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Etiology, Detection, and Management of Fetal Macrosomia in Pregnancies Complicated by Diabetes Mellitus


Clinical Obstetrics and Gynecology: December 2007 - Volume 50 - Issue 4 - p 980-989
doi: 10.1097/GRF.0b013e31815a6242
Diabetes Mellitus in Pregnancy

Babies of mothers who have diabetes are more likely than babies of nondiabetic women to be large for gestational age. A greater proportion of their birth weight consists of fat mass, much of which is distributed to the trunk and abdomen. The maternal and fetal consequences of diabetic fetopathy, theories and evidence of how it develops, and management considerations relative to excessive growth of the fetus of a diabetic woman are explored in this chapter.

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*Division of Maternal-Fetal Medicine, Department of Obstetrics and Gynecology, Kaiser Foundation Hospital, Bellflower

Department of Obstetrics and Gynecology, Keck School of Medicine, University of Southern California, Los Angeles, California

Correspondence: David A. Sacks, MD, Department of Obstetrics and Gynecology Kaiser Foundation Hospital, 9400 East Rosecrans Avenue, Bellflower, CA 90706. E-mail:

© 2007 by Lippincott Williams & Wilkins.