FETAL MACROSOMIA - PREDICTION, RISKS, PROPOSED MANAGEMENT

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  • 1 January 1983
    • journal article
    • research article
    • Vol. 61  (6) , 715-722
Abstract
The outcome of delivery of [human] infants weighing more than 4000 g born during 2 time periods 15 yr apart was studied retrospectively. Increased use of cesarean section and other obstetric advances did not reduce the risk of fetal asphyxia and trauma associated with large fetal size. Maternal factors were identified for risk categorization of fetal macrosomia during pregnancy. Macrosomia was rare at 37 wk and increasingly common therafter. Fetal size assessment by ultrasound at 36-38 wk gestation would permit induction of labor for the macrosomic infant before the size became excessive or would make the accoucheur aware of the dangers that may arise during delivery.

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