%0 Journal Article
%T Rates and Risk Factors in Macrosomic Newborns among Non-Diabetic Parturients at Tiznit City, Morocco: A Case-Control Study
%A Amal Korrida
%J Open Access Library Journal
%V 4
%N 12
%P 1-17
%@ 2333-9721
%D 2017
%I Open Access Library
%R 10.4236/oalib.1104225
%X
Background: The present study was elaborated to assess the prevalence
of high birth weight and its related risk factors for macrosomic infants among women
in Southern Morocco. Methods: A case-control study was conducted on term singleton
live-births, with no morbidity or malformation, of a sample of (n = 78) nulliparous and multiparous non-diabetic
women delivering at Hassan I Provincial Hospital. Cases included neonates ¡Ý 4000 g, whereas controls comprised
infants with birth weight between 2500 and 3999 g. Personal information was collected
from pregnant women using a structured questionnaire, and through a review of their
medical records. Associations between exposure and dependent variable (macrosomia)
were calculated using linear and logistic regressions. Results: Macrosomia prevalence was 35.89%. Mean birth weight
in cases was 4310.71 ¡À 246.96 g, and in controls 3076.00 ¡À 533.97 g. Maternal lifestyle
behaviors, as well as sociodemographic factors were not associated with macrosomia,
except for maternal age over 40 years (OR: 4.27, 95% CI: 0.98-18.68). Logistic regression
model analysis indicated that macrosomia was strongly associated with hormone therapy
(adjusted OR: 18.83, 95% CI: 1.54-214.51), followed by obesity/overweight history (adjusted
OR: 7.94, 95% CI: 1.52-41.41), and pre-pregnancy BMI ¡Ý 25 Kg/m2 for pooled overweight and
obesity factor (adjusted OR: 5.24, 95% CI: 1.54-17.82). Conclusion: Pre-pregnancy BMI > 25 kg/m2, pre-existing overweight/ obesity, and hormone therapy
should be considered as independent risk factors for fetal macrosomia and require more attention from health professionals.
%K Macrosomia
%K Nutritional Status
%K Risk Factors
%K Hormone Therapy
%K Pre-Pregnancy BMI
%K Caesarean Section
%K Obesity
%U http://www.oalib.com/paper/5292026