ArticleRevista de saude publica2019
Factors associated with fetal macrosomia.
Article in Revista de saude publica, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.
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Who cites it
16 citing papers in PubMed, 51 citations in OpenAlex.
- Differences in fetal soft tissue thickness between GDM and non-GDM pregnancies and an exploratory nomogram for LGA prediction.BMC pregnancy and childbirth · 2026Article
- Gestational weight gain according to pre-pregnancy body mass index of a group of Latin American adolescents and its association with newborn birth weight.Cadernos de saude publica · 2025Article
- Gestational Outcomes Related to the Occurrence of Gestational Diabetes Mellitus: A Cohort Study.Healthcare (Basel, Switzerland) · 2024Article
- Perinatal factors and early neonatal outcomes of abnormal birthweight infants in Hangzhou, China, 2015-2021: a retrospective cohort study.BMJ paediatrics open · 2024Article
- Comparisons of the Rates of Large-for-Gestational-Age Newborns between Women with Diet-Controlled Gestational Diabetes Mellitus and Those with Non-Gestational Diabetes Mellitus.Clinics and practice · 2024Article
- Fetal weight estimation based on deep neural network: a retrospective observational study.BMC pregnancy and childbirth · 2023Observational
- The Effect of Maternal Race, Ethnicity, and Nativity on Macrosomia Among Infants Born in the United States.Cureus · 2023Article
- [Maternal-fetal outcomes in women with gestational diabetes in an intensive control program].Revista medica del Instituto Mexicano del Seguro Social · 2023Observational
- Maternal Obesity, Gestational Diabetes, and Fetal Macrosomia: An Incidental or a Mechanistic Relationship?Maternal-fetal medicine (Wolters Kluwer Health, Inc.) · 2023Article
- Extreme fetal macrosomia at 42 gestational weeks: a case report and literature review.Case reports in perinatal medicine · 2022Article
- Protective Effect of Maternal First-Trimester Low Body Mass Index Against Macrosomia: A 10-Year Cross-Sectional Study.Frontiers in endocrinology · 2022Article
- Eating behavior in a group of overweight pregnant women in two municipalities of Antioquia, Colombia: qualitative studyRevista colombiana de obstetricia y ginecologia · 2021Article
- A new approach to predicting shoulder dystocia: fetal clavicle measurementTurkish journal of medical sciences · 2021Observational
- Factors associated with small- and large-for-gestational-age in socioeconomically vulnerable individuals in the 100 Million Brazilian Cohort.The American journal of clinical nutrition · 2021Article
- The Role of Maternal Weight in the Hierarchy of Macrosomia Predictors; Overall Effect of Analysis of Three Prediction Indicators.Nutrients · 2021Article
- Excessive Maternal Weight and Diabetes Are Risk Factors for Macrosomia: A Cross-Sectional Study of 42,663 Pregnancies in Uruguay.Frontiers in endocrinology · 2020Observational
Corrections and comments
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Authors and funding
3 authors at 2 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo 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.
methodsA 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.
results122 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.
conclusionsWithin 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.
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