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Fetal macrosomia

INTRODUCTION

Despite major progress in obstetrics over the last 100 years, the delivery of large fetuses remains a source of anxiety among caregivers because these pregnancies are at increased risk of several perinatal complications, including [1-7]:

Maternal risks:

  • Protracted or arrested labor
  • Operative vaginal delivery
  • Cesarean delivery
  • Genital tract lacerations
  • Postpartum hemorrhage
  • Uterine rupture

Fetal and neonatal risks:

  • Shoulder dystocia leading to birth trauma (brachial plexus injury, fracture) or asphyxia
  • Neonatal hypoglycemia

                          

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Literature review current through: Apr 2013. | This topic last updated: Feb 12, 2013.
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