期刊
BEST PRACTICE & RESEARCH CLINICAL OBSTETRICS & GYNAECOLOGY
卷 38, 期 -, 页码 83-96出版社
ELSEVIER SCI LTD
DOI: 10.1016/j.bpobgyn.2016.08.003
关键词
fetal macrosomia; gestational diabetes mellitus; birth weight; two-dimensional ultrasound; three-dimensional ultrasound; induction of labor; shoulder dystocia
Fetal macrosomia is defined as birth weight >4000 g and is associated with several maternal and fetal complications such as maternal birth canal trauma, shoulder dystocia, and perinatal asphyxia. Early identification of risk factors could allow preventive measures to be taken to avoid adverse perinatal outcomes. Prenatal diagnosis is based on two-dimensional ultrasound formulae, but accuracy is low, particularly at advanced gestation. Three-dimensional ultrasound could be an alternative to soft tissue monitoring, allowing better prediction of birth weight than two-dimensional ultrasound. In this article, we describe the definition, risk factors, diagnosis, prevention, ultrasound monitoring, prenatal care, and delivery in fetal macrosomia cases. (C) 2016 Published by Elsevier Ltd.
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