LARGE FOR GESTATIONAL AGE

Large for Gestational Age (Growth > 90th percentile for GA) Maternal Factors Genetic/ethnic predisposition Maternal diabetes or hyperinsulinism Fetal Factors Prolonged gestation (>41 weeks) Genetic disorder (e.g., Sotos syndrome, Beckwith-Wiedemann syndrome) Normal variation Maternal Complications Prolonged labour Operative vaginal delivery Caesarean section Genital tract lacerations Post-partum hemorrhage Uterine rupture Fetal Complications Shoulder dystocia Birth injury (brachial plexus injury, clavicular fracture) Cerebral palsy secondary to hypoxia Hypoglycemia Polycythemia Perinatal asphyxia Hyperbilirubinemia