A 6.2 Kg macrosomia in a non-diabetic mother managed with no adverse outcomes in a resource limited setting: A case report

Abstract

Introduction and importance

When a baby's birth weight surpasses the 90th percentile for a certain gestational week, it is referred to as macrosomia. The growing prevalence of fetal macrosomia presents an impending concern in the field of obstetrics. Numerous complications for both the mother and the fetus are linked to macrosomia. We present a case of macrosomia that weighed 6.2 kg, delivered in a low resource setting in which no early neonatal or maternal complication occurred.

Case presentation

We present a 41-year-old woman gravida 8 para 7 + 0 that presented at 42 weeks of amenorrhea. On examination at admission, the body mass index was 42.5kg/m2, Ultrasonography was suggestive of severe oligohydramnios with an estimated fetal weight of 5.5 kg. The decision to deliver the baby by an elective cesarean section was made. The baby weighed 6.2 kg and did not have any physical abnormalities. At discharge, both the mother and baby were healthy.

Clinical discussion

A positive outcome requires tailored therapy for each patient because macrosomia is linked to numerous maternal and fetal complications.

Conclusion

Making a timely decision to have a cesarean delivery when indicated, as was done in this instance, can lower the rate of maternal and neonatal morbidity.