Risk factors and obstetric complications associated with macrosomia

N. E. Stotland, A. B. Caughey, E. M. Breed, G. J. Escobar

Research output: Contribution to journalArticlepeer-review

215 Scopus citations


Macrosomia is associated with adverse maternal outcomes. The objective of this study was to characterize the epidemiology of macrosomia and related maternal complications. Live births (146,526) were identified between 1995 and 1999 in the Kaiser Permanente Medical Care Program's Northern California Region (KPMCP NCR) database. Bivariate and multivariate analyses were performed for risk factors and complications associated with macrosomia (birth weight >4500 g). Male infant sex, multiparity, maternal age 30-40, white race, diabetes, and gestational age >41 weeks were associated with macrosomia (p<0.001). In bivariate and multivariate analyses, macrosomia was associated with higher rates of cesarean birth, chorioamnionitis, shoulder dystocia, fourth-degree perineal lacerations, postpartum hemorrhage, and prolonged hospital stay (p<0.01). Macrosomia was associated with adverse maternal outcomes in this cohort. More research is needed to determine how to prevent complications related to excessive birth weight.

Original languageEnglish (US)
Pages (from-to)220-226
Number of pages7
JournalInternational Journal of Gynecology and Obstetrics
Issue number3
StatePublished - Dec 2004
Externally publishedYes


  • Macrosomia
  • Managed care
  • Maternal complications

ASJC Scopus subject areas

  • Obstetrics and Gynecology


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