What does Macrosomic fetus mean?
Fetal macrosomia, arbitrarily defined as a birth weight of more than 4,000 g (8 lb, 13 oz) complicates more than 10 percent of all pregnancies in the United States. It is associated with increased risks of cesarean section and trauma to the birth canal and the fetus.
Is a Macrosomic baby healthy?
Risks associated with fetal macrosomia increase greatly when birth weight is more than 9 pounds, 15 ounces (4,500 grams). Fetal macrosomia may complicate vaginal delivery and can put the baby at risk of injury during birth. Fetal macrosomia also puts the baby at increased risk of health problems after birth.
What is considered Macrosomic?
The term fetal macrosomia implies fetal growth beyond a specific weight, usually 4,000 g (8 lb, 13 oz) or 4,500 g (9 lb, 4 oz), regardless of the fetal gestational age. Results from large cohort studies support the use of 4,500 g as the weight at which a fetus should be considered macrosomic.
What is the biggest risk factor for delivering a Macrosomic infant?
Main risk factors for macrosomia are delivery of a previous macrosomic baby (OR 13.1), maternal weight gain ≥16 kg (OR 10.2), parity ≥3 (OR 4.8), father’s BMI ≥30 (OR 3.7), male sex (OR 2.2), and post-term (OR 1.9).
Is fundal height accurate?
Checking your fundal height is just one way that your healthcare provider can check your pregnancy health and your baby’s growth and development. It’s not always accurate, but along with ultrasound scans and other tests, measuring the fundal height can help keep your pregnancy and baby healthy.
Does fundal height indicate baby Size?
But does fundal height indicate baby size only? Nope! The fundal height measurement also provides your doctor with a way to track your baby’s position, and the amount of amniotic fluid there is in your uterus.
Why do Macrosomic babies have polycythemia?
In macrosomia, neonates have a high oxygen demand causing increased erythropoiesis and, ultimately, polycythemia. Therefore, when these cells break down, bilirubin (a byproduct of red blood cells) increases resulting in neonatal jaundice. Congenital Anomalies.
Does insulin make baby bigger?
If the mother’s blood has too much sugar, the pancreas of the baby makes more insulin to use this glucose. This causes fat to form and the baby grows very large.