HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS		QUICK SEARCH:   [advanced] Author: Keyword(s): Year:  Vol:  Page:

This Article Full Text (PDF) Alert me when this article is cited Alert me if a correction is posted Services Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Download to citation manager Citing Articles Citing Articles via HighWire Citing Articles via Google Scholar Google Scholar Articles by GOLDITCH, I. M Articles by KIRKMAN, K. Search for Related Content PubMed PubMed Citation Articles by GOLDITCH, I. M Articles by KIRKMAN, K.

The Large Fetus

Management and Outcome

From the Dcparlmenl of Obstetrics and Gynecology at the Kaiser- Permancnte Medical Center, San Francisco, California.

Abstract

In a 4-year retrospective review of 801 pregnancies that resulted in the delivery of an infant weighing 4100 g (9 lb) or more, increased incidence of both maternal and perinatal complications was noted. There were no maternal deaths, and the perinatal mortality rate was 0.49%. The second stage of labor was prolonged in 9.7% of primigravidas and in 2.2% of multiparas. Shoulder dystocia and perinea) lacerations were related to increasing birthweight. Difficult deliveries resulting in clavicle fracture or brachial plexus injuries, and facial trauma contributed to the 11.4% perinatal morbidity rate. Asphyxia was observed in 7.7% and hypoglycemia in 5.2% of the neonates. Congenital anomalies (1.5%) were not increased in the large fetus group. Close surveillance for diabetes mellitus and anticipation of the potential complications associated with delivery of a large infant may reduce maternal and neonatal morbidity rates and maintain low mortality rates.

This article has been cited by other articles:

				C. A. Asplund, D. A. Seehusen, T. L. Callahan, and C. Olsen Percentage Change in Antenatal Body Mass Index as a Predictor of Neonatal Macrosomia Ann. Fam. Med, November 1, 2008; 6(6): 550 - 554. [Abstract] [Full Text] [PDF]

				J. Orskou, T. B. Henriksen, U. Kesmodel, and N. J. Secher Maternal Characteristics and Lifestyle Factors and the Risk of Delivering High Birth Weight Infants Obstet. Gynecol., July 1, 2003; 102(1): 115 - 120. [Abstract] [Full Text] [PDF]

				S. Roth, M. P. Abernathy, W.-H. Lee, L. Pratt, S. Denne, A. Golichowski, and O. H. Pescovitz Insulin-Like Growth Factors I and II Peptide and Messenger RNA Levels in Macrosomic Infants of Diabetic Pregnancies Reproductive Sciences, March 1, 1996; 3(2): 78 - 84. [Abstract] [PDF]