Complications in Fetal Macrosomia
Although there may be some difficulties, giving birth vaginally to a large baby is possible. Two-thirds of large babies are born by vaginal delivery.
Your labor time may be longer if your baby has this condition. One out of five cases of macrosomia will need assisted birth. Complications include heavy bleeding and serious perineal tearing. The birth is likely to be easier for those who have experienced normal delivery before, without any complications.
The likelihood of having shoulder dystocia during delivery is 1 in 13. The chances almost double if the baby is more than 11 pounds. Shoulder dystocia is a condition wherein the baby’s shoulders get stuck after their head is out. Severe cases need urgent medical intervention. You may require assistance and instruction by medical experts with respect to when to push, when to hold, and what position to adjust, in order to free the baby’s shoulders successfully.
If you are overdue, an induction may be performed. However, inducing may not always be helpful either. Mothers with diabetes should have an induction at week 38. Elective caesarean is also a good choice to prevent complications during childbirth.
Newborn and Childhood Risk in Fetal Macrosomia
Besides the complications during birth, there are other health complications associated with macrosomia, which your baby may face:
Low Blood Sugar Levels
If a baby is born with macrosomia, chances are that they will also be diagnosed with lower than normal blood sugar levels.
Studies have shown that babies born with macrosomia are more prone to childhood obesity as their weight increases.
If your baby was born with fetal macrosomia, they are at a greater risk of developing metabolic syndrome during their childhood.