Chapter 42. Macrosomia

  1. Errol R. Norwitz MD, PhD Professor Director1,
  2. Michael A. Belfort MD, PhD Professor Director2,3,
  3. George R. Saade MD Professor4 and
  4. Hugh Miller MD5

Published Online: 6 MAY 2010

DOI: 10.1002/9781444314489.ch42

Obstetric Clinical Algorithms: Management and Evidence

Obstetric Clinical Algorithms: Management and Evidence

How to Cite

Norwitz, E. R., Belfort, M. A., Saade, G. R. and Miller, H. (2010) Macrosomia, in Obstetric Clinical Algorithms: Management and Evidence, Wiley-Blackwell, Oxford, UK. doi: 10.1002/9781444314489.ch42

Author Information

  1. 1

    Department of Obstetrics, Gynecology & Reproductive Sciences, Yale-New Haven Hospital, New Haven, CT, USA

  2. 2

    Department of Obstetrics and Gynecology, University of Utah School of Medicine, Salt Lake City, UT, USA

  3. 3

    Perinatal Research and Fetal Therapy Program, HCA Healthcare, Nashville, TN, USA

  4. 4

    Department of Obstetrics and Gynecology, University of Texas Medical Branch, Galveston, TX, USA

  5. 5

    Department of Obstetrics and Gynecology, University of Arizona, Tucson, AZ, USA

Publication History

  1. Published Online: 6 MAY 2010
  2. Published Print: 23 APR 2010

ISBN Information

Print ISBN: 9781405181112

Online ISBN: 9781444314489

SEARCH

Keywords:

  • macrosomia - estimated fetal weight (EFW) ≥4500g;
  • risk factors - maternal diabetes, post-term pregnancy, maternal obesity;
  • meticulous glycemic control - reducing incidence of fetal macrosomia;
  • clinical estimation of fetal weight - use of ultrasound;
  • goal of antepartum management in GDM - maintaining strict glycemic control;
  • prevent birth trauma - elective cesarean delivery offered;
  • risk of shoulder dystocia - controlled attempted vaginal delivery of macrosomic infant