lystn

Practice Bulletin #216 - Published January 2020 Five pearls: 1. Large babies come with a relatively higher risk to mom and baby, but absolute risks remain low. 2. Shoulder dystocia is generally difficult to. predict, but in diabetic patients with large fetuses, the risk is significantly higher, especially if vacuum or forceps is attempted. 3. Ultrasound is. notoriously inaccurate at predicting fetal weight (+/- 15%), and it's no better than using your hands or asking your patient to guess based on a previous pregnancy. 4. Diet, insulin and exercise are helpful in preventing macrosomia. 5. Inducing labor if fetus found to be macrosomic is not indicated. C-section reasonable if fetus measuring g4500 g in a diabetic patient or g5000 g in a non-diabetic patient Shout-outs: - Maryn Green, CPM (her podcast, on Twitter, Instagram) - Sunita Puri, MD (buy her book on Amazon)SHOW NOTES This episode pairs nicely with the 2014 Restitution Red Wine Blend from Magistrate Wines. Main theme music by my main amigo, Evan Handyside