Macrosomia

Abstract Fetal macrosomia is defined as birth weight >4000g and is associated with several maternal and fetal complications such as maternal birth canal trauma, shoulder dystocia and perinatal asphyxia. Early identification of risk factors could allow preventive measures to be taken so as to avoi...

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Veröffentlicht in:Best practice & research. Clinical obstetrics & gynaecology 2017-01, Vol.38, p.83-96
Hauptverfasser: Araujo Júnior, Edward, Prof, Peixoto, Alberto Borges, Perez Zamarian, Ana Cristina, Elito Júnior, Júlio, Tonni, Gabriele
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Sprache:eng
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Zusammenfassung:Abstract Fetal macrosomia is defined as birth weight >4000g and is associated with several maternal and fetal complications such as maternal birth canal trauma, shoulder dystocia and perinatal asphyxia. Early identification of risk factors could allow preventive measures to be taken so as to avoid adverse perinatal outcomes. Prenatal diagnosis is based on two-dimensional ultrasound formulae, but accuracy is low, particularly at advanced gestation. Three-dimensional ultrasound could be an alternative to soft tissue monitoring allowing better prediction of birth weight than two-dimensional ultrasound. In this article, we describe the definition, risk factors, diagnosis, prevention, ultrasound monitoring, prenatal care and delivery in fetal macrosomia cases.
ISSN:1521-6934
1532-1932
DOI:10.1016/j.bpobgyn.2016.08.003