Predicting the Risk of Macrosomia at Mid-Pregnancy Among Non-Diabetics: A Retrospective Cohort Study

Jeffers, Elizabeth S.; Dodds, Linda; Allen, Victoria M.; Woolcott, Christy

doi:10.1016/j.jogc.2017.05.032

Cited by 3 publications

(2 citation statements)

References 18 publications

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“…On the other hand, although previous several studies demonstrated that maternal smoking was associated with decreased risk of macrosomia, the association of maternal smoking with infant weight loss and even reduced macrosomia remains unclear. Most of early studies reported that maternal smoking was associated with decreased risk of macrosomia [ 40 – 42 ], but recent studies found no crude or adjusted association between maternal smoking and macrosomia [ 57 – 59 ]. Our data clearly exhibited that there was no difference in the risk of developing macrosomia between the high-risk non-smoking group and the low-risk group for former or current smoking ( S4 Table ).…”

Section: Discussionmentioning

confidence: 99%

“…The participants who were diagnosed GDM were sent to endocrinologist and management methods were determined after clinical evaluation. In addition, modifiable lifestyle factors were classified according to following as: Smoking before and during pregnancy (Former or current, low-risk; None, high-risk) [40][41][42] and Physical activity before and during pregnancy (More than moderate, low-risk; None or light, high-risk); and analyzed their effects on the risk of developing macrosomia by maternal alcohol drinking status. Physical activity before and during pregnancy was queried at the first antenated visit and further asked at each visit for frequency and duration of walking, moderate and vigorous-intensity activity [39].…”

Section: Definition Of Macrosomia and Its Risk Factorsmentioning

confidence: 99%

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Binge alcohol drinking before pregnancy is closely associated with the development of macrosomia: Korean pregnancy registry cohort

et al. 2022

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Background Alcohol drinking during pregnancy has been well-known to cause the detrimental effects on fetal development; however, the adverse effects of pre-pregnancy drinking are largely unknown. We investigate whether alcohol drinking status before pregnancy is associated with the risk for macrosomia, an offspring’s adverse outcome, in a Korean pregnancy registry cohort (n = 4,542) enrolled between 2013 and 2017. Methods Binge drinking was defined as consuming ≥5 drinks on one occasion and ≥2 times a week, and a total 2,886 pregnant, included in the final statistical analysis, were divided into 3 groups: never, non-binge, and binge drinking. Results The prevalence of macrosomia was higher in binge drinking before pregnancy than those with never or non-binge drinking (7.5% vs. 3.2% or 2.9%, p = 0.002). Multivariable logistic regression analysis demonstrated an independent association between macrosomia and prepregnancy binge drinking after adjusting for other confounders (adjusted odds ratio = 2.29; 95% CI, 1.08–4.86; p = 0.031). The model added binge drinking before pregnancy led to improvement of 10.6% (95% CI, 2.03–19.07; p = 0.0006) in discrimination from traditional risk prediction models. Conclusion Together, binge drinking before pregnancy might be an independent risk factor for developing macrosomia. Intensified intervention for drinking alcohol in women who are planning a pregnancy is important and may help prevent macrosomia.

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Section: Discussionmentioning

confidence: 99%

Section: Definition Of Macrosomia and Its Risk Factorsmentioning

confidence: 99%

Binge alcohol drinking before pregnancy is closely associated with the development of macrosomia: Korean pregnancy registry cohort

et al. 2022

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Predicting the risk of fetal macrosomia at pregnancy in Shandong province: a case-control study

Peng

Fang

Zhang

et al. 2021

The Journal of Maternal-Fetal & Neonatal Medicine

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Multivariable prediction models for fetal macrosomia and large for gestational age: A systematic review

Ewington,

Black,

Leeson

et al. 2024

BJOG

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BackgroundThe identification of large for gestational age (LGA) and macrosomic fetuses is essential for counselling and managing these pregnancies.ObjectivesTo systematically review the literature for multivariable prediction models for LGA and macrosomia, assessing the performance, quality and applicability of the included model in clinical practice.Search strategyMEDLINE, EMBASE and Cochrane Library were searched until June 2022.Selection criteriaWe included observational and experimental studies reporting the development and/or validation of any multivariable prediction model for fetal macrosomia and/or LGA. We excluded studies that used a single variable or did not evaluate model performance.Data collection and analysisData were extracted using the Checklist for critical appraisal and data extraction for systematic reviews of prediction modelling studies checklist. The model performance measures discrimination, calibration and validation were extracted. The quality and completion of reporting within each study was assessed by its adherence to the TRIPOD (Transparent Reporting of a multivariable prediction model for Individual Prognosis Or Diagnosis) checklist. The risk of bias and applicability were measured using PROBAST (Prediction model Risk Of Bias Assessment Tool).Main resultsA total of 8442 citations were identified, with 58 included in the analysis: 32/58 (55.2%) developed, 21/58 (36.2%) developed and internally validated and 2/58 (3.4%) developed and externally validated a model. Only three studies externally validated pre‐existing models. Macrosomia and LGA were differentially defined by many studies. In total, 111 multivariable prediction models were developed using 112 different variables. Model discrimination was wide ranging area under the receiver operating characteristics curve (AUROC 0.56–0.96) and few studies reported calibration (11/58, 19.0%). Only 5/58 (8.6%) studies had a low risk of bias.ConclusionsThere are currently no multivariable prediction models for macrosomia/LGA that are ready for clinical implementation.

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Predicting the Risk of Macrosomia at Mid-Pregnancy Among Non-Diabetics: A Retrospective Cohort Study

Cited by 3 publications

References 18 publications

Binge alcohol drinking before pregnancy is closely associated with the development of macrosomia: Korean pregnancy registry cohort

Binge alcohol drinking before pregnancy is closely associated with the development of macrosomia: Korean pregnancy registry cohort

Predicting the risk of fetal macrosomia at pregnancy in Shandong province: a case-control study

Multivariable prediction models for fetal macrosomia and large for gestational age: A systematic review

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