Öz
Purpose: There is a trend that causes an increase in newborn weights and macrosomy rates in many countries around the world. The aim of our study is to compare the mean newborn weights in 2012 and 2016, to investigate whether there is a tendency to increase in the mean newborn weight and macrosomia rates, and to evaluate the effects of neonatal gender, mode of birth, maternal age and the season of birth on newborn weight.
Materials and Methods: The data of a total of 1573 newborns 2012 (n:687) and 2016 (n=886) between 37-40 weeks of gestation were evaluated retrospectively. The data of the newborns' birth weight, gender, gestationel age, maternal age, mode of birth and season of birth were evaluated statistically.
Results: It was found that there was an increase in the rate of macrosomia (birth weight ≥4000 g) from 4.9% in 2012 to 8.1% in 2016. There is a weak positive correlation between maternal age and newborn weight for both years. There was a significant increase in terms of birth weight between babies delivered by cesarean section and babies delivered by normal route 2016. It was observed that the season of birth had no effect on birth weight.
Conclusion: There was an increase macrosomia rates in 2016. It was observed that maternal age and neonatal gender affected the weight of the newborn, but the seasons have no effect on neonatal weight. Maternal age, sex of newborn and gestational age were considered as independent risk factors for macrosomia.
Anahtar Kelimeler
Destekleyen Kurum
Çukurova Üniversitesi
Proje Numarası
10802
Teşekkür
Acknowledgements In the conduct of this study, my mentor professor Dr. Ahmet Hilmi Yücel was guided our ideas and did not deny his support at all stages of the study, his untimely loss has deeply saddened us and I respectfully remember him.
Kaynakça
- Sahota DS, Kagan KO, Lau TK, Leung TY, Nicolaides KH. Customized birth weight: coefficients and validation of models in a UK population. Ultrasound Obstet Gynecol. 2008;32:884-9.
- Chiavaroli V, Marcovecchio ML, de Giorgis T, Diesse L, Chiarelli F, Mohn A. Progression of cardio-metabolic risk factors in subjects born small and large for gestational age. PLoS One. 2014;9:e104278.
- Henriksen T. The macrosomic fetus: a challenge in current obstetrics. Acta Obstet Gynecol Scand. 2008;87:134–45.
- Boulet SL, Alexander GR, Salihu HM, Pass M. Macrosomic births in the united states: determinants, outcomes, and proposed grades of risk. Am J Obstet Gynecol. 2003;188:1372-8.
- Ecker JL. Cesarean delivery for suspected macrosomia: inefficient at best. Clin Obstet Gynecol. 2004;47:352-64.
- Vinturache AE, Chaput KH, Tough SC. Pre-pregnancy body mass index (BMI) and macrosomia in a Canadian birth cohort. J Matern Fetal Neonatal Med. 2016;1-8.
- Gross TL, Sokol RJ, Williams T, et al. Shoulder dystocia: a fetal-physician risk. Am J Obstet Gynecol. 1987;156:1408-18.
- Gonen R, Bader D, Ajami M. Effects of a policy of elective cesarean delivery in cases of suspected fetal macrosomia on the incidence of brachial plexus injury and the rate of cesarean delivery. Am J Obstet Gynecol. 2000;183:1296-300.
- Lipscombe KR, Gregory K, Shaw K. The outcome of macrosomic infants weighing at least 4500 grams. Los Angeles County+University of Southern California experience. Obstet Gynecol. 1995;85:558-64.
- Rissanen ARS, Jernman RM, Gissler M, Nupponen I, Nuutila ME. Maternal complications in twin pregnancies in Finland during 1987-2014: A retrospective study. BMC pregnancy and childbirth. 2019;19:1-7.
- Sibai BM, Hauth J, Caritis S, Lindheimer MD, MacPherson C, Klebanoff M et al. Hypertensive disorders in twin versus singleton gestations. Am J Obstet Gynecol. 2000;182:938-42.
- Buhling KJ, Henrich W, Starr E, Lubke M, Bertram S, Siebert G et al. Risk for gestational diabetes and hypertension for women with twin pregnancy compared to singleton pregnancy. Arch Gynecol Obstet. 2003;269:33-6.
- Rauh-Hain JA, Rana S, Tamez H, Wang A, Cohen B, Cohen A et al. Risk for developing gestational diabetes in women with twin pregnancies. J Matern Fetal Neonatal Med. 2009;22:293-9.
- Hosmer Jr DW, Lemeshow S, Sturdivant RX. Applied logistic regression. 3 rd Edition, John Wiley&Sons, 2013.
- Ananth CV, Wen SW. Trends in fetal growth among singleton gestations in the United States and Canada, 1985 through 1998. Semin Perinatol. 2002;26:260-7.
- Bergmann RL, Richter R, Bergmann KE, Plagemann A, Brauer M, Dudenhausen JW. Secular trends in neonatal macrosomia in Berlin: influences of potential determinants. Paediatr Perinat Epidemiol. 2003;17:244-9.
- Surkan PJ, Hsieh CC, Johansson AL, Dickman PW, Cnattingius S. Reasons for increasing trends in large for gestational age births. Obstet Gynecol. 2004;104:720–6.
- Hadfield RM, Lain SJ, Simpson JM, Ford JB, Raynes-Greenow CH, Morris JM et al. Are babies getting bigger? An analysis of birthweight trends in New South Wales, 1990 - 2005. Med J Aust. 2009;190:312-5.
- Bao C, Zhou Y, Jiang L, Sun C, Wang F, Xia W et al. Reasons for the increasing incidence of macrosomia in Harbin, China. BJOG. 2011;118:93-8.
- Li Y, Liu Q F, Zhang D, Shen Y, Ye K, Lai HL et al. Weight gain in pregnancy, maternal age and gestational age in relation to fetal macrosomia. Clin Nutr Res. 2015;4:104-9.
- Kramer MS, Morin I, Yang H, Platt RW, Usher R, McNamara H et al. Why are babies getting bigger? Temporal trends in fetal growth and its determinants. J Pediatr. 2002;141:538-42.
- Parsons TJ, Power C, Manor O. Fetal and early life growth and body mass index from birth to early adulthood in 1958 British cohort: longitudinal study. BMJ. 2001;323:1331-5.
- Ross JA. High birthweight and cancer: evidence and implications. Cancer Epidemiol Biomarkers Prev. 2006;15:1-2.
- Ahlgren M, Wohlfahrt J, Olsen LW, Sorensen TI, Melbye M. Birth weight and risk of cancer. Cancer. 2007;110:412-9.
- Vaughan DA, Cleary BJ, Murphy DJ. Delivery outcomes for nulliparous women at the extremes of maternal age a cohort study. BJOG. 2014;121:260-7.
- Klemetti R, Gissler M, Sainio S, Hemminki E. Associations of maternal age with maternity care and birth outcomes in primiparous women: a comparison of results in 1991 and 2008 in Finland. BJOG. 2014;121:355–61.
- Oral E, Cagdas A, Gezer A, Kaleli S, Aydinli K, Oçer F. Perinatal and maternal outcomes of fetal macrosomia. Eur J Obstet Gynecol Reprod Biol. 2001;99:167-71.
- Lawlor DA, Leon DA, Davey Smith G. The association of ambient outdoor temperature throughout pregnancy and offspring birthweight: findings from the Aberdeen Children of the 1950s cohort. BJOG. 2005;112:647–57.
- Chodick G, Shalev V, Goren I, Inskip PD. Seasonality in birth weight in Israel: new evidence suggests several global patterns and different etiologies. Ann Epidemiol. 2007;17:440–6.
Öz
Amaç: Dünyada pek çok ülkede yenidoğan ağırlıklarında ve makrozomi oranlarında artış trendi söz konusudur. Çalışmamızın amacı 2012 ve 2016 yıllarındaki ortalama yenidoğan ağırlıklarının karşılaştırılması, yenidoğan ağırlık ortalaması ile makrozomi oranlarında artış eğiliminin olup olmadığının araştırılması ve yenidoğan cinsiyetinin, doğum şeklinin, anne yaşı ve doğumun gerçekleştiği mevsimin yenidoğan ağırlığı üzerine etkilerinin değerlendirilmesidir.
Gereç ve Yöntem: Çalışmada gebeliğin 37 - 40. haftası arasında doğan toplam 1573 yenidoğana 2012 (n:687) ve 2016 (n=886)) ait veri retrospektif olarak değerlendirildi. Yenidoğanların doğum ağırlığı, cinsiyeti, gestasyon yaşı, anne yaşı, doğum şekli ve doğumun gerçekleştiği mevsime ait veriler istatistiksel olarak değerlendirildi.
Bulgular: Makrozomi oranında (doğum ağırlığı ≥ 4000 g) 2012'de %4.9' dan 2016' da %8.1'e artış olduğu tespit edildi Her iki yıl için de anne yaşı ile yenidoğan ağırlığı arasında zayıf pozitif korelasyon olduğu saptandı. Sezaryen ile doğan bebeklerin ortalama yenidoğan ağırlığının 2016 yılında normal yolla doğanlardan daha fazla olduğu tespit edildi. Doğumun gerçekleştiği mevsimin doğum ağırlığı üzerinde etkisinin olmadığı bulundu.
Sonuç: Makrozomi oranlarında 2016 yılında 2012 yılına göre bir artış olduğu tespit edildi. Anne yaşı ve yenidoğanın cinsiyetinin yenidoğan ağırlığını etkilediği fakat doğumun gerçekleştiği mevsimin yenidoğan ağırlığı üzerinde etkisinin olmadığı tespit edildi. Anne yaşı, yenidoğanın cinsiyeti ve gebelik yaşı makrozomi için bağımsız risk faktörleri olarak kabul edildi.
Anahtar Kelimeler
Proje Numarası
10802
Kaynakça
- Sahota DS, Kagan KO, Lau TK, Leung TY, Nicolaides KH. Customized birth weight: coefficients and validation of models in a UK population. Ultrasound Obstet Gynecol. 2008;32:884-9.
- Chiavaroli V, Marcovecchio ML, de Giorgis T, Diesse L, Chiarelli F, Mohn A. Progression of cardio-metabolic risk factors in subjects born small and large for gestational age. PLoS One. 2014;9:e104278.
- Henriksen T. The macrosomic fetus: a challenge in current obstetrics. Acta Obstet Gynecol Scand. 2008;87:134–45.
- Boulet SL, Alexander GR, Salihu HM, Pass M. Macrosomic births in the united states: determinants, outcomes, and proposed grades of risk. Am J Obstet Gynecol. 2003;188:1372-8.
- Ecker JL. Cesarean delivery for suspected macrosomia: inefficient at best. Clin Obstet Gynecol. 2004;47:352-64.
- Vinturache AE, Chaput KH, Tough SC. Pre-pregnancy body mass index (BMI) and macrosomia in a Canadian birth cohort. J Matern Fetal Neonatal Med. 2016;1-8.
- Gross TL, Sokol RJ, Williams T, et al. Shoulder dystocia: a fetal-physician risk. Am J Obstet Gynecol. 1987;156:1408-18.
- Gonen R, Bader D, Ajami M. Effects of a policy of elective cesarean delivery in cases of suspected fetal macrosomia on the incidence of brachial plexus injury and the rate of cesarean delivery. Am J Obstet Gynecol. 2000;183:1296-300.
- Lipscombe KR, Gregory K, Shaw K. The outcome of macrosomic infants weighing at least 4500 grams. Los Angeles County+University of Southern California experience. Obstet Gynecol. 1995;85:558-64.
- Rissanen ARS, Jernman RM, Gissler M, Nupponen I, Nuutila ME. Maternal complications in twin pregnancies in Finland during 1987-2014: A retrospective study. BMC pregnancy and childbirth. 2019;19:1-7.
- Sibai BM, Hauth J, Caritis S, Lindheimer MD, MacPherson C, Klebanoff M et al. Hypertensive disorders in twin versus singleton gestations. Am J Obstet Gynecol. 2000;182:938-42.
- Buhling KJ, Henrich W, Starr E, Lubke M, Bertram S, Siebert G et al. Risk for gestational diabetes and hypertension for women with twin pregnancy compared to singleton pregnancy. Arch Gynecol Obstet. 2003;269:33-6.
- Rauh-Hain JA, Rana S, Tamez H, Wang A, Cohen B, Cohen A et al. Risk for developing gestational diabetes in women with twin pregnancies. J Matern Fetal Neonatal Med. 2009;22:293-9.
- Hosmer Jr DW, Lemeshow S, Sturdivant RX. Applied logistic regression. 3 rd Edition, John Wiley&Sons, 2013.
- Ananth CV, Wen SW. Trends in fetal growth among singleton gestations in the United States and Canada, 1985 through 1998. Semin Perinatol. 2002;26:260-7.
- Bergmann RL, Richter R, Bergmann KE, Plagemann A, Brauer M, Dudenhausen JW. Secular trends in neonatal macrosomia in Berlin: influences of potential determinants. Paediatr Perinat Epidemiol. 2003;17:244-9.
- Surkan PJ, Hsieh CC, Johansson AL, Dickman PW, Cnattingius S. Reasons for increasing trends in large for gestational age births. Obstet Gynecol. 2004;104:720–6.
- Hadfield RM, Lain SJ, Simpson JM, Ford JB, Raynes-Greenow CH, Morris JM et al. Are babies getting bigger? An analysis of birthweight trends in New South Wales, 1990 - 2005. Med J Aust. 2009;190:312-5.
- Bao C, Zhou Y, Jiang L, Sun C, Wang F, Xia W et al. Reasons for the increasing incidence of macrosomia in Harbin, China. BJOG. 2011;118:93-8.
- Li Y, Liu Q F, Zhang D, Shen Y, Ye K, Lai HL et al. Weight gain in pregnancy, maternal age and gestational age in relation to fetal macrosomia. Clin Nutr Res. 2015;4:104-9.
- Kramer MS, Morin I, Yang H, Platt RW, Usher R, McNamara H et al. Why are babies getting bigger? Temporal trends in fetal growth and its determinants. J Pediatr. 2002;141:538-42.
- Parsons TJ, Power C, Manor O. Fetal and early life growth and body mass index from birth to early adulthood in 1958 British cohort: longitudinal study. BMJ. 2001;323:1331-5.
- Ross JA. High birthweight and cancer: evidence and implications. Cancer Epidemiol Biomarkers Prev. 2006;15:1-2.
- Ahlgren M, Wohlfahrt J, Olsen LW, Sorensen TI, Melbye M. Birth weight and risk of cancer. Cancer. 2007;110:412-9.
- Vaughan DA, Cleary BJ, Murphy DJ. Delivery outcomes for nulliparous women at the extremes of maternal age a cohort study. BJOG. 2014;121:260-7.
- Klemetti R, Gissler M, Sainio S, Hemminki E. Associations of maternal age with maternity care and birth outcomes in primiparous women: a comparison of results in 1991 and 2008 in Finland. BJOG. 2014;121:355–61.
- Oral E, Cagdas A, Gezer A, Kaleli S, Aydinli K, Oçer F. Perinatal and maternal outcomes of fetal macrosomia. Eur J Obstet Gynecol Reprod Biol. 2001;99:167-71.
- Lawlor DA, Leon DA, Davey Smith G. The association of ambient outdoor temperature throughout pregnancy and offspring birthweight: findings from the Aberdeen Children of the 1950s cohort. BJOG. 2005;112:647–57.
- Chodick G, Shalev V, Goren I, Inskip PD. Seasonality in birth weight in Israel: new evidence suggests several global patterns and different etiologies. Ann Epidemiol. 2007;17:440–6.
Ayrıntılar
| Birincil Dil | İngilizce |
|---|---|
| Konular | Klinik Tıp Bilimleri |
| Bölüm | Araştırma |
| Yazarlar | |
| Proje Numarası | 10802 |
| Yayımlanma Tarihi | 31 Mart 2022 |
| Kabul Tarihi | 24 Ocak 2022 |
| Yayımlandığı Sayı | Yıl 2022 Cilt: 47 Sayı: 1 |
