Delivery of macrosomic fetus

Authors: M. Procházka 1;  P. Velebil 2;  T. Binder 3;  K. 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


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.

A review of the literature.

fetal macrosomia, caesarean section, vaginal delivery, induction


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Paediatric gynaecology Gynaecology and obstetrics Reproduction medicine
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