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BMC Pregnancy and Childbirth

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Open Access 01-12-2019 | Research article

Fetal macrosomia and its associated factors among singleton live-births in private clinics in Mekelle city, Tigray, Ethiopia

Authors: Freweini Gebrearegay Tela, Afework Mulugeta Bezabih, Amaha Kahsay Adhanu, Kidanemariam Berhe Tekola

Published in: BMC Pregnancy and Childbirth | Issue 1/2019

Abstract

Background

Despite an increased number of infants born with macrosomia globally, low birth weight infants have currently attracted more attention. Macrosomia is a growing problem in most developing countries and it directly or indirectly contributes to morbidity, mortality, and disability worldwide. The main objective of this study was to assess the level of macrosomia and its associated factors in the private clinics of Mekelle city, Tigray region, Ethiopia, 2017.

Methods

An institution based cross-sectional study with a total of 309 pregnant mothers was conducted. We collected data from the pregnant mothers as well as from their medical records using structured questionnaire and checklist respectively. We entered and analyzed the data using statistical package for social science (SPSS)-21 by applying binary logistic regression to identify the factors associated with macrosomia. Finally, we used texts and tables to summarize the results of the study.

Results

The prevalence of macrosomia was 19.1% (95% confidence interval (CI) = 14.9, 23), and the mean ± standard deviations of birth weights were 3440 ± 543 g. Macrosomia was significantly associated with: weight gain during pregnancy ≥16 kg (adjusted odds ratio (AOR) = 11, 95% CI: 3, 37), pre-pregnancy overweight (AOR = 5, 95% CI = 2, 13), pre-pregnancy obesity (AOR = 15, 95% CI = 5, 50), maternal age (AOR =2.6, 95% CI = 1.2, 5.8) and giving birth to macrosomic baby in the last pregnancy (AOR = 2.7, 95% CI = 1.1, 7).

Conclusion

We found that prevalence of macrosomia was high, and significantly associated with pre-pregnancy body mass index (BMI), pregnancy weight gain, maternal age and giving birth to a macrosomic baby in the last pregnancy. Hence, we recommend that emphasis should be given to maternal counseling for weight management before and during pregnancy.

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Title: Fetal macrosomia and its associated factors among singleton live-births in private clinics in Mekelle city, Tigray, Ethiopia
Authors: Freweini Gebrearegay Tela
Afework Mulugeta Bezabih
Amaha Kahsay Adhanu
Kidanemariam Berhe Tekola
Publication date: 01-12-2019
Publisher: BioMed Central
Published in: BMC Pregnancy and Childbirth / Issue 1/2019
Electronic ISSN: 1471-2393
DOI: https://doi.org/10.1186/s12884-019-2379-3

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Fetal macrosomia and its associated factors among singleton live-births in private clinics in Mekelle city, Tigray, Ethiopia

Abstract

Background

Methods

Results

Conclusion

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Abstract

Background

Methods

Results

Conclusion

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