Suspected big baby: a difficult clinical problem in obstetrics

Haram, Kjell; Pirhonen, Jouko; Bergsjø, Per

doi:10.1080/j.1600-0412.2002.810301.x

Cited by 21 publications

(29 citation statements)

References 50 publications

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“…Macrosomia, is most commonly defined as, birth weight of 4,000 g and above (3 Discordancy in dichorionic twins is likely due to a variety of factors including different genetic growth potential (especially if they are of opposite genders), one of the placentas would have a suboptimal implantation site, in utero crowding [1]. In our inference, in this case, difference in gender and placental sites might have contributed to the discordance.…”

Section: Discussionmentioning

confidence: 95%

“…Macrosomia is an important cause obstetrics complications. Maternal complications include, postpartum hemorrhage, prolonged labor, caesarean delivery, and neonatal complication include shoulder dystocia, brachial plexus injury, skeletal injuries, meconium aspiration, perinatal asphyxia, hypoglycemia, hypocalcemia, clavicular fracture [3,4]. There was no much information on clinical implication of macrosomia in twins due to its rarity, but we believe that screening and treating any complication associated with it as in singleton macrosomic babies and follow up to detect long term metabolic effects is warranted.…”

Section: Resultsmentioning

confidence: 99%

“…Early diagnosis of twin pregnancy and transfer to appropriate centre should be encouraged, to identify complications timely and deal with them accordingly. gestational age is considered large for gestational age on singleton birth weight curves [3,4]. In the first and second trimesters, the growth rate of twins is not significantly different from that of singletons.…”

Section: Resultsmentioning

confidence: 99%

“…Macrosomia in singleton births may be related to: male sex, maternal diabetes, maternal weight gain, maternal obesity and postterm gestation [3,4]. Weather this factors also affect twin birth weight is controversial.…”

Section: Resultsmentioning

confidence: 99%

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Macrosomia in Discordant Twin: An Out of the Box Presentation of Abnormal Growth in Dizygotic Twin

Assefa¹,

Woldeyes²

2015

Gynecol Obstet (Sunnyvale)

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Background: Weight discordance of ≥ 20 percent is present in 15 percent of twin pairs and mostly the smaller twin's birth weight <10 th percentile and the larger twin is nearer appropriate size for gestational age. We report twin pairs where the larger twin is macrosomic with smaller twin having normal birth weight. We could not find a similar report in the literature.Case presentation: The twins were born to 29 years old gravida 3 para 2 lady at 38 weeks and 3 days of gestation. The first of twins was male and macrosomic (4500 gm) and his twin sister was of normal birth weight (3500 gm), with 22 percent birth weight discordance. Conclusion:We report this case as there is no similar report in the literature on abnormal growth of twins with macrosomia and discordance: an out of the box presentation. Both of our cases are large for gestational age an adjustable fetal weight standard for twins.

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Section: Discussionmentioning

confidence: 95%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

See 2 more Smart Citations

Macrosomia in Discordant Twin: An Out of the Box Presentation of Abnormal Growth in Dizygotic Twin

Assefa¹,

Woldeyes²

2015

Gynecol Obstet (Sunnyvale)

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“…At term birth weight cut -off of 4kg is diagnostic of macrosomia (2) . The incidence worldwide is estimated at 10%.…”

Section: Doi: Http://dxdoiorg/104314/ahsv14i33 Backgroundmentioning

confidence: 99%

Hypoglycaemia and hypocalcaemia as determinants of admission birth weight criteria for term stable low risk macrosomic neonates

Bandika¹,

Were²,

Simiyu³

et al. 2014

Afr H. Sci.

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Background: Large for gestational age (LGA) accounts for about 6.3% of admissions in kenyatta national hospital, newborn unit. As a policy all IGA's, defined by birth weight of 4000g and above are admitted for 24hours to monitor blood glucose levels. The rational for this policy is questionable and contributes to unnecessary burden on resources needed for new born care. Objective: To study birth weight related incidence of hypoglycemia and hypocalcaemia in stable low risk lgas in knh and use it to establish a new admission weight based criteria. Patients and methods: prospective cohort study done in new born-unit, post natal and labour wards of knh. Term lga neonates (birth weight = 4000g) were recruited as subjects and controlled against term appropriate weight (aga) neonates. Results: the incidence of hypoglycemia and hypocalcaemia in lgas was 21% and 9% respectively. Hypoglycemia was rarely encountered after 12 hours of life in lgas. Hypoglycemia and hypocalcaemia showed a direct upward relationship with weight beyond 4250g. No significant difference in incidence of hypoglycemia and hypocalcaemia between controls and 4000-4249g category to justify their routine admission to newborn unit. Conclusion: the study identified 4275g as new admission birth weight criteria for stable term low risk IGA's admission.

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Fetal weight estimation in gestational diabetic pregnancies: comparison between conventional and three-dimensional fractional thigh volume methods using gestation-adjusted projection

Pagani

Palai

Zatti

et al. 2013

Ultrasound Obstet Gynecol

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Suspected big baby: a difficult clinical problem in obstetrics

Cited by 21 publications

References 50 publications

Macrosomia in Discordant Twin: An Out of the Box Presentation of Abnormal Growth in Dizygotic Twin

Macrosomia in Discordant Twin: An Out of the Box Presentation of Abnormal Growth in Dizygotic Twin

Hypoglycaemia and hypocalcaemia as determinants of admission birth weight criteria for term stable low risk macrosomic neonates

Fetal weight estimation in gestational diabetic pregnancies: comparison between conventional and three-dimensional fractional thigh volume methods using gestation-adjusted projection

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