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Re: Macrosomia 'management'From: Braun, R. Daniel (rbraun@iupui.edu)Thu Feb 10 14:18:24 2000
I think you mean the estimated fetal weight is 4687 Gms. If by Ultrasound the mathematical studies say plus or minus 15%. Than would be about 700 grams. Actual studies show that the US usually overestimates at this range. The baby probably weighs somewhere between 3800 and 5000 grams. I would evaluate her pelvis and make a decision based on that as to either repeat C/S or awaiting labor. She would need a real big pelvis to await onset of labor. I think most of the studies have shown no benefit to inducing labor for macrosomia. Dan R. Daniel Braun, MD FACOG Clinical Professor Department of Obstetrics and Gynecology Indiana U. School of Medicine Indianapolis, IN 46202 OBGYN.net International Representative for United States Certified AllExperts Expert Check out my bio/ratings page! http://www.allexperts.com/displayExpert.asp?Expert=1236 <http://www.allexperts.com/displayExpert.asp?Expert=1236> -----Original Message----- From: Deborah Wage, FNP,CNM [mailto:wagedj@home.com] Sent: Thursday, February 10, 2000 12:13 AM To: Multiple recipients of list OB-GYN-L Subject: Macrosomia 'management' 21 year old primigravida at 39 weeks and 3 days. Baby is 4687 grams. Who would induce her now? Who would induce her in a week? Who would offer elective section? Who would just await spontaneous labor? Cervix 40%/2-3/-2.
-- Deborah Wage, MSN, FNP, CNM
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