Author(s): Parks DG, Ziel HK
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Abstract Fetal macrosomia (birthweight equal to or in excess of 4500 g) in a study of 110 affected infants was associated with excessive maternal weight, prolonged gestation, white race, multiparity, maternal diabetes, male fetus, and a previous macrosomic infant. The two most common obstetric complications associated with fetal macrosomia were postpartum hemorrhage and shoulder dystocia. One-minute Apgar score was less than 7 in 10.9\% of the macrosomic infants, in contrast to 6.3\% for the smaller infants studied as controls. The low fetal mortality rate (1.8\%) was attributed to a 22.5\% cesarean rate for the macrosomia group. Even more frequent use of abdominal delivery might further reduce obstetric and neonatal complications for macrosomic infants.
This article was published in Obstet Gynecol
and referenced in Journal of Womens Health Care