The term “fetal macrosomia” is used to describe a larger than average newborn baby.
- A baby diagnosed with fetal macrosomia weighs more than 4,000 grams, regardless of gestational age, and approximately 9% of babies worldwide weigh more than 8 pounds, 13 ounces.
- The risks associated with fetal macrosomia increase dramatically when the birth weight is over 4,500 grams.
- Fetal macrosomia can make vaginal delivery difficult and put the baby at risk of injury during delivery. Fetal macrosomia puts the baby at an increased risk of health problems even after birth. Fetal macrosomia treatment in Khammam
- Measurement of fundus height during pregnancy
- Window floor height Open popup dialog Excess amniotic fluid that surrounds the baby in the womb (polyhydramnios)
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- Fetal macrosomia can be difficult to see and diagnose during pregnancy. Signs and symptoms are:
Large uterine height. During antenatal visits, your doctor can measure your base height – the distance between the top of your uterus and your pubic bone. A larger than expected fundus height 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 – can be a sign that your baby is larger than average.
The amount of amniotic fluid will reflect your baby’s urine output, and a bigger baby will produce more urine. Certain conditions that make the baby taller can also increase urine output.
Genetic factors and maternal conditions such as obesity or diabetes can cause fetal macrosomia. In rare cases, a baby may have an illness that makes them grow faster and bigger.
Sometimes you don’t know what makes a baby bigger than average.
There are many factors that can increase your risk of fetal macrosomia – some you can control and some you can’t.
Maternal diabetes. Fetal macrosomia is more likely if you had diabetes before pregnancy (pre-pregnancy diabetes) or if you develop diabetes during pregnancy (gestational diabetes).
If your diabetes is not well controlled, your baby will likely have wider shoulders and more body fat than a baby whose mother does not have diabetes.
A history of fetal macrosomia. If you’ve already given birth to a big baby, you are at increased risk of having another big baby. If you weigh more than 8 pounds at birth, you are more likely to have a big baby. Fetal macrosomia treatment in Khammam
Fetal macrosomia poses risks to you and your baby’s health – both during pregnancy and after birth.
Possible maternal complications from fetal macrosomia include:
Laboratory problems. Fetal macrosomia can cause a baby to get stuck in the birth canal (shoulder dystocia), suffer birth injuries, or require forceps or a vacuum during labor (surgical vaginal delivery). Sometimes a caesarean section is necessary.
Cuts in the genital tract. During labor, fetal macrosomia can damage the baby’s birth canal – for example, by tearing the vaginal tissue and the muscles between the vagina and anus (perineal muscles).
Bleeding after childbirth. Fetal macrosomia increases the risk that your uterine muscles will not contract properly after giving birth (uterine atony). This can lead to potentially serious bleeding after the birth.
You may not be able to prevent fetal macrosomia, but you can promote a healthy pregnancy. Research shows that exercise during pregnancy and a low glycemic index diet can reduce the risk of macrosomia.
Make an appointment before conception. If you are thinking about becoming pregnant, contact your doctor. If you are overweight, you may also be referred to another health care provider – such as a nutritionist or obesity specialist – who can help you reach a healthy weight before pregnancy.
Watch your weight. Weight gain during pregnancy – often 11 to 16 kilograms if you were of normal weight before pregnancy – will help your baby grow and develop. Women who weigh more when they become pregnant will see less recommended weight gain Fetal macrosomia treatment in Khammam