Macrosomia Flashcards
1
Q
Macrosomia: risks/causes
A
High calorie diet Hi sugar diet DM Pregnancy induced hyperglycemia Personal HX of large baby Family HX Post term preg Tall/big boned parents Fetal infection (swelling)
2
Q
Macrosomia: complications
A
Failure to progress in labor Slow labor leading to maternal exhaustion Malpresentation Cephalopelvic presentation Fetal hypoglycemia Neonatal hypoglycemia Maternal risk of thrombophlebitis due to poor venous return Maternal damage to genitals including: Bruised vulva/ introitus Cervical tears Perineal laceration Anal/rectal damage Bladder damage Internal/external hematoma PP hemorrhage (due to prolonged hemmorhage) Shoulder distocia Birth injuries including: Fractures Dislocations Bruising Hematomas Internal injuries Brain damage
3
Q
Macrosomia: s/s
A
Fundal height > 2 cms bigger Palpate large baby US Poor engagement at term Impacts from large baby: Breathlessness Stretch marks Diastasis recti GI reflux N / V Lower extremety edema Varicosities
