Advertisement

Foetal macrosomia

  • Suzanne Wallace
    Affiliations
    Suzanne Wallace BM BCh MA MRCOG is a Specialist Registrar in the Department of Obstetrics and Gynaecology at Nottingham City Hospital, Nottingham, UK. Conflicts of interest: none declared
    Search for articles by this author

      Abstract

      Clinical palpation, ultrasound biometry and maternal perception can all lead to the suspicion of a large for gestational age foetus and foetal macrosomia. Although maternal diabetes and rare genetic syndromes may be the cause of large foetal size, most of these pregnancies will in fact be normal. Nevertheless, maternal and perinatal risks do increase with increasing foetal size. Antenatal prediction, however, is imprecise and the evidence to date does not support intervention in non-diabetic pregnancies where there is a suspicion of foetal macrosomia.

      Keywords

      To read this article in full you will need to make a payment

      Purchase one-time access:

      Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online access
      One-time access price info
      • For academic or personal research use, select 'Academic and Personal'
      • For corporate R&D use, select 'Corporate R&D Professionals'

      Subscribe:

      Subscribe to Obstetrics, Gynaecology and Reproductive Medicine
      Already a print subscriber? Claim online access
      Already an online subscriber? Sign in
      Institutional Access: Sign in to ScienceDirect

      Further reading

        • Bailey C.
        • Kalu E.
        Fetal macrosomia in non-diabetic mothers: antenatal diagnosis and delivery outcome.
        J Obstet Gynaecol. 2009; 29: 206-208
        • Chauhan S.P.
        • Grobman W.A.
        • Gherman R.A.
        • et al.
        Suspicion and treatment of the macrosomic fetus: a review.
        Am J Obstet Gynecol. 2005; 193: 332-346
        • Irion O.
        • Bouvlain M.
        Induction of labour for suspected fetal macrosomia (Cochrane review).
        in: The Cochrane library. John Wiley & Sons Ltd, Chichester, UK2006
        • Johnstone F.D.
        • Prescott R.J.
        • Steel J.M.
        • et al.
        Clinical and ultrasound prediction of macrosomia in diabetic pregnancy.
        BJOG. 1996; 103: 747-754
        • Jolly M.C.
        • Sebire N.J.
        • Harris J.P.
        • et al.
        Risk factors for macrosomia and its clinical consequences: a study of 350,311 pregnancies.
        Eur J Obstet Gynecol Reprod Biol. 2003; 111: 9-14
        • Maternal and Child Health Research Consortium
        Confidential enquiry into stillbirths and deaths in infancy: 6th annual report.
        Maternal and Child Heath Research Consortium, London1997
        • Navti O.B.
        • Ndumbe F.M.
        • Konje J.C.
        The peri-partum management of pregnancies with macrosomic babies weighing ≥ 4,500 g at a tertiary University Hospital.
        J Obstet Gynaecol. 2007; 27: 267-270
        • Rouse D.J.
        • Owen J.
        • Goldenburg R.L.
        • et al.
        The effectiveness and costs of elective cesarean delivery for fetal macrosomia diagnosed by ultrasound.
        JAMA. 1996; 276: 1480-1486
        • Sanchez-Ramos L.
        • Bernstein S.
        • Kaunitz A.M.
        Expectant management versus labor induction for suspected fetal macrosomia: a systematic review.
        Obstet Gynecol. 2002; 100: 997-1002
        • Walsh C.A.
        • Mahony R.T.
        • Foley M.E.
        • et al.
        Recurrence of fetal macrosomia in non-diabetic pregnancies.
        J Obstet Gynaecol. 2007; 27: 374-378