Macrosomia

from Wikipedia, the free encyclopedia
Classification according to ICD-10
P08 Disorders associated with long gestation periods and high birth weight
ICD-10 online (WHO version 2019)

Macrosomia , (from the Greek  μακρός macros 'large', 'wide', 'long' and the Greek  σῶμα sṓma 'body') denotes an abnormal size of the body , body parts or organs, i.e. a tall stature.

In contrast to gigantism , also gigantism or Hypersomie called, but with "macrosomia" mostly fetal called macrosomia.

Fetal macrosomia

Note: All average values ​​given here apply exclusively to Europeans or their descendants. Different percentiles apply to children from other population groups.

Macrosomia is defined as a birth weight above the 95th  percentile (4350 g). The normal weight at the completed 40th week of pregnancy for male singles is 3600 g. Normal birth weights are within a tolerance range of 10%. In macrosomal fetuses, the deviation can be up to 20%.

Macrosome fetuses are usually caused by maternal diabetes mellitus or gestational diabetes (gestational diabetes).

Nowadays, doctors and midwives educate people about the risk of shoulder dystocia in fetal macrosomia and planned vaginal delivery . It has been shown that the risk of this increases by a factor of 10–20 from a birth weight of 4000 g.

In the context of syndromes

The term macrosomia occurs in the following syndromes:

See also

literature

  • M. Bleichenbacher, AF Haenel: The perinatal risk with significant macrosomia. Analysis based on the database of the Association of Swiss Women's Clinics (ASF) 1983-1992. In: Obstetrics and gynecology. Vol. 55, No. 6, June 1995, pp. 339-344, doi : 10.1055 / s-2007-1023329 , PMID 7657143 .
  • M. Kolben, KT Schneider, C. Thieme, J. Schöffel, H. Graeff: Macrosomia of the fetus and clinical relevance. In: Obstetrics and gynecology. Vol. 50, No. 4, April 1990, pp. 270-277, doi : 10.1055 / s-2007-1026476 , PMID 2358178 .

Individual evidence

  1. ↑ Willibald Pschyrembel : Clinical Dictionary , 266th, updated edition, de Gruyter, Berlin 2014, ISBN 978-3-11-033997-0, keyword: macrosomia
  2. ↑ a b Entry on macrosomia in Flexikon , a Wiki of the DocCheck company
  3. ↑ a b Emedicine
  4. ^ MOMO syndrome. In: Orphanet (Rare Disease Database).
  5. ↑ Macrosomia - microphthalmia - cleft palate. In: Orphanet (Rare Disease Database).
  6. ^ Perlman syndrome. In: Orphanet (Rare Disease Database).

Web links