A baby diagnosed with fetal macrosomia has a birth weight of more than 8 pounds, 13 ounces (4,000 grams), regardless of his or her gestational age. About 9 percent of babies born worldwide weigh more than 8 pounds, 13 ounces. Symptoms: Possible signs and symptoms include: Large fundal height. During prenatal visits, your health care provider might measure your fundal height the distance from the top of your uterus to your pubic bone. A fundal height that measures larger than expected could be a sign of fetal macrosomia. Excessive amniotic fluid (polyhydramnios). Too much amniotic fluid ? the fluid that surrounds and protects a baby during pregnancy might be a sign that your baby is larger than average.
Diagnosis: It can be diagnosed through the Ultrasound and Antenatal testing.
Treament: In most cases, no treatment is needed for a baby with macrosomia. Problems that may occur for the mother include the ripping of the perineum at the time of delivery, the need to reduce blood sugar levels, and the need to lower blood pressure. Rest and relaxation after delivery are an important part of post-partum treatment and recovery, and any infections that may occur are generally treated with antibiotics.
Epidemology: The proportion of babies with apgar score greater than 7 at 1 minute, the incidence of shoulder dystocia and birth trauma was similar in the patients with and without prenatal ultrasound diagnosis of macrosomia. This study does not justify the use of elective cesarean section as a method of preventing persistent infant morbidity. An accurate antenatal diagnosis of macrosomia with ultrasound has been shown to offer an important usefull in the clinical management of labor and delivery.