The Biggest Baby Ever Delivered In Our Centre – A Case Report
Authors/Creators
- 1. Department of Obstetrics and Gynaecology, Federal University Teaching Hospital Owerri, Imo State Nigeria
Description
Fetal macrosomia is a major contributor to obstetric morbidity. It is an important cause of maternal and perinatal morbidities. Fetal macrosomia is not always predictable either clinically or through ultrasound. It calls for close attention during labour and delivery .
We report the case of the 6.8kg male baby which was delivered in our centre through an emergency caesarean section at the gestational age of 42 weeks.
She was a 22 year old primigravida who booked antenatal care at the gestational age of 17 weeks. At booking her booking parameters were, booking weight of 69kg, height of 160cm, body mass index was 27kg/m2, Blood pressure was 110/70mmHg, Urine analysis was normal and random blood sugar was 97mg/dl.
Pregnancy was uneventful until 33 weeks gestation when she had glycosuria (+1) and she was requested to do glucose challenge test, however she absconded and presented at the gestational age of 42 weeks through the emergency obstetric ward of our Centre with the history of liquor drainage of seven hours duration and ultrasound report with fetal weight estimation of 4.4kg and a repeat ultrasound scan at presentation, showed fetal weight estimation of 5kg.
She had an emergency caesarean section and the outcome was a live male neonate with good Apgar score and birth weight of 6.8kg. The baby was admitted in the special care baby Unit for 24 hours and was discharged to the mother at the lying in-ward. Mother was discharged after five days. Both mother and baby are still doing well.
Fetal macrosomia is a serious medical concern, hence the need to report the biggest baby ever delivered in our Centre.