Sanchez-Ramos L., Bernstein S., Kaunitz A.M. Expectant management versus labor induction for suspected fetal macrosomia: a systematic review. Obstet. Gynecol. 2002; 100(5, Pt 1): 997-1002.
- Boulvain M., Senat M.V., Perrotin F., Winer N., Beucher G., Subtil D. et al. Induction of labour versus expectant management for large-for-date fetuses: a randomised controlled trial. Lancet. 2015; 385(9987): 2600-5. https://dx.doi.org/10.1016/S0140-6736(14)61904-8.
- Magro-Malosso E.R., Saccone G., Chen M., Navathe R., Di Tommaso M., Berghella V. Induction of labour for suspected macrosomia at term in non-diabetic women: a systematic review and meta-analysis of randomized controlled trials. BJOG. 2017; 124(3): 414-21. https://dx.doi.org/10.1111/1471-0528.14435.
- Клинические рекомендации «Неудачная попытка стимуляции родов (подготовка шейки матки к родам и родовозбуждение)». М.; 2021. 61с.
- Moldéus K., Cheng Y.W, Wikström A.-K., Stephansson O. Induction of labor versus expectant management of large-for-gestational-age infants in nulliparous women. PLoS One. 2017; 12(7): e0180748. https://dx.doi.org/10.1371/journal.pone.0180748.
- Одинокова В.А., Шмаков Р.Г. Исходы родов у первородящих с фетальной макросомией при активной и выжидательной тактике. Акушерство и гинекология. 2022; 1: 72-9. https://dx.doi.org/10.18565/aig.2022.1.72-79.
- Malin G.L., Bugg G.J., Takwoingi Y., Thornton J.G., Jones N.W. Antenatal magnetic resonance imaging versus ultrasound for predicting neonatal macrosomia: a systematic review and meta-analysis. BJOG. 2016; 123(1): 77-88. https://dx.doi.org/10.1111/1471-0528.13517.
- Aviram A., Yogev Y., Ashwal E., Hiersch L., Danon D., Hadar E. et al. Different formulas, different thresholds and different performance-the prediction of macrosomia by ultrasound. J. Perinatol. 2017; 37(12): 1285-91. https://dx.doi.org/10.1038/jp.2017.134.
- Zafman K.B., Bergh E., Fox N.S. Accuracy of sonographic estimated fetal weight in suspected macrosomia: the likelihood of overestimating and underestimating the true birthweight. J. Matern. Fetal Neonatal Med. 2020; 33(6): 967-72. https://dx.doi.org/10.1080/14767058.2018.1511697.
- NICE clinical guideline 70 - Evidence Update 44 - Induction of labour. July 2013.
- World Health Organization. WHO recommendations: induction of labour at or beyond term. Geneva: WHO; 2018.
- Leduc D., Biringer A., Lee L., Dy J.; Clinical Practice Obstetrics Committee; Special Contributors. Induction of labour. J. Obstet. Gynaecol. Can. 2013; 35(9): 840-57. https://dx.doi.org/10.1016/s1701-2163(15)30842-2.
- Berger H., Gagnon R., Sermer M., Basso M., Bos H., Brown R.N., Bujold E., Cooper S.L., Gagnon R,. Gouin K., McLeod N.L., Menticoglou S.M., Mundle W.R., Roggensack A., Sanderson F.L., Walsh J.D. Diabetes in Pregnancy. J. Obstet. Gynaecol. Can. 2016; 38(7): 667-79. https://doi.org/10.1016/j.jogc.2016.04.002.
- Rayburn W.F., Zhang J. Rising rates of labor induction: present concerns and future strategies. Obstet. Gynecol. 2002; 100(1): 164-7. https://dx.doi.org/10.1016/s00297844(02)02047-1.
- Combs C.A., Singh N.B., Khoury J.C. Elective induction versus spontaneous labor after sonographic diagnosis of fetal macrosomia. Obstet. Gynecol. 1993; 81(4): 492-6.
- Spong C.Y., Mercer B.M., D’alton M., Kilpatrick S., Blackwell S., Saade G. Timing of indicated late-preterm and early-term birth. Obstet. Gynecol. 2011; 118(2, Pt1): 323-33. https://dx.doi.org/10.1097/AOG.0b013e3182255999.
- ACOG.Committee Opinion No. 560. Medically indicated late-preterm and early-term deliveries. Obstet. Gynecol. 2013; 121(4): 908-10. https://dx.doi.org/10.1097/01.AOG.0000428648.75548.00.
- Alberico S., Erenbourg A., Hod M., Yogev Y., Hadar E., Neri F. et al.; GINEXMAL Group. Immediate delivery or expectant management in gestational diabetes at term: the GINEXMAL randomised controlled trial. BJOG. 2017; 124(4): 669-77. https://dx.doi.org/10.1111/1471-0528.14389.
- ACOG Practice Bulletin No. 190: Gestational diabetes mellitus. Obstet. Gynecol. 2018; 131(2): e49-e64. https://dx.doi.org/10.1097/AOG.0000000000002501.
- National Institute for Health and Care Excellence. Diabetes in pregnancy: management from preconception to the postnatal period. NICE guideline. February 25, 2015. Available at: nice.org.uk/guidance/ ng3 Accessed August 26, 2019.
- WHO recommendations for induction of labour: Evidence base. 2014.
- American College of Obstetricians and Gynecologists' Committee on Practice Bulletins-Obstetrics. ACOG Practice Bulletin No. 201: Pregestational diabetes mellitus. Obstet. Gynecol. 2018; 132(6): e228-e248. https://dx.doi.org/10.1097/AOG.0000000000002960.
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