Definition fetal weight > 90th % ile for GA, > 4 Kg at term Clinical Features maternal associations obesity D...
Definition
- fetal weight > 90th % ile for GA, > 4 Kg at term
Clinical Features
maternal associations
- obesity
- DM
- past history of macrosomic infant
- prolonged gestation
- multiparity
Diagnosis
- maternal history for associated conditions
- serial examination (SFH)
- investigations (U/S)
- U/S predictors: polyhydramnios, T3 AC growth >1.5 cm/week, HC/AC ratio < 10th percentile, FL/AC ratio <20th percentile
- increased risk of perinatal mortality
- feto-pelvic disproportion and shoulder dystocia more common
- complications of DM in labour
