Objective: Maternal diabetes mellitus has a significant impact on the neonatal outcome. Birth weight is related to degree of glycemic control. Poor control in mother causes somatic overgrowth and results macrosomia. obesity an independent risk factor for The study objective was evaluate correlation between glycosylated hemoglobin (HbA1c) level diabetic mothers macrosomia their neonates. Methods...

I appreciate the heavy work conducted by Dr. Saleh and all his colleagues1 in their recent paper. There has been a rise in the prevalence of large newborns over a few decades in many parts of the world. In current obstetrics, the macrosomic fetus represents a frequent clinical challenge.2 Various studies have shown a significant increase in the frequency of complications in the course of pregna...

Three hundred and twenty eight examined adult men and 346 examined adult women were macrosomic at birth (4000 g or over). The control group consisted of 564 adult men and 749 adult women with birth weights of 2500 to 3999 g. Both male and female macrosomic babies achieve greater weights and heights in adulthood than those in the control group. There are more overweight and obese men in the macr...

The increased prevalence of obesity has led to major health care issues in obstetric practice. Nevertheless, despite a major international effort, there is little evidence for interventions which can improve clinical outcome. Two reports from the LIMIT randomised controlled trial of more than 2,000 overweight and obese women, recently reported in BMC Medicine, show how a lifestyle intervention ...

INTRODUCTION Identifying newborns who weight 4000 g or more is important because birth of macrosomic fetuses is associated with adverse peripartum outcomes. Ultrasound is widely used for this purpose Our objective was to evaluate the diagnostic value of sonographic measurement of fetal abdominal circumference (AC) over 350 mm for the prediction of fetal macrosomia and shoulder dystocia, to spec...

BACKGROUND The fracture of clavicle is the most frequently observed bone fracture as birth trauma and it is usually unilateral. It is seen following shoulder dystocia deliveries or breech presentation of macrosomic newborns. CASE PRESENTATION We report two macrosomic newborns with bilateral clavicle fracture and brachial plexus palsy due to birth trauma. Chest X-rays confirmed bilateral fract...

OBJECTIVE Gestational diabetes mellitus (GDM) is associated with fetal macrosomia and maternal postpartum dysglycemia, insulin resistance, and β-cell dysfunction. Indeed, in practice, a prior pregnancy that resulted in a large-for-gestational-age (LGA) delivery is often considered presumptive evidence of GDM, whether or not it was diagnosed at the time. If this clinical assumption is correct, h...

This study investigates the relationship between local walkability and physical activity subsequent health outcomes among pregnant women – for whom walking is recommended, by far most common, form of exercise. Using an EPA measure at county level (as well as other county-level characteristics) combined with rich individual-level data on yields evidence that higher translates into improvements i...