•Prevalence of babies born with a birth weight of more than 4 kg is
about is 10%
and this is rising. There are Increased maternal, fetal,
and neonatal morbidity associated with fetal macrosomia.
•Maternal risks associated with fetal macrosomia include injury to birth canal (third-and fourth- degree
perineal tears, cervical, vaginal lacerations), obstructed labour,
chorioamnionitis, increased chances of Caesarean section, postpartum
haemorrhage.
•Fetal risks include birth trauma (3-7%) , including shoulder
dystocia, brachial plexus injury, and stillbirth
•Risk
of shoulder
dystocia rises from 1.5% of
all virginal births to 10-25% in macrosomia.
•Neonatal risks include hypoglycaemia and electrolyte imbalances (in
50%) , early neonatal death due to asphyxia, increase in postneonatal deaths
with a
doubling of rate of sudden infant death syndromes compared with
average-size babies.
•Long-term
risks include childhood obesity and type 2 diabetes. Variations, are
male six, post-dates, maternal gestational diabetes or pre-existent diabetes,
maternal obesity, and excessive weight gain during pregnancy.
•Although maternal gestational diabetes and pregestational
diabetes are risk factors for fetal macrosomia, the great majority of
macrosomic infants are born to non- diabetic mothers.
•WANT TO MORE Contact DR SHARDA JAIN 9650511339,DR JYOTI
AGARWAL 9910081484
•wwwdrshardajain.com
