KA22.0
category
Exceptionally large newborn
Definition
An exceptionally large baby, also known as fetal macrosomia, is defined as a weight at birth of > 4000 g. regardless of fetal gestational age. Risks factors for fetal macrosomia include: a history of previous macrosomia, increased pre pregancy weight, increased weight gain during pregnancy, multiparity, male fetus, maternal age <17 years and a positive 50-g glucose screen with a negative 3 hour glucose tolerance test. Shoulder dystocia is the most serious complication associated with fetal macrosomia. In addition, there is an increased incidence of fracture of the clavicle and brachial plexus injury
Coding note
When both birth weight and gestational age are available, priority of assignment should be given to birth weight.
Exclusions
Also indexed as
Birth weight 4500 grams or moreExceptionally large newbornOversize fetusexcessively large fetus or infantmacrosomia