Gestational Diabetes mellitus (GDM) is defined as carbohydrate intolerance with different degrees of severity which occurs or is recognized for the first time during pregnancy. Fetal birth weight above the 90th percentile for gestational week and newborns weight equal or higher than 4000 g is defined as macrosomia [1]. About 15-45% of babies born from mothers with GDM can have macrosomia, which...

Screening for gestational diabetes is commonly recommended despite the absence of a common definition of gestational diabetes. Furthermore, there is no consensus about management or treatment. Those who recommend screening do so largely on the basis of fetal morbidity, which seems to be predominantly "macrosomia"--another term without an agreed definition. The implications of macrosomia in term...

BackgroundFetal growth restriction is a major risk factor for stillbirth. A routine late-pregnancy ultrasound scan could help detect this, allowing intervention to reduce the of Such also fetal presentation and predict macrosomia. trial powered stillbirth differences would be extremely large expensive.ObjectivesIt therefore critical know whether this good investment public research funds. The a...

OBJECTIVE Treatment of fetal macrosomia presents challenges to practitioners because a potential outcome of shoulder dystocia with permanent brachial plexus injury is costly both to families and to society. Practitioner options include labor induction, elective cesarean delivery, or expectant treatment. We performed a cost-effective analysis to evaluate the treatment strategies that were prefer...

Background: Birth weight are the major factors determining the physical and mental development of infants and credible signs of intrauterine growth. The purpose of this study was the Study of birth weight on maternal and neonatal factors in the women referred to delivery room of Specialized Hospital in 2010. Materials and Methods: In this cross sectional study, 3076 women with the normal vagina...

BACKGROUND This 5-year cohort study investigated gestational diabetes mellitus (GDM) using new diagnostic criteria and predictive factors for maternal and fetal outcomes. METHODS From March 2001 to February 2006, 8557 pregnant women underwent a 50-g glucose challenge test (GCT) at 24 to 28 weeks of gestation. A diagnosis of GDM was based on a a one-hour plasma glucose level >/= 140 mg/dl on t...

Gestational diabetes (GDM) complicates 3 – 12% of all pregnancies and the prevalence in the United States has doubled as a result of the growing obesity epidemic and changes in diagnostic criteria (Kaufmann et al., 1995). The immediate sequellae for the fetus are fetal hyperinsulinaemia, macrosomia, delayed lung maturation, an increased risk of shoulder dystocia and newborn metabolic abnormalit...

Objective: Numerous articles have been written on macrosomic fetuses, including the American College of Obstetricians and Gynecologists practice bulletin. However, there is no clear consensus about time birth. The aim this study was to compare maternal fetal outcomes women giving birth at 38+0-38+6 weeks those with deliveries ≥39 in pregnancies complicated by macrosomia, determine effect morbid...

Purpose To assess the impact of pre-pregnancy obesity (body mass index [BMI] ≥ 30 kg/m2) on the gestational and perinatal outcomes. Methods Retrospective cohort study of 731 pregnant women with a BMI ≥ 30 kg/m2 at the first prenatal care visit, comparing them with 3,161 women with a BMI between 18.5 kg/m2 and 24.9 kg/m2. Maternal and neonatal variables were assessed. Statistical analyses report...