Preprint Review Version 1 Preserved in Portico This version is not peer-reviewed

Fetal Growth Acceleration – Current Approach to the Big Baby Issue

Version 1 : Received: 18 January 2021 / Approved: 19 January 2021 / Online: 19 January 2021 (11:42:09 CET)

A peer-reviewed article of this Preprint also exists.

Modzelewski, J.; Kajdy, A.; Muzyka-Placzyńska, K.; Sys, D.; Rabijewski, M. Fetal Growth Acceleration—Current Approach to the Big Baby Issue. Medicina 2021, 57, 228. Modzelewski, J.; Kajdy, A.; Muzyka-Placzyńska, K.; Sys, D.; Rabijewski, M. Fetal Growth Acceleration—Current Approach to the Big Baby Issue. Medicina 2021, 57, 228.

Journal reference: Medicina 2021, 57, 228
DOI: 10.3390/medicina57030228

Abstract

Background: Fetal overgrowth is related to many perinatal complications including stillbirth, cesarean section, maternal and neonatal injuries, and shoulder dystocia. It is related to maternal diabetes, obesity, and gestational weight gain, but also happens in low-risk pregnancies. There is ongoing discussion regarding definitions, methods of detection, and classification. The method used for detection is of crucial importance as it draws a line between those at risk and low-risk populations. Methods: In this a narrative review of relevant evidence identified through PubMed search with one of the general terms (macrosomia, large-for-gestational-age) combined with the outcome of interest. Results: This revive summarizes evidence on the relation of fetal overgrowth with stillbirth, cesarean sections, shoulder dystocia, anal sphincter injury, and hemorrhage. Customized growth charts help to detect mothers and fetuses at risk of those complications. Relations between fetal overgrowth and diabetes, maternal weight, and gestational weight gain. Conclusions: a substantial proportion of complications are an effect of the fetus growing above its potential and should be recognized as a new dangerous condition of Fetal Growth Acceleration

Keywords

Diabetes; Gestational; Diagnostic Techniques; Obstetrical and Gynecological; Fetal growth acceleration; Fetal Macrosomia; Large-for-gestational-age; Obstetrics; Pregnancy Complications; Stillbirth

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