[The incidence of foetal macrosomia and method of delivery for a two-year period in the University Hospital of Obstetrics and Gynecology Maichin Dom--Sofia].

The authors carried out a retrospective study on the incidence of foetal macrosomia and the method of delivery on the 6157 consecutive births for a two-year period in the University Hospital of Obstetrics and Gynecology "Maichin Dom"- Sofia, Bulgaria. The incidence of foetal macrosomia (birth weight > 4000 g) among these births was 4,45% (274/6157 births). There was a coincidence between the admission diagnosis Macrosomia and the birth weight only in 8% of the cases. By Cesarean Section were delivered 117 macrosomic babies (42,7%): elective cesarean section had 89 patients - 32,48% (89/274) and emergency Cesarean section was done in 28 cases -10,2% Vaginal delivery had 157 patients - 57,3%. In this group 136 patients (86,33%) had normal vaginal delivery and 21 (13,37%) had operative vaginal delivery. (vacuum extractor, forceps, manual removal of the placenta). The authors found that the highest incidence of birth trauma was found in the cases where operative vaginal delivery was undertaken.