Delivery of macrosomic fetus

Czech version

Authors: M. Procházka ¹; P. Velebil ²; T. Binder ³; Kateřina Janoušková ¹
Authors‘ workplace: Ústav porodní asistence, Fakulta zdravotnických věd FZV UP, Olomouc, přednosta doc. MUDr. M. Procházka, Ph. D. ¹; Ústav pro péči o matku a dítě, Praha, Perinatologické centrum, ředitel doc. MUDr. J. Feyereisl, CSc. ²; Masarykova nemocnice v Ústí nad Labem, Gynekologcko-porodnická klinika, přednosta doc. MUDr. T. Binder, CSc. ³
Published in: Ceska Gynekol 2016; 81(2): 125-128

Overview

Fetal macrosomia is associated with an increased risk of perinatal mortality and morbidity for both, mother and fetus. The frequency of these births is between 1.3 to 1.5%. Macrosomic fetuses are defined with a weight of 4500 g and more. Diagnosis and prediction of macrosomia or fetal birth weight is key to determine the tactics of delivery. It is based on the combination and assessment of medical history, clinical parameters and ultrasound biometry. The limit for elective caesarean section is considered the estimated fetal weight in healthy mothers of more than 5000 g. For mothers with diabetes an indication of the caesarean section should be considered for fetal weight of more than 4000 g.

Design:
A review of the literature.

Keywords:
fetal macrosomia, caesarean section, vaginal delivery, induction

Sources

1. Abrams, BF., Laros Jr., RK. Prepregnancy weight, weight gain, and birth weight. Am J Obstet Gynaecol, 1986, 154(3), p. 503–509.

2. Akin, Y., Cömert, S., Turan, C., Piçak, A., et al. Macrosomic newborns: a 3-year review. Turk J Pediatr, 2010, 52(4), p. 378–383.

3. American College of Obstetricians and Gynecologists. Fetal macrosomia. ACOG Practice Bulletin No. 22. ACOG, 2000, p. 22–35.

4. Bamberg, C., Hinkson, L., Henrich, W. Prenatal detection and consequences of fetal macrosomia. Fetal Diagn Ther, 2013, 33(3), p. 143–148.

5. Berkus, MD., Conway, D., Langer, O. The large fetus. Clin Obstet Gynecol, 1999, 42(4), p. 766–784.

6. Bianco, AT., Smilen, SW., Davis, Y., Lopez, S., et al. Pregnancy outcome and weight gain recommendations for the morbidly obese woman. Obstet Gynecol, 1998, 91(1), p. 97–102.

7. Boulet, SL., Alexander, GR., Salihu, HM., Pass, M. Macrosomic births in the United states: determinants, outcomes, and proposed grades of risk. Am J Obstet Gynecol, 2003, 188(5), p. 1372–1378.

8. Boulet, SL., Salihu, HM., Alexander, GR. Mode of delivery and birth outcomes of macrosomic infants. J Obstet Gynaecol, 2004, 24(6), p. 622–629.

9. Boulvain, M., Senat, MV., Perrotin, F., Winer, N. Induction of labour versus expectant management for large-for-date fetuses: a randomised controlled trial. Lancet, 2015, 385(9987), p. 2600–2605.

10. Campbell, S. Fetal macrosomia: a problem in need of a policy. Ultrasound Obstet Gynecol, 2014, 43(1), p. 3–10.

11. Campbell, S., Wilkin, D. Ultrasonic measurement of the fetal abdomen circumference in the estimation of fetal weight. Br J Obstet Gynaecol, 1975, 82(9), p. 689–697.

12. Caughey, AB. Should pregnancies be induced for impending macrosomia? Lancet, 2015, 385(9987), p. 2557–2559.

13. Clapp 3rd, JF. Maternal carbohydrate intake ang pregnancy outcome. Proc Nutr Soc, 2002, 61(1), p. 45–50.

14. Coomarasamy, A., Connock, M., Thorton, J., Khan, KS. Accuracy of ultrasound biometry in the prediction of macrosomia: a systematic quantitative review. BJOG, 2005, 112(11), p. 1461–1466.

15. de Veciana, M., Major, CA., Morgan, MA., et al. Postprandial versus preprandial blood glucose monitoring in women with gestational diabetes mellitus requiring insulin therapy. N Engl J Med, 1995, 333(19), p. 1237–1241.

16. Dudley, NJ. A systematic review of the ultrasound estimation of fetal weight. Ultrasound Obstet Gynecol, 2005, 25(1), p. 80–89.

17, Frentzen, BH., Dimperio, DL., Cruz, AC. Maternal weight gain: effect on infant birth weight among overweight and average-weight low-income women. Am J Obstet Gynecol, 1988, 159(5), p. 1114–1117.

18. HAPO Study Cooperative Research Group, Metzger, BE., Lowe, LP., et al. Hyperglycemia and adverse pregnancy outcomes. N Eng J Med, 2008, 358(19), p. 1991–2002.

19. Hawthorne, G., Robson, S., Ryall, EA., et al. Prospective population based survey of outcome of pregnancy in diabetic women: results of the Northern Diabetic Pregnancy Audit, 1994. BMJ, 1997, 315(7103), p. 279–281.

20. Chauchan, SP., Grobman, WA., Gherman, RA., et al. Suspicion and treatment of the macrosomic fetus: A review. Am J Obstet Gynecol, 2005, 193(2), p. 332–346.

21. Cheng, YW., Sparks, TN., Laros, RK., et al. Impending macrosomia: will induction of labour modify the risk of caesarean delivery? BJOG, 2012, 119 (4), p. 402–409.

22. Jensen, DM., Damm, P., Sorensen, B., et al. Pregnancy outcome and prepregnancy body mass index in 2459 glucose-tolerant Danish women. Am J Obstet Gynecol, 2003, 189(1), p. 239–244.

23. Johnson, JW., Longmate, JA., Frentzen, B. Excessive maternal weight and pregnancy outcome. Am J Obstet Gynecol, 1992, 167(2), p. 353–370.

24. Jolly, MC., Sebire, NJ., Harris, JP., et al. Risk factors for macrosomia and its clinical consequences: a study of 350, 311 pregnancies. Eur J Obstet Gynecol Reprod Biol, 2013, 111(1), p. 9–14.

25. King, JR., Korst, LM., Miller, DA., Ouzounian, JG. Increased composite maternal and morbidity associated with ultrasonographically suspected fetal macrosomia. J Matern Fetal Neonatal Med, 2012, 25(10), p. 1953–1959.

26. Mahony, R., Walsh, C., Foley, ME., et al. Outcome of second delivery after prior macrosomic infant in women with normal glucose tolerance. Obstet Gynecol, 2006, 107(4), p. 857–862.

27. Meshari, AA., DeSilva, S., Rahman, I. Fetal macrosomia – maternal risk and fetal outcome. Int J Gynaecol Obstet, 1990, 32(3), p. 215–222.

28. Moses, RG., Luebcke, M., Davis, WS., et al. Effect of a low-glycemic-index diet during pregnancy on obstetric outcomes. Am J Clin Nutr, 2006, 84(4), p. 807–812.

29. Nahum, GG., Stanislaw, H., Huffaker, BJ. Fetal weight gain at term: linear with minimal dependence on maternal obesity. Am J Obstet Gynecol, 1995, 172(5), p. 1387–1394.

30. Nesbitt, TS., Gilbert, WM., Herrchen, B. Shoulder dystocia and associated risk factors with macrosomic infants born in California. Am J Obstet Gynecol, 1998, 179(2), p. 476–480.

31. Noumi, G., Collado-Khoury, F., Bombard, A., Julliard, K., et al. Clinical and sonographic estimation of fetal weight performed during labor by residents. Am J Obstet Gynecol, 2005, 192(5), p. 1407–1409.

32. Obstetric care consensus No. 1: Safe prevention of the primary caesarean delivery. Caughey, AB., Cahill, AG., Guise, JM., Rouse, DJ. Obstet Gynecol, 2014, 123(3), p. 693–711.

33. Özmen, B., Şükür, YE., Yüce, T., et al. Mode of delivery and birth complications in fetal macrosomia: a simple cost-effectiveness analysis. Turk J Med Sci, 2012, 42 (1), p. 119–125.

34. Raio, L., Ghezzi, F., Di Naro, E., et al. Perinatal outcome of fetuses with a birth weight greater than 4500 g: an analysis of 3356 cases. Eur J Obstet Gynecol Reprod Biol, 2003, 109(2), p. 160–165.

35. Revicky, V., Mukhopadhyay, S., Morris, EP, Nieto, JJ. Can we predict shoulder dystocia? Arch Gynecol Obstet, 2012, 285(2), p. 291–295.

36. Rice, F., Tharap, A. Estimating the relative contributions of maternal genetic, parental genetic and intrauterine factors to offspring birth weight and head circumference. Early Hum Dev, 2010, 86(7), p. 425–432.

37. Royal College of Obstetricians & Gynaecologists. Crofts., J., et al. Shoulder Dystocia. Green-top Guideline No. 42, RCOG, 2012.

38. Seidmen, DS., Ever-Hadani, P., Gale, R. The effect of maternal weight gain in pregnancy on birth weight. Obstet Gynecol, 1989, 74(2), p. 240–246.

39. Selvin, S., Abrams, B. Analysing the relationship between maternal weight gain and birthweight: exploration of four statistical issues. Paediatr Perinat Epidemiol, 1996, 10(2), p. 220–234.

40. Shapiro, C., Sutija, VG., Bush, J. Effect of maternal weight gain on infant birth weight. J Perinat Med, 2000, 28(6), p. 428–431.

41. Siega-Riz, AM., Viswanathan, M., Moos, MK., et al. A systematic review of outcomes of maternal weight gain according to the Institute of Medicine recommendations: birthweight, fetal growth, and pospartum weight retention. Am J Obstet Gynecol, 2009, 201(4), p. 339.e1–14.

42. Spellacy, WN., Miller, S., Winegar, A., Peterson, PQ. Macrosomia – maternal characteristics and infant complications. Obstet Gynecol, 1985, 66(2), p. 158–161.

43. Timmerman, E., Pajkrt, E., Snijders, RJM., Bilardo, CM. High macrosomia rate in healthy fetuses after enlarged nuchal translucency. Prenat Diagn, 2014, 34(2), p. 103–108.

44. Vendittelli, F., Rivière, O., Bréart, G. Is prenatal identification of fetal macrosomia useful? Eur J Obstet Gynecol Reprod Biol, 2012, 161(2), p. 170–176.

45. Walsh, CA., Mahony, RT., Foley, ME., et al. Recurrence of fetal macrosomia in non-diabetic pregnancies. J Obstet Gynaecol, 2007, 27(4), p. 374–378.

46. Walsh, JM., Mahony, R., Byrne, J., et al. The association of maternal and fetal glucose homeostasis with fetal adipozity and birthweight. Eur J Obstet Gynecol Reprod Biol, 2011, 159(2), p. 338–341.

47. Walsh, JM., McAuliffe, FM. Prediction and prevention of the macrosomic fetus. Eur J Obstet Gynecol Reprod Biol, 2002, 162(2), p. 125–130.

48. Walsh, JM., Murphy, DJ. Weight and pregnancy. BMJ, 2007, 335(7612), p. 169.

49. Weiner, Z., Ben-Shlomo, I., Beck-Fruchter, R., Goldberg, Y., et al. Clinical and ultrasonographic weight estimation in larg efor gestational age fetus. Eur J Obstet Gynecol Reprod Biol, 2002, 105(1), p. 20–24.

50. Zhang, X., Decter, A., Platt, RW., Kramer, MS. How big is too big? The perinatal consequences of fetal macrosomia. Am J Obstet Gynecol, 2008, 198(5), p. 517.e1–517.e6.

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Article was published in

Czech Gynaecology

2016 Issue 2