Fetal macrosomia- complications and newborn management

Nguyen Thi Quynh Nga, Dang Thi Thanh Huyen, Tran Thi Ly

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Abstract

Fetal macrosomia specifies infants with birthweight above 4000gr or 4500gr. Fetal macrosomia may be the result of maternal conditions (overweight/obesity, diabetes) or  fetal conditions (hyperinsulinemia, hypothyroidism, Beckwith Wiedemann syndrome, etc.). The condition leads to increased  risk of Cesarean section and obsteric complications such as uterine rupture, birth asphyxia, shoulder dystocia, clavicle fracture, brachial plexus injury; newborns may develop hypoglycemia, polycythemia, respiratory distress due to delayed lung fluid clearance and surfactant deficiency. Newborn management includes neonatal resuscitation, early diagnosis and treatment of complications.

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References

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