TY - JOUR
T1 - Risk factors and obstetric complications associated with macrosomia
AU - Stotland, N. E.
AU - Caughey, A. B.
AU - Breed, E. M.
AU - Escobar, G. J.
PY - 2004/12
Y1 - 2004/12
N2 - 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.
AB - 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.
KW - Macrosomia
KW - Managed care
KW - Maternal complications
UR - http://www.scopus.com/inward/record.url?scp=8844256074&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=8844256074&partnerID=8YFLogxK
U2 - 10.1016/j.ijgo.2004.08.010
DO - 10.1016/j.ijgo.2004.08.010
M3 - Article
C2 - 15548393
AN - SCOPUS:8844256074
SN - 0020-7292
VL - 87
SP - 220
EP - 226
JO - International Journal of Gynecology and Obstetrics
JF - International Journal of Gynecology and Obstetrics
IS - 3
ER -