Is macrosomia an indication for induction?
Suspected fetal macrosomia is not an indication for induction of labor, because induction does not improve maternal or fetal outcomes. Labor and vaginal delivery are not contraindicated for women with estimated fetal weights up to 5,000 g in the absence of maternal diabetes.
How do you control fetal macrosomia?
Prevention. You might not be able to prevent fetal macrosomia, but you can promote a healthy pregnancy. Research shows that exercising during pregnancy and eating a low-glycemic diet can reduce the risk of macrosomia.
Does gestational diabetes cause macrosomia?
In GDM, a higher amount of blood glucose passes through the placenta into the fetal circulation. As a result, extra glucose in the fetus is stored as body fat causing macrosomia, which is also called ‘large for gestational age’.
Why is macrosomia bad?
Fetal macrosomia is associated with increased risks for the mother, including emergency Cesarean section (CS), instrumental delivery, shoulder dystocia and trauma to the birth canal, bladder, perineum and anal sphincter; for the baby, complications include increased mortality, brachial plexus or facial nerve injuries.
Can you be induced at 37 weeks if baby is big?
Currently, the evidence tells us that induction for a suspected larger baby does not decrease your baby’s likelihood of a stay in the NICU. The most recent evidence indicates early induction (37-38 weeks) can increase your baby’s risk of needing treatment for jaundice (which can sometimes mean a longer hospital stay).
Will I be induced early if my baby is big?
Induction of Labor Your doctor does not have to induce your labor early if you’re carrying a large baby. Early induction of labor doesn’t necessarily prevent complications or birth injuries. However, your doctor might want to get your labor started if you are a week or two past your due date.
Will I deliver early if baby is measuring big?
Key points about large for gestational age If a baby is too large to fit through the birth canal easily, delivery can be difficult. If ultrasound exams during pregnancy show a baby is very large, your healthcare provider may recommend early delivery.
Why do babies get bigger with gestational diabetes?
Your higher blood sugar affects your baby, too, since they gets nutrients from your blood. Your baby stores that extra sugar as fat, which can make them grow larger than normal.
Can macrosomia be treated?
Objective: Treatment of fetal macrosomia presents challenges to practitioners because a potential outcome of shoulder dystocia with permanent brachial plexus injury is costly both to families and to society. Practitioner options include labor induction, elective cesarean delivery, or expectant treatment.
Can macrosomia cause birth defects?
When the birth is delayed and obstructed by the baby’s large size, they are at risk of suffocating, known as birth asphyxia. Births involving fetal macrosomia are also at risk of birth defects and injuries, like a fractured clavicle or damage to the nerves of the brachial plexus.