1986
DOI: 10.1111/j.1479-828x.1986.tb01522.x
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The Oversized Infant. A Study of 86 Cases

Abstract: The maternal factors and perinatal and neonatal outcome of 86 oversized infants (birthweight 4,500g and above) were studied. 11.6% of mothers were diabetics while 34.5% demonstrated a hyperglycaemic glucose tolerance test. A comparison of the maternal variables and perinatal and neonatal morbidity was made between the diabetic and nondiabetic group. No significant difference in maternal age greater than or equal to 30 years, parity and obesity was observed in the 2 groups. Perinatal and neonatal complications … Show more

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Cited by 7 publications
(4 citation statements)
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“…Deliveries of infants weighing 4,540 g (10 lb) ormore constitute approximately 1% of all singleton deliveries in Western countries and are associated with a significantly raised risk of obstetric and neonatal complications (1)(2)(3). While infants of lesser birth-weight may be macrosomic when birth-weight according to gestational age percentiles are used (usually 290th percentile), a birth-weight of 4,540 g or more is excessive by any standard and such fetal size is always an unwelcome, and frequently unidentified factor in obstetric care.…”
mentioning
confidence: 99%
See 1 more Smart Citation
“…Deliveries of infants weighing 4,540 g (10 lb) ormore constitute approximately 1% of all singleton deliveries in Western countries and are associated with a significantly raised risk of obstetric and neonatal complications (1)(2)(3). While infants of lesser birth-weight may be macrosomic when birth-weight according to gestational age percentiles are used (usually 290th percentile), a birth-weight of 4,540 g or more is excessive by any standard and such fetal size is always an unwelcome, and frequently unidentified factor in obstetric care.…”
mentioning
confidence: 99%
“…While infants of lesser birth-weight may be macrosomic when birth-weight according to gestational age percentiles are used (usually 290th percentile), a birth-weight of 4,540 g or more is excessive by any standard and such fetal size is always an unwelcome, and frequently unidentified factor in obstetric care. The classical association of diabetes mellitus and macrosomia is well known, yet improved management of women with preexisting diabetes mellitus and identification and careful management of gestational diabetics, has had no apparent impact on the overall incidence of excessive birth-weight deliveries, with figures from the 1930's and 1940's being similar to those of the 1980's (1,3,4). Indeed it is argued whether strict glycaemic control has reduced the incidence of excessive birthweight deliveries associated with pregnancies complicated by preexisting or gestational diabetes (5).…”
mentioning
confidence: 99%
“…There is significant correlation between AFI measurements and single largest pocket as seen in table (13)Using the AFI and largest pocket technique is an excellent method in evaluating the amniotic fluid volume [21]. Its validity has been demonstrated by Moore and Cayle [5] as well as other authors [22].…”
Section: Discussionmentioning
confidence: 88%
“…[4] Both pre gestational [8] and gestational diabetes mellitus [9,10] can lead to fetal death, or fetal abnormalities . [11,12,13] A Varity of approach including biophysical methods, deepest pocket, AFI, 3D, subjective estimation is important and the clinician should consider also AFV as an assessment technique for a given clinical situation taking into account the biology of amniotic fluid formation and regulation through gestation.…”
Section: Introductionmentioning
confidence: 99%