Factors associated with fetal macrosomia
Bibliographic Data
| ID | 16780428 |
|---|---|
| Authors | Vanessa Agudelo-Espitia (0000-0003-3561-286X, EIA University), Beatriz Elena Parra-Sosa (0000-0001-8808-7515, Universidad de Antioquia), Sandra Lucía Restrepo-Mesa (0000-0002-3938-4238, Universidad de Antioquia) |
| Year | 2019 |
| Volume | 53 |
| Pages | 100 |
| Publication date | 2019-11-21 |
| Peer Reviewed | Yes |
| Open Access | Yes |
| Type | ARTICLE |
| Venue | Revista de Saúde Pública (JOURNAL) |
| Journal identifiers | ISSN: 0034-8910 • E-ISSN: 0034-8910 |
| Publisher | Universidade de São Paulo. Agência de Bibliotecas e Coleções Digitais (PUBLISHER) |
| DOI | 10.11606/s1518-8787.2019053001269 |
| PMID | 31800911 |
| OpenAlex | W2989703543 |
| Language | EN |
| Citations received | 1 |
| References cited | 4 |
OBJECTIVE: To evaluate the clinical factors, as well as weight gain, in a group of pregnant women, associating them with fetal macrosomia in a public institution in Antioquia, Colombia, from 2010-2017. METHODS: A case-control study, using secondary information registries. Cases were defined using newborn weight of ≥ 4000g, while controls were defined as newborn weight between 3000– 3999g. A proportion ratio (PR) was established to evaluate factors associated with macrosomia, and a generalized linear model (GLM) of Poisson regression with robust variance was used to evaluate the aspects that best explained macrosomia in the neonate. RESULTS: 122 pregnant women participated in the study, of which 611 were cases and 61 were controls. Of the participants, 44.3% had pre-pregnancy overweight and 48.4% had excess gestational weight gain. Statistically significant differences were found between the groups in the following variables: pre-pregnancy BMI (p = 0.004), gestational weight gain (p = 0.000), gestational diabetes (p = 0.000), and type of delivery (p = 0.004). According to the regression model, a macrosomic newborn is 3.5 times more likely in women with excessive gestational weight gain (95%CI 1.78-7.18) and twice more likely in women who have gestational diabetes (95%CI 1.51-2.76). Of women with pre-pregnancy excess weight, 63% had excess gestational weight gain. CONCLUSIONS: Within this cohort, pre-pregnancy BMI, excess weight gain in pregnancy, and the presence of gestational diabetes were associated with an increased risk of neonatal macrosomia. pre-pregnancy BMI and weight gain in pregnancy are modifiable risk factors that are responsive to nutrition interventions, which can minimize adverse perinatal outcomes
Birth weight · Body mass index · Body weight · Fetal macrosomia · Gestation · Gestational age · Gestational diabetes · Obstetrics · Overweight · Pregnancy · Weight gain · Cancer Risks and Factors · Gestational Diabetes Research and Management · Internal Medicine · Medicine · Pregnancy and preeclampsia studies
| Unique citing works | 1 |
|---|---|
| Citations per year | 1 |
| Citation span | 2025 - 2025 (1) |
| Citation velocity | recent |
| Highly cited | No |
| Citation types | Neutral: 1 |