Fetal macrosomia

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Preparing for your appointment

By Mayo Clinic staff

If you have risk factors for fetal macrosomia, the topic is likely to come up at routine prenatal appointments.

Below are some basic questions to ask your health care provider about fetal macrosomia:

  • What is likely causing the condition?
  • What kinds of tests do I need?
  • What needs to be done now?
  • Do I need to follow any restrictions?
  • How will fetal macrosomia affect my baby?
  • Will I need to have a C-section?
  • Will my baby need tests or special care after he or she is born?

In addition to the questions you've prepared, don't hesitate to ask other questions during your appointment — especially if you need clarification or you don't understand something.

Tests and diagnosis Complications
References
  1. American College of Obstetricians and Gynecologists. Your Pregnancy and Childbirth Month to Month. 5th ed. Washington, D.C.: American College of Obstetricians and Gynecologists; 2010:241.
  2. Abramocwicz JS, et al. Fetal macrosomia. http://www.uptodate.com/index. Accessed March 13, 2012.
  3. Rodis JF. Timing and route of delivery in pregnancies at risk of shoulder dystocia. http://www.uptodate.com/index. Accessed March 13, 2012.
  4. Mandy GT. Large for gestational age newborn. http://www.uptodate.com/index. Accessed March 13, 2012.
  5. Cunningham FG, et al. Williams Obstetrics. 23rd ed. New York, N.Y.: The McGraw-Hill Companies; 2010. http://www.accessmedicine.com/content.aspx?aID=6036563. Accessed March 14, 2012.
  6. DeCherney AH, et al.. Current Diagnosis & Treatment Obstetrics & Gynecology. 10th ed. New York, N.Y.: The McGraw-Hill Companies; 2007. http://www.accessmedicine.com/content.aspx?aID=2384988. Accessed March 14, 2012.
  7. Gibbs RS, et al. Danforth's Obstetrics and Gynecology. 10th ed. Philadelphia, Pa.: Wolters Kluwer Health Lippincott Williams & Wilkins; 2008. http://www.danforthsobgyn.com. Accessed March 19, 2012.
  8. Chatfield J. ACOG issues guidelines on fetal macrosomia. American Family Physician. 2001;64:169.
  9. Rodis JF. Intrapartum management and outcome of shoulder dystocia. http://www.uptodate.com/index. Accessed March 20, 2012.
  10. Routine prenatal care. Bloomington, Minn.: Institute for Clinical Systems Improvement. http://www.icsi.org/guidelines_and_more/gl_os_prot/womens_health/prenatal_care_4/prenatal_care__routine__3.html. Accessed March 20, 2012.
  11. Tse G, et al. Weight gain and loss in pregnancy. http://www.uptodate.com/index. Accessed March 20, 2012.
  12. Mulik, et al. The outcome of macrosomic fetuses in a low risk primigravid population. International Journal of Gynecology and Obstetrics. 2003;80:15.
  13. Hackmon R, et al. Combined analysis with amniotic fluid index and estimated fetal weight for prediction of severe macrosomia at birth. American Journal of Obstetrics and Gynecology. 2007;196:333.e1.
  14. American College of Obstetricians and Gynecologists (ACOG) Committee on Practice Bulletins - Obstetrics. ACOG Practice Bulletin No.60. Pregestational diabetes mellitus. Obstetrics & Gynecology. 2005;105:675.
  15. Raio L, et al. Perinatal outcome of fetuses with a birth weight greater than 4500 g: An analysis of 3356 cases. European Journal of Obstetrics and Gynecology and Reproductive Biology. 2003;109:160.
  16. Special tests for monitoring fetal health. American Congress of Obstetricians and Gynecologists. http://www.acog.org/publications/patient_education/bp098.cfm. Accessed March 20, 2012.
  17. Gillen-Goldstein J, et al. Assessment of fetal lung maturity. http://www.uptodate.com/index. Accessed March 20, 2012.
  18. Wegner EK, et al. Operative vaginal delivery. http://www.uptodate.com/index. Accessed March 21, 2012.
  19. McCulloch DK, et al. Prediction and prevention of type 2 diabetes. http://www.uptodate.com/index. Accessed March 21, 2012.
  20. What is metabolic syndrome? National Heart, Lung, and Blood Institute. http://www.nhlbi.nih.gov/health/health-topics/topics/ms/. Accessed March 21, 2012.
  21. Harms RW (expert opinion). Mayo Clinic, Rochester, Minn. March 22, 2012.
  22. Cleary-Goldman J, et al. Impact of maternal age on obstetric outcome. Obstetrics & Gynecology. 2005;105:983.
DS01202 May 24, 2012

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