Patient's question:
During pregnancy, I ate too much nutritious food and was worried that the child would be a macrosomia. How should it be diagnosed?Doctor's answer:
A newborn with a birth weight exceeding 4 kilograms is considered macrosomic. Due to their large size, they are at higher risk of experiencing birth asphyxia and birth injuries.Recommendations:
Generally, mothers with diabetes are more likely to give birth to macrosomic infants, or their mothers may have consumed excessive amounts of food during pregnancy, which can lead to macrosomia.
The diagnosis of macrosomia primarily relies on the measurement of fetal volume and weight. Currently, the positive predictive rate of ultrasound for diagnosing macrosomia averages only 67%, so ultrasound should not be overly relied upon.