How to Handle a Large Fetus?

Reasonable Diet Allocation for Large Fetuses

To ensure a reasonable diet allocation for large fetuses, some high-calorie foods should be avoided, and foods with high fat content are also not suitable. When cooking, it is recommended to choose vegetable oils. Additionally, pregnant women should engage in appropriate exercise to prevent the fetus from becoming excessively large. Taking a half-hour walk after each meal can also aid in digestion.

Impacts of Large Fetuses

1. It can easily cause damage to the uterus during delivery. The incidence of disproportionate head-pelvis relationship in macrosomia increases, making it difficult for the fetal head to enter the pelvis after labor. Since the shoulder diameter of macrosomia is greater than the biparietal diameter, shoulder dystocia is prone to occur during vaginal delivery. The incidence of shoulder dystocia is directly proportional to the weight of the fetus. Improper handling of shoulder dystocia can lead to severe soft birth canal injuries or even uterine rupture.

2. It can lead to uterine prolapse. After childbirth, uterine prolapse and protrusion of the anterior and posterior vaginal walls may occur due to excessive stretching or rupture of the pelvic floor tissues during delivery.

3. It increases the chances of cesarean delivery. The likelihood of switching from vaginal delivery to cesarean delivery due to the large size of the fetus increases.

4. It increases the risk of postpartum hemorrhage and infection. Due to the large size of the fetus, postpartum hemorrhage and infection are more likely to occur due to excessive uterine expansion, uterine contraction weakness, and prolonged labor.