Flashcards in LGA COPY Deck (7)
What is the definition of LGA?
BW > 90th centile
What is the definition of macrosomia?
Excessive intrauterine growth beyond a specific threshold, regardless of gestational age
What are the risk factors for LGA?
- Ethnicity: Samoan, white
- Genetic syndrome
- Maternal diabetes, especially poorly controlled
- Maternal pre-preg weight
- Excessive GWG
- Previous LGA
- Maternal BW > 4000g
What are the maternal complications of LGA?
Operative vaginal delivery
What are the fetal complications of LGA?
Shoulder dystocia leading to birth trauma, brachial plexus injury
Stillbirth. Fetuses >5000g particularly high risk
What are the neonatal complications of LGA?
Minor congenital anomalies
NICU admission (can be prolonged)