Academic Journal
Determinants of fetal macrosomia among live births in southern Ethiopia: a matched case-control study.
| Τίτλος: | Determinants of fetal macrosomia among live births in southern Ethiopia: a matched case-control study. |
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| Συγγραφείς: | Woltamo DD; Department of Epidemiology and Biostatistics, School of Public Health, College of Health Sciences and Medicine, Wolaita Sodo University, Po.box 138, Sodo, Ethiopia. deginesh.dawit@wsu.edu.et., Meskele M; Department of Reproductive Health and Nutrition, School of Public Health, College of Health Sciences and Medicine, Wolaita Sodo University, Po.box 138, Sodo, Ethiopia., Workie SB; Department of Epidemiology and Biostatistics, School of Public Health, College of Health Sciences and Medicine, Wolaita Sodo University, Po.box 138, Sodo, Ethiopia., Badacho AS; Department of Health Services Management, School of Public Health, College of Health Sciences and Medicine, Wolaita Sodo University, Po.box 138, Sodo, Ethiopia. |
| Πηγή: | BMC pregnancy and childbirth [BMC Pregnancy Childbirth] 2022 Jun 02; Vol. 22 (1), pp. 465. Date of Electronic Publication: 2022 Jun 02. |
| Τύπος έκδοσης: | Journal Article |
| Γλώσσα: | English |
| Στοιχεία περιοδικού: | Publisher: BioMed Central Country of Publication: England NLM ID: 100967799 Publication Model: Electronic Cited Medium: Internet ISSN: 1471-2393 (Electronic) Linking ISSN: 14712393 NLM ISO Abbreviation: BMC Pregnancy Childbirth Subsets: MEDLINE |
| Imprint Name(s): | Original Publication: London : BioMed Central, [2001- |
| Ιατρικοί όροι (MeSH): | Fetal Macrosomia*/epidemiology , Fetal Macrosomia*/etiology , Live Birth*/epidemiology, Ethiopia/epidemiology ; Birth Weight ; Case-Control Studies ; Female ; Humans ; Infant ; Infant, Newborn ; Male ; Pregnancy ; Risk Factors ; Weight Gain |
| Περίληψη: | Background: Fetal macrosomia defined as birth weight of 4000 g and above regardless of gestational age and associated with adverse maternal and fetal outcomes, especially among women in developing countries like Ethiopia. Despite the observed burden, there is limited evidence on determinants of fetal macrosomia. This study aimed to identify determinants of fetal macrosomia among live births at Wolaita Sodo town Southern Ethiopia. Methods: A facility-based matched case-control study design involved 360 singletons deliveries attended at hospitals in Wolaita Sodo town, southern Ethiopia, with 120 cases and 240 controls included. Cases and control were matched by maternal age. Cases were neonates with a birth weight of ≥ 4000, while controls were neonates with a birthweight between 2500gm and less than 4000gm. Data were collected by interviews, measuring, and reviewing mothers' medical documents. Conditional logistic regression analysis was carried to identify the independent predictor variables. Statistical significance was set using a p-value < 0.05 and 95% CI for AOR. Results: Male neonates were four times more likely to be macrosomia than female neonates MAOR = 4.0 [95%CI; 2.25-7.11, p < 0.001]. Neonates born at gestational age ≥ 40 weeks were 4.33 times more likely to be macrosomia with MAOR = 4.33 [95%CI; 2.37-7.91, p < 0.001]. Neonates born from physically inactive mothers were 7.76 times more likely to be macrosomia with MAOR = 7.76 [95CI; 3.33-18.08, p < 0.001]. Neonates born from mothers who consumed fruits and dairy products in their diet frequently were 2 and 4.9 times more likely to be macrosomia MAOR = 2.03 [95%CI; 1.11-3.69, p = 0.021] and AOR = 4.91[95%CI; 2.36-10.23, p < 0.001] respectively. Conclusion: Mothers' physical exercise and consumption of fruit and dairy products were significant predictor variables for fetal macrosomia. Hence, health care providers may use these factors as a screening tool for the prediction, early diagnosis, and timely intervention of fetal macrosomia and its complications. (© 2022. The Author(s).) |
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| Contributed Indexing: | Keywords: Determinants; Fetal macrosomia; Matching; Maternal age; Southern Ethiopia; Wolaita Sodo town |
| Entry Date(s): | Date Created: 20220602 Date Completed: 20220606 Latest Revision: 20220716 |
| Update Code: | 20260130 |
| PubMed Central ID: | PMC9161488 |
| DOI: | 10.1186/s12884-022-04734-8 |
| PMID: | 35655197 |
| Βάση Δεδομένων: | MEDLINE |
| ISSN: | 1471-2393 |
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| DOI: | 10.1186/s12884-022-04734-8 |