A cross-sectional study of non-diabetic macrosomic infants

Objective: To determine risk factors and short term outcomes in infants with fetal macrosomia independent of gestational diabetes. Method : Patient records of babies born in Bolu Izzet Baysal Obstetrics-Gynaecology and Paediatrics Hospital between 1st January 2007 and 31st December 2010 with weights of 4000g or more were assessed retrospectively. Data were analysed using SPSS version 17.0. Babies born outside hospital and infants of diabetic mothers were excluded. Control group comprised 500 healthy infants weighing 2500-3999g, born during the same period. Chi-square test, student-t test, Mann-Whitney test and multiple regression analysis were the statistical tests used. Results : Of 10,898 babies delivered in our hospital during the 4 year study period, 509 (4.7%) weighed 4000g or more. Significantly more non-diabetic macrosomic babies were male compared to controls (p 0.05). The 5th minute Apgar scores in the non-diabetic macrosomic group was significantly lower than in controls (p Conclusion : In our study the risk factors for non-diabetic fetal macrosomia were advanced age pregnancy, multiparity and male sex. (Keywords: Fetal macrosomia; perinatal mortality; risk factors; morbidity; birth trauma;  outcomes) http://dx.doi.org/10.4038/sljch.v42i2.5627