Suspicion and treatment of the macrosomic fetus
: a review.
Antepartum detection of macrosomic fetus
: clinical versus sonographic, including soft-tissue measurements.
A second example is a case of arrested labor in the second stage with a deep transverse arrest of a macrosomic fetus
. Lower segment lacerations may occur in this scenario, and some clinicians elect to dissect a bladder flap in anticipation of the risk of multiple extensions and a difficult hysterotomy repair.
While patients having multiple pregnancy, preterm labour, fetuses with congenital anomalies and complicated breech presentation [ previous cesarean section, macrosomic fetus
( Greater than 4kg), footling breech, premature rupture of the membrane] were excluded from the study.
Intrapartum detection of a macrosomic fetus
: clinical versus 8 sonographic models.
While it may be difficult for physicians to definitively predict shoulder dystocia, they should be on the lookout for predictors of a macrosomic fetus
, defined as one with an estimated weight of more than 4,500 grams (10 pounds).(3)
[29.] Henriksen T: The macrosomic fetus
: a challenge in current obstetrics.ActaObstetGynecolScand 2008, 87(2):134-45.