These include perinatal asphyxia and fetal macrosomia
Abnormal glucose screening tests in pregnancy: a risk factor for fetal macrosomia
Relationship of fetal macrosomia
to maternal postprandial glucose control during pregnancy.
LAS VEGAS -- Fetal macrosomia
can be challenging to detect by ultrasound performed just before delivery, which had 41% sensitivity and 58% positive predictive value in a prospective study of more than 2,300 pregnancies.
Self-Ratings of most important maternal reasons in decision making for CS delivery # Reason n % 1 Hypertensive disorders 34 60% 2 Abnormal labor pattern or arrest in progress of labor 31 54% 3 Previous cesarean section 19 33% 4 Cephalopelvic disproportion 19 33% 5 Maternal request 18 32% 6 Maternal complications 12 21% 7 Malpresentation of Fetus 12 21% 8 Diabetes mellitus 11 19% 9 Abnormal fetal well-being parameters 11 19% 10 Fetal macrosomia
6 11% Other causes 46 81% Missing 5 9% Total 57 100% Table 3.
The high prevalence of excessive weight gain, which varies with pre-pregnancy BMI, is of concern because excessive gain increases the risk for fetal macrosomia
, which is defined by any baby weighing more than 8 lbs 13 oz.
was defined as a birth weight > 4,000 g regardless of gestational age.
10 According to ACOG guidelines, factors reducing the likelihood of VBAC success are having two prior caesarean sections, suspected fetal macrosomia
(fetus greater than 4000-4500 grams in weight), gestation beyond 40 weeks, twin gestation, and previous low vertical or unknown previous incision type, provided a classical incision is not suspected.
It is unclear whether this increase is related to maternal obesity, fetal macrosomia
, or more widespread reporting.
The aim of this study was to investigate whether distinct differences, such as the prevalence of gestational hypertension, pre-eclampsia, gestational diabetes mellitus (GDM) and fetal macrosomia
, exist between morbidly obese (BMI 40-49.
Both fetal macrosomia
and intrauterine growth restriction increase the risk of perinatal morbidity and mortality and of long-term neurologic and developmental disorders [3, 5].
This condition is associated with adverse pregnancy outcomes, including fetal macrosomia
, stillbirth, neonatal metabolic disturbances, and related problems (2).