Babies are born with weight on the 4 pounds can be categorized as a giant baby. In medicine, giant baby called macrosomia . The emergence of such infants is caused by several factors. First, the conditional factor or merely suspected causes, such as his parents were big or because it is the environment (nutritional factors) that allows the baby has a big BB. Second, the factors of pregnant women who suffer from diabetes mellitus. Third, maternal factors are overweight (obesity), and final, factor women experience more months of pregnancy.
The problem and quite often happens is the second factor, when pregnant mothers have diabetes mellitus or commonly called gestational diabetes (diabetes caused by pregnancy).
The first few minutes before the birth of a baby was crucial because of the risk to the baby "giant" is hypoglycemia (blood sugar less than 40). In fact, hypoglycemia in infants should not happen, because the greatest threat is the baby could be seizures and hypoxia, ultimately damaging the brain.
In addition to checking the sugar levels in the baby after she was born, the doctor also must be ready to give to the baby sugar intake so that hypoglycemia does not occur. If the condition is still considered healthy, the child is given a sugar drink. But if otherwise, the doctor will give your sugar intake by infusion. Usually, if action is taken immediately at the first hours of a baby is born, after such treatment the baby sugar levels will return to normal. Seizures and hypoxia will not occur. The child safe from the threat of brain damage and other vital organs such as kidneys, heart, and digestion.
After the crisis passes, what else should be done by a doctor?
Doctors will monitor and ask parents to keep the baby BB to stay in the normal range, or at least not make it grow. The best way to do this is to give exclusive breastfeeding, and continued with the provision breast milk substitute governance and subsequent food intake is measured.
Remember, milk is the main because the nutrients are in accordance with the needs of the baby at the time. Mothers are advised not to give formula milk because we can not determine how much the baby needs to get ideal nutrition with milk formula. Formula milk protein is also difficult to digest that accumulate in the baby body. Not only the babies born with weight above the average, normal baby even if given formula milk can turn it into a baby "giant".
How to giant baby weight is not "too far"?
Giant weight baby should be strictly controlled. Weight should not increase more than 1 kg / month in the first three months after birth. Three months later, the maximum increase its weight 600 gr. Three months later decreased again, every month should not exceed 300-400 grams.
Targets will be achieved if the mother gives milk. But if give formula, breast milk do mix. That is, the day your baby fed on formula in accordance with the recommended dose of doctor. In the evening, let your baby suckle. It does not matter if the milk did not come out.
What else needs to be considered in this big baby care?
Another risk is the giant baby's immune too great response, so if the baby is exposed to dengue fever , the risk of crisis is higher than babies who the immune normal response. Because of that the baby must be kept completely healthy to avoid diseases due to bacteria, germs , viruses, and so on.
Infants are also prone diabetes mellitus (DM). Because the baby "giant", fat-fat in the body makes insulin resistance. In effect, the baby's body is not able to process sugar into the body from food or drink. Finally, the sugar in the blood will increase. In the long run, if the weight was allowed to grow out of control, as in the productive age are likely to suffer stroke, heart, and hypercolesterol, big enough.
Given the risk of major health problems, can avoid the delivery giant baby?
It could be. For example, the mother keep her weight during pregnancy in normal limits. A study conducted by the Association of American Obstetrics and Gynecology, published in the journal Obstetrics and Gynecology, revealed, pregnant mothers who experienced an increase in body weight over 18 kg still great potential to have the baby even if he did not have gestational diabetes. This is because fat-risk pregnant women 4 to 12 times to give birth to large babies.
The most high-risk groups are pregnant women who experienced an increase in body weight over 18 kg and gestational diabetes, where nearly 30% of this group of big babies. While the normal weight pregnant women have diabetes and who gave birth to large babies ranged in number only 13.5%.
Also, keep in mind that the fetus is too big a risk complicates the process of birth, such as increasing the possibility tear or vaginal bleeding, and the possibility to give birth through fault operations. While the fetus itself at risk of "stuck" in the shoulder or collarbone broken during delivery. Therefore, try mother's weight during labor in normal limits, so baby's weight when born was also the normal range.
