What birth weight range is associated with an increased risk of labor abnormalities?

Study for the ABOG Oral Boards Obstetrics Test. Study with flashcards and multiple choice questions, each question has hints and explanations. Get ready for your exam!

Birth weights ranging from 4000 to 4499 grams are associated with an increased risk of labor abnormalities due to several factors related to fetal size and maternal anatomy. Infants in this weight range are considered to be on the higher end of the normal spectrum but still fall into the category that can lead to complications during labor and delivery.

One primary concern with heavier infants is the potential for macrosomia, which can complicate the labor process due to the size of the baby relative to the birth canal. Larger fetuses might lead to prolonged labor, increased instances of operative delivery (such as vacuum extraction or cesarean section), and a higher likelihood of shoulder dystocia, which poses risks to both the infant and mother.

Additionally, mothers carrying heavier infants might experience more difficulty with uterine contractions or have an increased risk of uterine atony following delivery, factors that could further complicate the labor process. Recognizing this weight range is vital for healthcare providers to assess the potential risks and manage labor more effectively, monitoring for complications that can arise during delivery.

In contrast, lower weight categories, especially those significantly under 4000 grams, typically do not pose the same level of concern for labor abnormalities. While extremely low birth weights can be associated with their

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