GROWTH DISCREPANCY: Large for Gestational Age

GROWTH DISCREPANCY: Large for Gestational Age Growth Discrepancy Multiparity Previous history of large for gestational age fetus Aboriginal, Hispanic, and Caucasian races Maternal co-morbidities (e.g. diabetes, obesity) Excessive weight gain over course of pregnancy (>40 lbs) Small for Gestational Age(Growth < 10th percentile for GA) Large for Gestational Age (Growth > 90th percentile for GA) MATERNAL COMPLICATIONS Prolonged labour Operative vaginal delivery Caesarean section Genital tract lacerations Post-partum hemorrhage Uterine ruptureFetal factorsMaternal Factors Male infant Prolonged gestation (>41 weeks) Genetic disorder (e.g. Sotos syndrome, Beckwith-Wiedemann syndrome, Weaver's syndrome) FETAL COMPLICATIONS Shoulder dystocia Birth injury (brachial plexus injury, clavicular fracture) Cerebral palsy secondary to hypoxia Hypoglycemia Polycythemia Perinatal asphyxia Hyperbilirubinemia