Macrosomia refers to a fetus larger than 4000 to 4500 grams (or 9 to 10 pounds) at birth. About 9% of infants are born macrosomic and there is a wide variation of size by country.

When a baby is large or even too large for vaginal birth, there can be several complications (maternal, fetal and neonatal) that can arise. Maternal complications can include: slowed or stopped labor, an increase in instrumentation at birth (forceps or vaccum), an increase in cesarean birth, an increase in lacerations along the genital tract, postpartum hemorrhage or even uterine rupture.

Fetal complications can include shoulder dystocia or even stillbirth. Neonatal complications include high sugar after birth, respiratory problems and even minor birth defects can be found all leading to an increase in NICU admissions after birth.

In this episode, our True Birth experts discuss everything about macrosmia from complications to causes and prevention strategies. Find out all you need to know about macrosomia on this True Birth Podcast.

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