Macrosomia fetal

Abstract

Introduction: Fetal macrosomia is considered the most frequent complication related to gestational diabetes, with a high morbidity rate. According to the worldwide incidence, this alteration represents 15 to 45% of newborns of diabetic mothers. macrosomic is considered to be all neonates whose birth weight is> 4000 g, that is, their weight is equal to or greater than the 90th percentile according to their gestational age. The present investigation is a clinical case study in a patient who has had diabetes mellitus for 1 year and a half, whose product manifested fetal macrosomia, due to associated complications at the Angela Loayza Obstetric Hospital in Ollague, during the month of February 2020. The The conduct of this study was motivated by the evidence of complications caused by diabetes mellitus in both the mother and the newborn and the high rate of maternal and perinatal morbidity and mortality described worldwide. Objective: For this research work, the objective is to design nursing care plans in a complicated macrosomic newborn through bibliographic reviews and analysis of the newborn's clinical history, to reduce complications in the newborn from the first level of care that is offered to the pregnant woman, avoiding maternal and fetal complications in diabetic women, controlling the level of glycemia and modifiable factors of their daily life that favors the reduction of the incidence of newborns due to fetal macrosomia.