Fascinating case and an important reminder 
a 5.2 kg newborn definitely raises clinical curiosity. You’re right, maternal diabetes tops the list, but genetic and endocrine causes like Sotos syndrome, Beckwith-Wiedemann syndrome, and even maternal obesity or post-term pregnancy can contribute too.
In my view, such cases highlight how LGA babies aren’t just delivery challenges they’re diagnostic clues that push us to look deeper into both maternal and neonatal health.
#Neonatology #ClinicalInsights