Complications associated with the macrosomic fetus

S. Lazer, Y. Biale, M. Mazor, H. Lewenthal, V. Insler

Research output: Contribution to journalArticlepeer-review

63 Scopus citations


A retrospective study was done on 525 infants who weighed more than 4,500 g. The rates of grand multiparity, diabetes mellitus, pregnancy-induced hypertension, deliveries in women over 35 years of age, placenta previa and weight gain of more than 15 kg were higher than in a control group weighing 2,500-4,000 g. The rates of delivery with instruments and cesarean section were also significantly higher. The main indication for cesarean section in the study group was cephalopelvic disproportion, while in the control group it was repeat cesarean section. Rates of postpartum hemorrhage, shoulder dystocia, oxytocin augmentation of labor and tears in the birth canal far exceeded those in the control group. Maternal and fetal morbidity and perinatal mortality were significantly higher than in the control group. The complications were due to a difficult second stage of labor.

Original languageEnglish
Pages (from-to)501-505
Number of pages5
JournalThe Journal of reproductive medicine
Issue number6
StatePublished - 27 Aug 1986
Externally publishedYes

ASJC Scopus subject areas

  • Reproductive Medicine
  • Obstetrics and Gynecology


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