Prevalence of Macrosomia and its Related Factors among Singleton Live-Birth in Tehran Province, Iran

Document Type : Original Article (s)

Authors

1 PhD Student, Department of Epidemiology and Reproductive Health, Reproductive Epidemiology Research Center, Royan Institute for Reproductive Biomedicine, The Academic Center for Education, Culture and Research (ACECR), Tehran, Iran

2 Assistant Professor, Department of Epidemiology and Reproductive Health, Reproductive Epidemiology Research Center, Royan Institute for Reproductive Biomedicine, The Academic Center for Education, Culture and Research (ACECR), Tehran, Iran

Abstract

AbstractBackground: Macrosomia is a risk factor for adverse delivery outcomes. The aim of this study was to determine the rate of macrosomia among singleton life-birth, and identify factors associated with it.Methods: This cross-sectional study was conducted on 4342 pregnant women who gave singleton live-birth in Tehran province, Iran, during 6-21 July 2015. Data were collected using a researcher-made questionnaire through interview with mothers and review of their medical records. To identify factor associated with macrosomia, logistic regression model was used.Findings: The macrosomia rate was 3.4% in this study. In univariate analysis, higher maternal age, height, body mass index, gestational age, birth order and history of stillbirth and male infant sex were associated with macrosomia. Moreover, multivariate analysis showed a significant relationship between macrosomia and higher height, body mass index, gestational age, birth order and male infant sex.Conclusion: According to the results, factors such as mother’s age, height, body mass index, and gestational age, birth order and male infant sex were associated with macrosomia. Considering these factors could be effective in determining at-risk neonates and reducing maternal-infant side-effects of macrosomia.

Keywords

References

  1. Henriksen T. The macrosomic fetus: a challenge in current obstetrics. Acta Obstet Gynecol Scand 2008; 87(2): 134-45.
  2. Hamilton BE, Martin JA, Osterman MJ, Curtin SC, Matthews TJ. Births: Final Data for 2014. Natl Vital Stat Rep 2015; 64(12): 1-64.
  3. Koyanagi A, Zhang J, Dagvadorj A, Hirayama F, Shibuya K, Souza JP, et al. Macrosomia in 23 developing countries: an analysis of a multicountry, facility-based, cross-sectional survey. Lancet 2013; 381(9865): 476-83.
  4. Stotland NE, Caughey AB, Breed EM, Escobar GJ. Risk factors and obstetric complications associated with macrosomia. Int J Gynaecol Obstet 2004; 87(3): 220-6.
  5. Chatfield J. ACOG issues guidelines on fetal macrosomia. American College of Obstetricians and Gynecologists. Am Fam Physician 2001; 64(1): 169-70.
  6. Cunningham F, Gant N, Leveno K, Gilstrap L, Hauth J, Wenstrom K. Mechanisms of normal labor. In: Cunningham FG, Editor. Williams obstetrics. 21st ed. New York, NY: McGraw-Hill; 2001.
  7. Haram K, Pirhonen J, Bergsjo P. Suspected big baby: a difficult clinical problem in obstetrics. Acta Obstet Gynecol Scand 2002; 81(3): 185-94.
  8. Ghanbari Z, Emamzdeh A, Bagheri M. The prevalence and risk factors of fetal macrosomia: cross sectional study of 2000 neonates. Tehran Univ Med J 2008; 66(6): 432-6. [In Persian].
  9. Hematyar M, Poormoslemi A. Prevalence and etiologies of macrosomia and low birth weight in 1000 neonates at Javaheri Hospital in Tehran. J Nurs Midwifery Shahid Beheshti Univ Med Sci 2010; 20(68): 37-40. [In Persian].
  10. Fakhri M, Askarian M. Maternal and infant complication in macrosomia by method of delivary. J Nurs Midwifery Shahid Beheshti Univ Med Sci 2000; 8(2): 62-9. [In Persian].
  11. Haji Ebrahim Tehrani F, Kazemi H, Kordi M. prevalence and outcome of the macrosomic infants. Acta Med Iran 2007; 45(6): 505-9.
  12. Najafian M, Cheraghi M. Occurrence of fetal macrosomia rate and its maternal and neonatal complications: a 5-year cohort study. ISRN Obstet Gynecol 2012; 2012: 353791.
  13. Mardani M, Khalkhalirad A, Rossta S, Rezapour P. Evaluation of the prevalence of macrosomia and the maternal risk factors. Iran J neonatal 2014; 5(3): 5-9.
  14. Jolly MC, Sebire NJ, Harris JP, Regan L, Robinson S. Risk factors for macrosomia and its clinical consequences: a study of 350,311 pregnancies. Eur J Obstet Gynecol Reprod Biol 2003; 111(1): 9-14.
  15. Rockhill K, Dorfman H, Srinath M, Hogue C. The effects of prepregnancy body mass index and gestational weight gain on fetal macrosomia among American Indian/Alaska native women. Matern Child Health J 2015; 19(11): 2480-91.
Journal of Isfahan Medical School
Volume 34, Issue 394 - Serial Number 394
July and August 2016
Pages 940-945

Files

History

  • Receive Date: 19 April 2016
  • Revise Date: 02 November 2024
  • Accept Date: 06 April 2022

Share

How to cite

Statistics