You might not be able to prevent fetal macrosomia, but you can promote a healthy pregnancy.
April 16, 2015
- Schedule a preconception appointment. If you're considering pregnancy, talk to your health care provider. If you're obese, he or she might also refer you to other health care providers — such as a registered dietitian or an obesity specialist — who can help you make changes in your lifestyle and reach a healthy weight before pregnancy.
- Monitor your weight. Gaining a healthy amount of weight during pregnancy — often 25 to 35 pounds (about 11 to 16 kilograms) — supports your baby's growth and development. There's no one-size-fits-all approach to pregnancy weight gain, though. Work with your health care provider to determine what's right for you.
- Manage diabetes. If you had diabetes before pregnancy or you develop gestational diabetes, work with your health care provider to manage the condition. Controlling your blood sugar level is the best way to prevent complications, including fetal macrosomia.
- Include physical activity in your daily routine. Follow your health care provider's recommendations for physical activity.
- Copel JA, et al. Fetal macrosomia. In: Obstetric Imaging. Philadelphia, Pa.: Saunders Elsevier; 2012. http://www.clinicalkey.com. Accessed Feb. 8, 2015.
- Allen K, et al. Fetal macrosomia. Obstetrics, Gynaecology and Reproductive Medicine. 2013;23:6.
- Chatfield J. ACOG issues guidelines on fetal macrosomia. American Family Physician. 2001;64:169.
- Abramocwicz JS, et al. Fetal macrosomia. http://www.uptodate.com/home. Accessed Feb. 8, 2015.
- Vendittelli F, et al. Is prenatal identification of fetal macrosomia useful? European Journal of Obstetrics & Gynecology and Reproductive Biology. 2012;161:170.
- Negrato CA, et al. Adverse pregnancy outcomes in women with diabetes. 2012;4:41.
- Frequently asked questions. Pregnancy FAQ098. Special tests for monitoring fetal health. American Congress of Obstetricians and Gynecologists. http://www.acog.org/Patients/FAQs/Special-Tests-for-Monitoring-Fetal-Health . Accessed Feb. 10, 2015.
- Koyanagi A, et al. Macrosomia in 23 developing countries: An analysis of a multicountry, facility-based, cross-sectional survey. The Lancet. 2013:381:476.
- Lim CC, et al. Obesity in pregnancy. Best Practice & Research Clinical Obstetrics and Gynaecology. In press. Accessed Feb. 8, 2015.
- Routine prenatal care. Bloomington, Minn.: Institute for Clinical Systems Improvement. https://www.icsi.org/guidelines__more/. Accessed Feb. 8, 2015.
- American College of Obstetricians and Gynecologists (ACOG) Committee on Practice Bulletins — Obstetrics. ACOG Practice Bulletin No. 22: Fetal macrosomia. Obstetrics & Gynecology. 2000;96:1.
- Wick MJ (expert opinion). Mayo Clinic, Rochester, Minn. Feb. 12, 2015.
- Manning FA. The fetal biophysical profile. http://www.uptodate.com/home. Accessed Feb. 12, 2015.
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