Genetic factors and maternal conditions such as obesity or diabetes can cause fetal macrosomia. Rarely, a baby might have a medical condition that makes him or her grow faster and larger. Sometimes it’s unknown what causes a baby to be larger than average.
What causes fetal macrosomia in gestational DM?
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’.
What causes a baby to come out big?
What is macrosomia? When an infant weighs more than 8 pounds 13 ounces at birth, she’s considered a “big baby” — or one with macrosomia. Macrosomia occurs when a baby gets more nutrients in utero than she needs, causing her to grow faster and larger than usual.
How is macrosomia treated?
Management strategies for suspected fetal macrosomia include elective cesarean section and early induction of labor.
How can I reduce my baby’s 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.
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, …
How is fetal macrosomia diagnosed?
Weighing the newborn after delivery is the only way to accurately diagnose macrosomia, because the prenatal diagnostic methods (assessment of maternal risk factors, clinical examination and ultrasonographic measurement of the fetus) remain imprecise.
How big of a baby can you deliver?
A: A baby that weighs more than 8 lbs 13 ounces at the time of delivery is considered a “macrosomic” or “large for gestational age” baby. There are certainly women delivering all over the world that are able to deliver these larger babies vaginally. The issue with large babies, however, is two-fold.
Will I deliver early if baby is measuring big?
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.
Are big babies smarter?
But the study, published this week in the British Medical Journal, found that among children whose birth weight was higher than 5.5 pounds–considered to be normal–the bigger the baby, the smarter it was likely to be. … The scientists found that birth size influenced intelligence until about the age of 26.
How common is macrosomia?
Causes and risk factors
About 9 percent of all babies are born with macrosomia. Causes of this condition include: diabetes in the mother. obesity in the mother.
Can macrosomia cause preterm labor?
With a big baby, you have a greater chance of a difficult vaginal delivery. You may also have an increased risk of preterm birth, perineal tearing, and blood loss.
Can a diabetic mom have a healthy baby?
“If you’ve been diagnosed with gestational diabetes, you can have a healthy pregnancy and a healthy baby, but the goal is to immediately start managing your blood glucose levels closely with a glucometer as soon you become aware of the issue,” explains Smith.