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Risk factors for macrosomia in infants born to Latina women
J M Wojcicki1, N A Hessol, M B Heyman
1Department of Pediatrics, University of California, San Francisco, CA 94110, USA.
Objective:
To assess risk factors for macrosomic infant birth among Latina women.
Study Design:
Prospective study of Latina women recruited during pregnancy from prenatal clinic at San Francisco General Hospital. Information was obtained through a structured interview and review of medical records.
Result:
A total of 11% of women delivered macrosomic infants (birth weight >4000 g). In unadjusted analyses, significant risk factors for macrosomia included older maternal age, increasing gravidity, previous history of macrosomic birth and pre-pregnancy overweight. After adjusting for confounders using multivariate analyses, older mothers (10-year increments) had an elevated risk of macrosomia (odds ratio (OR) 2.59; 95% confidence interval (CI) 1.28 to 5.24).
Conclusion:
Efforts to reduce macrosomia in Latina women should focus on older mothers.
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