OBJECTIVE To examine physician-documented indications for cesarean delivery in order to investigate the specific factors contributing to the increasing cesarean delivery rate. METHODS We analyzed rates of primary and repeat cesarean delivery, including indications for the procedure, among 32,443 live births at a major academic hospital between 2003 and 2009. Time trends for each indication we...

Sonographic prediction of macrosomia cannot be improved by combination with pregnancy-specific characteristics Balsyte D, Balsyte D, Schäffer L, Burkhardt T, Wisser J, Kurmanavicius J. Ultrasound Obstet Gynecol 2009; 33: 453–8. We all know how inaccurate fetal weight estimation at ultrasound examination can be. So a search for help in increasing prediction accuracy is reasonable. This study, ho...

In the literature of the Roman Era, a case of macrosomia and genital ambiguity in a newborn is described. Textual evidence concerning this case of androgynism and its symbolism is provided in the present study. Medical interpretation of such cases covers the entire spectrum of differential diagnosis of macrosomia concurrent with genital ambiguity. Female pseudohermaphroditism may be excluded fr...

We sought to determine risk factors associated with fetal macrosomia and to explore the long-term consequence of infant macrosomia at the age of 7 years. A prospective population based cohort study was designed to examine the associations between maternal and perinatal characteristics and the risk of macrosomia. A nested case-control study was conducted to explore the long-term health consequen...

AIM To assess the effect of maternal physical activity during pregnancy on abnormal fetal growth. METHODS The study group of 166 women in gestational week 6-8 exercised regularly three days per week at submaximal intensity during their entire pregnancy and the control group of 168 women received standard antenatal care. The main outcomes were macrosomia and intrauterine growth restriction. ...

Obesity during pregnancy has been shown to carry significant risk to both mother and child. The role of uncontrolled weight gain during pregnancy has not been fully elucidated. The study analysed the incidence of gestational hypertension and fetal macrosomia in various groups of mothers according to their BMI and antenatal weight gain. A definite statistically significant increased risk of both...

BACKGROUND It is crucial to identify in large population samples the most important determinants of excessive fetal growth. The aim of the study was to evaluate the independent role of pre-pregnancy body mass index (BMI), gestational weight gain and gestational diabetes on the risk of macrosomia. METHODS A prospective study collected data on mode of delivery and maternal/neonatal outcomes in ...