| Choosing route of delivery for the macrosomic infant of a diabetic mother: Cesarean section versus vaginal delivery. | |
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MedLine Citation:
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PMID: 12683659 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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The macrosomic fetus of a diabetic woman faces increased risk for injury at the time of vaginal birth. Cesarean section offers the promise of avoiding trauma to the fetus, but can result in increased morbidity in the mother as compared to vaginal delivery. In this article, the advantages and disadvantages of the two routes of delivery for the overgrown fetus of a diabetic mother are discussed. Specifically, data regarding risk of permanent neurological damage to the infant from vaginal delivery, and maternal morbidity from elective, pre-labor Cesarean delivery are critically examined. In addition, methods for diagnosing macrosomia by ultrasound are discussed, along with the benefits and pitfalls of ultrasonic fetal weight estimation in the setting of diabetes. Finally, management approaches for selecting route of delivery for the macrosomic fetus are described and analyzed. |
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Authors:
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D L Conway |
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Publication Detail:
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Type: Journal Article; Review |
Journal Detail:
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Title: The journal of maternal-fetal & neonatal medicine : the official journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians Volume: 12 ISSN: 1476-7058 ISO Abbreviation: J. Matern. Fetal. Neonatal. Med. Publication Date: 2002 Dec |
Date Detail:
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Created Date: 2003-04-09 Completed Date: 2003-05-01 Revised Date: 2005-11-16 |
Medline Journal Info:
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Nlm Unique ID: 101136916 Medline TA: J Matern Fetal Neonatal Med Country: United States |
Other Details:
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Languages: eng Pagination: 442-8 Citation Subset: IM |
Affiliation:
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Division of Maternal-Fetal Medicine, Department of Obstetrics and Gynecology, University of Texas Health Science Center at San Antonio, San Antonio, Texas, USA. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Birth Injuries
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prevention & control Cesarean Section / adverse effects Delivery, Obstetric / methods* Diabetes, Gestational / complications* Dystocia / prevention & control Female Fetal Macrosomia / complications*, ultrasonography Humans Infant, Newborn Pregnancy Pregnancy in Diabetics / complications* Shoulder |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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