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Fetal and maternal complications in macrosomic pregnancies

Authors Cheng YK, Lao T

Received 24 December 2013

Accepted for publication 30 January 2014

Published 31 March 2014 Volume 2014:4 Pages 65—70

DOI https://doi.org/10.2147/RRN.S39110

Checked for plagiarism Yes

Review by Single-blind

Peer reviewer comments 2


Yvonne Kwun-Yue Cheng, Terence T Lao

Department of Obstetrics and Gynaecology, The Chinese University of Hong Kong, Prince of Wales Hospital, Hong Kong

Abstract: The prediction and management of fetal macrosomia remains an obstetric challenge. Significant maternal and neonatal complications can result from the birth of a macrosomic infant, and include prolonged labor, operative delivery, postpartum hemorrhage, perineal trauma, shoulder dystocia, birth trauma, chorioamnionitis, meconium aspiration, perinatal asphyxia, low Apgar scores, neonatal hypoglycemia, and perinatal mortality. This review article discusses these maternal and perinatal risks and the management of suspected macrosomia.

Keywords: macrosomia, large for gestational age, shoulder dystocia, birth trauma, perineal tear

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