Induction of labor in case of suspected macrosomia

Research Article


Abstract views: 165 / PDF downloads: 89

Authors

  • Salvatore Felis

DOI:

https://doi.org/10.58372/2835-6276.1076

Keywords:

Large for gestational age, Fetal macrosomia, Labor induction, Cervical ripening, Diagnosis, Maternal and neonatal morbidity, Cost-effectiveness

Abstract

Fetal macrosomia is defined as a birth weight of >4000 g, while the term large for gestational age (LGA) is defined as an estimated fetal weight >90th centile for gestational age. Current data indicate that a significant proportion of the babies are LGA. Pregnancies involving LGA babies are associated with increased maternal and perinatal morbidity including caesarean section, postpartum hemorrhage, shoulder dystocia, and birth trauma. To reduce these complications, labor induction has been suggested as a possible solution. However, despite some high-quality evidence in favor of labor induction for suspected macrosomia/LGA, existing guidelines do not support routine induction of labor in this population. The aim of this paper is to critically appraise the available evidence and clinical practice recommendations and highlight the importance of shared decision making and individualized care based on clear counselling regarding the lack of a sensitive diagnostic tool for estimating fetal weight in the third trimester.

References

Ray JG, Urquia ML. Risk of stillbirth at extremes of birth weight between 20 to 41 weeks gestation. J Perinatol 2012;32(11): 829-36.

Hamilton Brady E, Martin Joyce A, Osterman MJK, Driscoll Anne K, Rossen LM. Vital statistics rapid release. Published May 2018, https://www.cdc.gov/nchs/data/vsrr/report004.pdf. [Accessed 23 August 2021].

Ghosh RE, Berild JD, Sterrantino AF, Toledano MB, Hansell AL. Birth weight trends in England and Wales (1986-2012): babies are getting heavier. Arch Dis Child Fetal Neonatal Ed 2018;103(3):F264-70.

Koyanagi A, Zhang J, Dagvadorj A, Hirayama F, Shibuya K, Paula Souza J, et al. Macrosomia in 23 developing countries: an analysis of a multicountry, facility-based, cross-sectional survey. Lancet 2013;381(9865):476-83.

Shin D, Song WO. Prepregnancy body mass index is an independent risk factor for gestational hypertension, gestational diabetes, preterm labor, and small- and large-for-gestational-age infants. J Matern Fetal Neonatal Med 2015;28(14): 1679-86.

Tian C, Hu C, He X, Zhu M, Qin F, Liu Y, et al. Excessive weight gain during pregnancy and risk of macrosomia: a metaanalysis. Arch Gynecol Obstet 2016;293(1):29-35.

Alberico S, Montico M, Barresi V, Monasta L, Businelli C, Soini V, et al. The role of gestational diabetes, pre-pregnancy body mass index and gestational weight gain on the risk of newborn macrosomia: results from a prospective multicentre study. BMC Pregnancy Childbirth 2014; 14:23.

Beta J, Khan N, Khalil A, Fiolna M, Ramadan G, Akolekar R. Maternal and neonatal complications of fetal macrosomia: systematic review and meta-analysis. Ultrasound Obstet Gynecol 2019;54(3):308-18.

Gherman RB, Ouzounian JG, Satin AJ, Goodwin TM, Phelan JP. A comparison of shoulder dystocia-associated transient and permanent brachial plexus palsies. Obstet Gynecol 2003;102(3):544-8.

Rogers I, EURO-BLCS Study Group. The influence of birthweight and intrauterine environment on adiposity and fat distribution in later life. Int J Obes Relat Metab Disord 2003; 27:755-77.

Sin DD, Spier S, Svenson LW, Schopflocher DP, Senthilselvan A, Cowie RL, et al. The relationship between birth weight and childhood asthma: a population-based cohort study. Arch Pediatr Adolesc Med 2004;158(1):60-4.

Harder T, Rodekamp E, Schellong K, Dudenhausen JW, Plagemann A. Birth weight and subsequent risk of type 2 diabetes: a meta-analysis. Am J Epidemiol 2007;165(8):849-57.

Poon L, Karagiannis G, Stratieva V, Syngelaki A, Nicolaides K. First-trimester prediction of macrosomia. Fetal Diagn Ther 2011; 29:139-47.

Frick AP, Syngelaki A, Zheng M, Poon LC, Nicolaides KH. Prediction of large-for-gestational-age neonates: screening by maternal factors and biomarkers in the three trimesters of pregnancy. Ultrasound Obstet Gynecol 2016;47(3):332-9.

Bowers K, Laughon SK, Kiely M, Brite J, Chen Z, Zhang C. Gestational diabetes, pre-pregnancy obesity and pregnancy weight gain in relation to excess fetal growth: variations by race/ethnicity. Diabetologia 2013;56(6):1263-71.

Goto E. Symphysis-fundal height to identify large-for-gestational-age and macrosomia: a meta-analysis. J Obstet Gynaecol 2020;40(7):929-35.

Sarris I, Ioannou C, Chamberlain P, Ohuma E, Roseman F, Hoch L, et al. Intra- and interobserver variability in fetal ultrasound measurements. Ultrasound Obstet Gynecol 2012;39(3):266-73.

Hoopmann M, Abele H, Wagner N, Wallwiener D, Kagan KO. Performance of 36 different weight estimation formulae in fetuses with macrosomia. Fetal Diagn Ther 2010;27(4):204-13.

Malin GL, Bugg GJ, Takwoingi Y, Thornton JG, Jones NW. Antenatal magnetic resonance imaging versus ultrasound for predicting neonatal macrosomia: a systematic review and meta-analysis. BJOG An Int J Obstet Gynaecol 2016;123(1): 77-88.

Maruotti GM, Saccone G, Martinelli P. Third trimester ultrasound soft-tissue measurements accurately predict macrosomia. J Matern Fetal Neonatal Med 2017;30(8):972-6. Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstet.

Moraitis AA, Shreeve N, Sovio U, Brocklehurst P, Heazell AEP, Thornton JG, et al. Universal third-trimester ultrasonic screening using fetal macrosomia in the prediction of adverse perinatal outcome: a systematic review and meta-analysis of diagnostic test accuracy. PLoS Med 2020;17(10): e1003190.

Wastlund D, Moraitis AA, Thornton JG, Sanders J, White IR, Brocklehurst P, et al. The cost-effectiveness of universal late pregnancy screening for macrosomia in nulliparous women: a decision analysis. BJOG An Int J Obstet Gynaecol 2019; 126(10):1243-50.

Melamed N, Yogev Y, Meizner I, Mashiach R, Ben-Haroush A. Sonographic prediction of fetal macrosomia: the consequences of false diagnosis. J Ultrasound Med 2010;29(2):225-30.

Rouse DJ, Owen J, Goldenberg RL, Cliver SP. The effectiveness and costs of elective cesarean delivery for fetal macrosomia diagnosed by ultrasound. J Am Med Assoc 1996;276(18):1480-6.

Boulvain M, Senat M-V, Perrotin F, Winer N, Beucher G, Subtil D, et al. Induction of labour versus expectant management for large-for-date fetuses: a randomised controlled trial. Lancet 2015;385(9987):2600-5.

Magro-Malosso ER, Saccone G, Chen M, Navathe R, Di Tommaso M, Berghella V. Induction of labour for suspected macrosomia at term in non-diabetic women: a systematic review and meta-analysis of randomized controlled trials. BJOG An Int J Obstet Gynaecol 2017;124(3):414-21.

Boulvain M, Irion O, Dowswell T, Thornton JG. Induction of labour at or near term for suspected fetal macrosomia. Cochrane Database Syst Rev 2016;(5).

Ibiebele I, Bowen JR, Nippita TA, Morris JM, Ford JB. Childhood health and education outcomes following early term induction for large-for-gestational age: a population-based record linkage study. Acta Obstet Gynecol Scand 2018;98(4): 423-32.

Macrosomia: ACOG Practice Bulletin Summary, Number 216. Obstet Gynecol 2020;135(1):246-8.

RCOG Shoulder Dystocia (Green-top Guideline No. 42). 2012. Published 28-03-2012, https://www.rcog.org.uk/en/ guidelines-research-services/guidelines/gtg42/#: ~:text¼Shoulder%20Dystocia%20%28Green-top%20Guideline%20No.% 2042%29%20This%20guideline, edition%20of%20this%20guideline%20is%20currently%20in%20development. [Accessed 23 August 2021].

McGrath RT, Glastras SJ, Hocking SL, Fulcher GR. Large-for-gestational-age neonates in type 1 diabetes and pregnancy: contribution of factors beyond hyperglycemia. Diabetes Care 2018;41(8):182-8.

Lee VR, Niu B, Kaimal A, Caughey AB. Induction of labor for suspected macrosomia: a cost-effectiveness analysis: [325]. Obstet Gynecol 2015; 125:103S.

Banner H, D'Souza R. Towards an evidence-based approach to optimize the success of labour induction. Best Pract Res Clin Obstet Gynaecol 2021; 77:129-43.

Cheng ER, Declercq ER, Belanoff C, Stotland NE, Iverson RE. Labor, and delivery experiences of mothers with suspected large babies. Matern Child Health J 2015;19(12):2578-86.

Declercq ER, Cheng ER, Sakala C. Does maternity care decision-making conform to shared decision- making standards for repeat cesarean and labor induction after suspected macrosomia? Birth 2018;45(3):236-44.

Vercellini P, Fumagalli M, Consonni D, Braud L, Barbara G, Lurlaro E, et al. Historic cohort study on mode of delivery of a macrosomic baby: the women’s point of view. Acta Obstet Gynecol Scand 2015;94(11):1235-44.

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Published

2023-09-15

How to Cite

Salvatore Felis. (2023). Induction of labor in case of suspected macrosomia: Research Article. American Journal of Medical and Clinical Research & Reviews, 2(9), 1–11. https://doi.org/10.58372/2835-6276.1076

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