Large For Gestational Age ✅ Flashcards
What is large for gestational age defined as?
Infants born above 90th centile for their gestation
What is macrosomia a feature of?
- Infants of mothers with permanent or gestational diabetes
- Baby born with congenital syndrome
Give an example of a congenital syndrome that has macrosomia as a feature?
Beckwith-Weidemann syndrome
What are the problems associated with being LGA?
- Birth trauma
- Birth asphyxia
- Breathing difficulties
- Hypoglycaemia
- Polycythaemia
What birth trauma is particularly common in LGA?
Shoulder dystocia
What is shoulder dystocia?
Difficulty delivering the shoulders from impaction behind maternal pubic symphysis
Why are LGA fetuses at higher risk of birth asphyxia?
From difficult delivery
Why might LGA be associated with breathing difficulties?
From enlarged tongue associated with Beckwith Weidemann syndrome
Why are LGA fetuses at increased risk of hypoglycaemia?
Due to hyperinsulinism
