Document Detail

Mode of delivery and birth outcomes of macrosomic infants.
MedLine Citation:
PMID:  16147599     Owner:  NLM     Status:  MEDLINE    
This review examines and summarises the literature regarding the mode of delivery of macrosomic infants and subsequent perinatal outcomes. A search of electronic databases was conducted and supplemented with investigation of the references cited in the original articles. Although the rates of obstetric complications differ among high birth weight infants delivered by caesarean section compared to those delivered vaginally, there is currently little evidence that perinatal mortality differs significantly by delivery method. Shoulder dystocia and birth injury occur with greater frequency among macrosomic infants, yet the relative inaccuracy of clinical and ultrasonographic estimates of birth weight among high birth weight infants indicates that a trial of labour may be warranted among non-diabetic mothers with a suspected macrosomic fetus. The majority of studies identified in this review utilised small sample sizes and observational design, thereby hindering valid assessments of the impact of delivery method on the mortality of this population. Consequently, an optimal management strategy has yet to be defined.
S L Boulet; H M Salihu; G R Alexander
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Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  Journal of obstetrics and gynaecology : the journal of the Institute of Obstetrics and Gynaecology     Volume:  24     ISSN:  0144-3615     ISO Abbreviation:  J Obstet Gynaecol     Publication Date:  2004 Sep 
Date Detail:
Created Date:  2005-09-08     Completed Date:  2005-09-22     Revised Date:  2005-11-16    
Medline Journal Info:
Nlm Unique ID:  8309140     Medline TA:  J Obstet Gynaecol     Country:  England    
Other Details:
Languages:  eng     Pagination:  622-9     Citation Subset:  IM    
Department of Maternal and Child Health, School of Public Health, University of Alabama at Birmingham, Birmingham, Alabama 35294-0022, USA.
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MeSH Terms
Birth Injuries / epidemiology
Brachial Plexus / injuries
Delivery, Obstetric / methods*
Dystocia / epidemiology
Fetal Macrosomia* / complications
Pregnancy Outcome*
Pregnancy in Diabetics / complications

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