weight of newborn…
> 4.5kg
estimated fetal weight…
> 90th Centile
causes of macrosomia
constitutional maternal diabetes previous macrosomia maternal obesity overdue male baby
risks to mother
shoulder dystocia failure to progress perineal tears instrumental delivery, CS PPH uterine rupture
risks to baby
birth injury - Erbs palsy, clavical#, hypoxia
neonatal hypoglycaemia
obesity
T2DM
Ix
USS
OGTT