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https://www.researchgate.net/publication/42253959_Macrosomia_Mode_of_Delivery_and_Pregnancy_Outcome
We aimed to review the delivery mode of overweight fetuses (>4000 g). We retrospectively evaluated 11418 deliveries in our hospital, and found 573 overweight neonates with a rate of 5%.
https://obgyn.onlinelibrary.wiley.com/doi/abs/10.3109/00016341003686099
Dec 31, 2010 · The proportion of adverse outcomes attributable to macrosomia (birthweight ≥4,500 g) ranged from 56.8% of all shoulder dystocia cases to 0.5% of all stillbirths. Macrosomic births were not centralized to larger maternity units and planned cesarean delivery was not more frequent in macrosomic births. Conclusions.
https://www.mayoclinic.org/diseases-conditions/fetal-macrosomia/symptoms-causes/syc-20372579
However, the risks associated with fetal macrosomia increase greatly when birth weight is more than 9 pounds 15 ounces (4,500 grams). Fetal macrosomia may complicate vaginal delivery and could put the baby at risk of injury during birth. Fetal macrosomia also puts the baby at increased risk of health problems after birth.
https://www.ncbi.nlm.nih.gov/pubmed/7630513
[Fetal macrosomia and mode of delivery]. [Article in Italian] Diani F(1), Moscatelli C, Toppano B, Turinetto A. Author information: (1)Clinica Ostetrica e Tinecologica, Università degli Studi di Verona. During the period 1988-1993 the route of delivery in 482 …
https://www.nature.com/articles/7210877
Fetal Macrosomia (≥4500 g): Perinatal Outcome of 231 Cases According to the Mode of Delivery Skip to main content Thank you for visiting nature.com.
https://link.springer.com/article/10.1007/s00404-008-0630-7
This study assessed the perinatal outcome in a series of macrosomic fetuses with mothers from a general obstetric population in whom vaginal delivery was planned. In all, 215 women with macrosomic infants were included from a total of 2,622 deliveries. The pattern of maternal weight gain in pregnancy, the influence of fetal macrosomia on the duration of labor and the delivery outcome were ...
https://www.researchgate.net/publication/329920055_Macrosomic_Newborn_Anthropometric_Parameters_and_the_Mode_of_Delivery
PDF Macrosomia is defined as a newborn weighing 4000 g and above. Its incidence varies between 2% to 15% in recent publications. ... The frequency of vaginal delivery was 71.4% and the mode of ...
https://www.acog.org/en/Clinical/Clinical%20Guidance/Obstetric%20Care%20Consensus/Articles/2014/03/Safe%20Prevention%20of%20the%20Primary%20Cesarean%20Delivery
Suspected fetal macrosomia is not an indication for delivery and rarely is an indication for cesarean delivery. To avoid potential birth trauma, the College recommends that cesarean delivery be limited to estimated fetal weights of at least 5,000 g in women without diabetes and at least 4,500 g in women with diabetes Table 3 99 .
https://obgyn.onlinelibrary.wiley.com/doi/full/10.1576/toag.12.4.250.27617
Macrosomia is a term mostly used for newborns with a birth weight above a certain limit. However, there is no consensus as to what this limit should be. ... This implies that the mode of delivery does not have a major impact on the incidence of injuries in about 40% of …
https://opqic.org/acog-practice-bulletin-173-fetal-macrosomia/
Suspected fetal macrosomia is not an indication for induction of labor because induction does not improve maternal or fetal outcomes (Level B). With an estimated fetal weight of greater than 4,500 g, a prolonged second stage of labor or arrest of descent in the second stage is an indication for cesarean delivery (Level B).
http://www.evidentlycochrane.net/induction-labour-suspected-fatal-macrosomia-review-reflections/
Jun 30, 2016 · The review by Boulvain et al (2016) sets out to evaluate whether routine induction of labour for women with babies who are suspected to be macrosomic would affect mode of birth and morbidity illness or harm for mother or child. This topic is an …
https://www.obgproject.com/2017/06/25/acog-releases-updated-guidance-gestational-diabetes/
SUMMARY: ACOG released updated guidance on gestational diabetes (GDM), which has become increasingly prevalent worldwide. Class A1GDM refers to diet-controlled GDM. Class A2GDM refers to the clinical scenario where medications are required. Highlights and changes from the previous practice bulletin include the following:
https://www.sciencedirect.com/topics/medicine-and-dentistry/macrosomia
Fetal macrosomia presents an increased maternal risk during labor and delivery. Fetal macrosomia is commonly associated with prolonged first and second stages of labor, with the risk increasing as birth weight increases. 8 Arrest of fetal descent during the second stage of labor may also occur. This impacts the delivery mode of the fetus.
http://europepmc.org/abstract/MED/7630513
During the period 1988-1993 the route of delivery in 482 infants with birth weight > or = 4000 grams was studied. Normal vaginal delivery occurred in 396 (82.1%) cases, vacuum extractor in 8 (1.6%) cases and caesarean section in 78 (16.1) cases. Elective induction of labor with oxytocin and/or amniotomy was carried out in 25 cases of macrosomia.
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