Although post-term pregnancy is associated with an increased incidence of fetal distress, oligohydramnios, fetal macrosomia, fetal dysmaturity, and perinatal mortality, as many as 80% of post-term fetuses appear completely normal. The authors of this article discuss the three sub-groups of post-term pregnancies, and deal with the diagnosis and antepartum and intrapartum management of the condit...

Newborn weight exceeding 4000 g or 4500 is considered as macrosomia, incidence of which varies from 6 to 10% all deliveries. Maternal diabetes, obesity, age >35 years, male baby, history previous multiparity are few risk factors. It associated with several maternal and neonatal complications presents an obstetric challenge there no consensus regarding the most appropriate route delivery for ...

Neonatal anthropometric data is an important reflection of the growth and fetal development. Objective: Knowing the anthropometric standards of Moroccan newborns according to sex, gestational age, parity, age and corpulence of women. Materials and Methods: Prospective and crosssectional study. The information forward newborns alive, healthy, Moroccan parents, from normal pregnancies, born in Ra...

INTRODUCTION Fetal macrosomia is usually defined when the estimated fetal weight is greater than or equal to 4000 grams. The aim of this study was to determine the incidence of macrosomia, to identify its etiological factors and to evaluate maternal and perinatal prognosis. METHODS This is a case-control study conducted in maternity units of 10 general referral hospitals in the city of Lubumb...

Obesity is one of the most common and ignored public health problems according to World Health Organisation (WHO). Labour complications occur more frequently in women with increased prepregnancy body mass index (BMI), for example, gestational diabetes mellitus, pregnancy induced hypertension, fetal macrosomia and labour complications. Objectives: The aim of this study was evaluation of pregnanc...

OBJECTIVE To examine the hypothesis that early second trimester amniotic fluid (AF) insulin concentration is elevated and later fetal growth is augmented in gravidas demonstrating later oral glucose intolerance. RESEARCH DESIGN AND METHODS In this prospective observational cohort study, AF was sampled at 14-20 weeks' gestation in 247 subjects, and 1-h 50-g oral glucose challenge tests (GCTs) ...

Even though the role of fetal hyperinsulinemia in the pathogenesis of fetal macrosomia in patients with overt diabetes and gestational diabetes mellitus seems plausible, the molecular mechanisms of action of hyperinsulinemia remain largely enigmatic. Recent indications that hyperinsulinemia "primes" various tissues to the mitogenic influence of growth factors by increasing the pool of prenylate...