Large for Gestational Age

Question 1

What is LFGA baby?

Answer 1

One that ha an estimated weight greater than 90th centile

Question 2

Clinically LFGA?

Answer 2

Symphysial fundal height >2cm for gestational age (normally this should be same as gestation +/- 2cm)

Question 3

Reasons for LGA?

Answer 3

Wrong dates 
Fetal macrosomnia 
Polyhydramnios 
Diabetes 
Multiple pregnancy

Question 4

What is foetal macrosomnia?

Answer 4

Big baby

Baby with absolute birth weight of >4000g

Question 5

Common RFs included for LGA?

Answer 5

Maternal diabetes
Post term pregnancy
Maternal obesity

Question 6

What is important to exclude in foetal macrosomnia?

Answer 6

Diabetes

Question 7

If bay is more than ___ do a C section?

Answer 7

5 Kg

Question 8

What is polyhydramnios?

Answer 8

XS amniotic fluid, amniotic fluid index is >25cm and deepest pool is >8cm

Question 9

Causes of polyhyramnios?

Answer 9

Maternal diabetes 
Fetal anomaly (GI atresia, Cardiac tings, tumours, Rh immunization)

Question 10

Presnetation of polyhydramnios?

Answer 10

Abdo discomfort
Pre-labour rupture of membranes
Preterm labour
Cord prolapse

Question 11

Signs of Polyhydramnios?

Answer 11

Large for dates
Malpresentation
Shiny tense abdomen
Inability to feel fetal movements

Question 12

what are the risks of polyhydramnios?

Answer 12

Risk malpresnetation
Risk of cord prolapse
Preterm labour
PPH

Question 13

Managemnet of Polyhydramnios?

Answer 13

Serial growth scans

Usually induce by 40 weeks assoc to perinatal morbidity