OBJECTIVE After declining for many years, cesarean delivery rates recently increased. To explore whether this increase is associated with excess weight gain during pregnancy, resulting in macrosomic infants who require cesarean delivery, we examined trends in excess weight gain, macrosomia, and cesarean delivery. METHODS Analysis of 1990-2000 US Natality Files of birth certificate data were r...

BACKGROUND In modern obstetrics, fetal macrosomia is a major contributor to obstetric morbidity. It is an important cause of perinatal morbidity and mortality. AIM This study aims to determine the maternal characteristics, fetal and neonatal complications associated with fetal macrosomia, and its contribution to obstetric morbidity in Enugu, Nigeria. MATERIALS AND METHODS This was a 3-year ...

OBJECTIVES The purpose of this study was to test the hypothesis that a formula incorporating 3-dimensional (3D) fractional thigh volume would be superior to the conventional 2-dimensional (2D) formula of Hadlock et al (Am J Obstet Gynecol 1985; 151:333-337) for predicting birth weight and macrosomia. METHODS We conducted a prospective cohort study of pregnancies complicated by pregestational ...

Macrosomia, defined as birth weight > 4 kg, increased in Flanders from 7.3% (4899/67143) in 1991 to 8.63% (6034/69924) in 2010 (p < 0.0001) in singleton pregnancies at term. There are at least 3 important factors contributing to this evolution. (1) Increase of maternal stature and length: during the last century, mean length of Belgian women increased with approximately 10cm to the current valu...

OBJECTIVE To systematically review and summarize the medical literature regarding the effects of expectant management and labor induction on mode of delivery and perinatal outcomes in patients with suspected fetal macrosomia. DATA SOURCES We supplemented a search of entries in electronic databases with references cited in original studies and review articles to identify studies assessing mana...

Background: Women with gestational diabetes are associated adverse pregnancy outcomes. This study was conducted to evaluate prevalence of mellitus and risk factors amongst women attending antenatal clinic a tertiary care hospital west Bengal, India. Methods: Universal screening for done in 215 estimated age between 24 weeks 28 weeks. They were requested drink 75 gram glucose dissolved 300 ml wa...

OBJECTIVE To determine if shoulder dystocia can be predicted in babies born weighing 3.5 kg or more. STUDY DESIGN A case-control study nested in a perinatal database of 899 mothers and their babies who weighed 3.5 kg or more. All were term pregnancies and delivered vaginally. A case was defined as any baby that encountered shoulder dystocia at delivery. Controls were deliveries over the same ...

AIM The aim of this study was to determine the optimal glycated hemoglobin (HbA1c) cut point for diagnosis of gestational diabetes mellitus (GDM) and to evaluate the usefulness of HbA1c as a prognostic indicator for adverse pregnancy outcomes. METHODS HbA1c estimations were carried out in 1459 pregnant women attending antenatal care centers in urban and rural Tamil Nadu in South India. An ora...

Background: Currently pregnant women with abnormal glucose screening test (GCT), performed at 26 28 weeks gestation with a subsequent normal glucose tolerance test (GTT) receive routine care. Could these women be at risk of adverse pregnancy? Objective: Compare rate of caesarean section (CS), induction of labour (IOL), macrosomia, admission to special care nursery and neonatal hypoglycaemia. De...