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Flashcards in LGA COPY Deck (7)
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1

What is the definition of LGA?

BW > 90th centile

2

What is the definition of macrosomia?

BW >4000g

Excessive intrauterine growth beyond a specific threshold, regardless of gestational age

3

What are the risk factors for LGA?

- Ethnicity: Samoan, white
- Genetic syndrome
- Maternal diabetes, especially poorly controlled
- Maternal pre-preg weight
- Excessive GWG
- Multiparity
- AMA
- Post-dates
- Male
- Previous LGA
- Maternal BW > 4000g

4

What are the maternal complications of LGA?

Prolonged labour
Operative vaginal delivery
Caesarean section
Perineal trauma
PPH
Uterine rupture

5

What are the fetal complications of LGA?

Shoulder dystocia leading to birth trauma, brachial plexus injury

Stillbirth. Fetuses >5000g particularly high risk

6

What are the neonatal complications of LGA?

Hypoglycaemia
Respiratory problems
Polycythemia
Minor congenital anomalies
NICU admission (can be prolonged)

7

What are the implications of LGA on childhood and beyond?

Obesity
Impaired glucose tolerance
Metabolic syndrome
Cardiac remodelling