Effects of a policy of elective cesarean delivery in cases of suspected fetal macrosomia on the incidence of brachial plexus injury and the rate of cesarean delivery
Article Abstract:
A policy of delivering all babies with macrosomia by cesarean section does not significantly lower the rate of injury. Macrosomia is an increased birth weight, which is considered to be a risk factor for injury to the baby.
Publication Name: American Journal of Obstetrics and Gynecology
Subject: Health
ISSN: 0002-9378
Year: 2000
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Fetal macrosomia: does antenatal prediction affect delivery route and birth outcome?
Article Abstract:
Delivery by cesarean section may not decrease the risk of difficult delivery of the shoulders or of birth injury in infants who are unusually large. The use of ultrasound to predict before birth that an infant may be large may influence the delivering doctor to perform a cesarean section. Researchers reviewed the hospital records of 504 women delivered of infants weighing 4200 grams or more. One hundred two of the women were predicted by doctors before birth to have large infants. Delivery by cesarean section was performed on 52% of the women predicted to have large infants, in contrast to 30% of the women with no such prediction. Doctors may have managed women more aggressively when they suspected them of carrying large infants.
Publication Name: American Journal of Obstetrics and Gynecology
Subject: Health
ISSN: 0002-9378
Year: 1995
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Limited usefulness of fetal weight in predicting neonatal brachial plexus injury
Article Abstract:
It is probably not necessary to perform a cesarean section on all pregnant women whose fetuses are larger than normal. Large fetuses sometimes have difficulty proceeding through the birth canal and can be injured in the process. Researchers analyzed the rate of fetal injury in 63,761 infants who were classified by birth weight. The rate of an injury called brachial palsy was only 3% in infants weighing 4,500 to 5,000 grams and 6.7% in those weighing more than 5,000 grams. Many physicians recommend cesareans at 4,500 grams or more, but this would have resulted in 155 to 588 cesareans in this group.
Publication Name: American Journal of Obstetrics and Gynecology
Subject: Health
ISSN: 0002-9378
Year: 1998
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