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What is In 34 weeks gestation the weight of baby was 3kg.The child shows following features may indicate wof associated condition and explain in detail?
Diabetic mother and macrosomia: - Macrosomia defined as excessively large baby (>4kg) Causes are: - * Obesity * Poorly controlled maternal diabetes and gestational diabetes * Postmaturity * Multiparity * Male fetus. In diabetes: Excessive glycemia produce macrosomia due to insulin and insulin like growth factors. Indication of cesarian section:- * >4.5 kg in case of diabetic mother * >5 kg in case of non diabetic mother Ref:- Williams obstetrics 25th Edition; Pg num:- 19/30