title: Macrosomia. A proposed indication for primary cesarean section.
abstract: Fetal macrosomia (birthweight equal to or in excess of 4500 g) in a study of 110 affected infants was associated with excessive maternal weight, prolonged gestation, white race, multiparity, maternal diabetes, male fetus, and a previous macrosomic infant. The two most common obstetric complications associated with fetal macrosomia were postpartum hemorrhage and shoulder dystocia. One-minute Apgar score was less than 7 in 10.9% of the macrosomic infants, in contrast to 6.3% for the smaller infants studied as controls. The low fetal mortality rate (1.8%) was attributed to a 22.5% cesarean rate for the macrosomia group. Even more frequent use of abdominal delivery might further reduce obstetric and neonatal complications for macrosomic infants.
mesh_terms: D001724:Birth Weight; D002585:Cesarean Section; D004420:Dystocia / Q000139:chemically induced; D005260:Female; D006801:Humans; D008297:Male; D010121:Oxytocin / Q000009:adverse effects; D010298:Parity; D006473:Postpartum Hemorrhage / Q000209:etiology; D011247:Pregnancy; D012785:Shoulder Joint / Q000187:drug effects; D044465:White People
chemical_list: D010121:Oxytocin