Incidence of fetal macrosomia among single live birth neonates and influencing factors in Xi'an,2010-2013
10.3760/cma.j.issn.0254-6450.2016.08.008
- VernacularTitle:西安市2010-2013年活产单胎巨大儿现况及其影响因素分析
- Author:
Qi ZHANG
1
;
Ruhai BAI
;
Lingling WANG
;
Shaonong DANG
;
Baibing MI
;
Hong YAN
Author Information
1. 710061,西安交通大学医学部公共卫生学院流行病与卫生统计教研室
- Keywords:
Neonate;
Fetal macrosomia;
Risk factors
- From:
Chinese Journal of Epidemiology
2016;37(8):1095-1098
- CountryChina
- Language:Chinese
-
Abstract:
Objective To analyze the incidence and influencing factors on fetal macrosomia among single live birth neonates in Xi'an.Methods A questionnaire survey was conducted among women at the childbearing age who were selected through multi stage stratified random sampling in Xi'an during 2010-2013.All the childbearing aged women involved,were in pregnancy or having definite pregnancy outcomes.Results A total of 4 970 women at childbearing age and their infants were investigated.The overall incidence of fetal macrosomia weight among the single live birth neonates under study,was 9.7％ during 2010-2013 (8.9％ in 2010,8.1％ in 2011,10.0％ in 2012 and 10.1％ in 2013,respectively).The incidence rates of fetal macrosomia appeared 10.5％ in the central district and,8.6％ in the rural-urban area of Xi'an.There were statistically significant differences (P＜0.05) seen between the two areas.Results of logistic regression analysis suggested that factors as:having male newborn (OR=1.717,95％ CI:1.402-2.102),drinking during pregnancy (OR=2.174,95％ CI:1.042-4.533),gestational diabetes (OR=1.680,95％CI:1.100-2.568) gestational age≥42 (compared with 37-41,OR=2.565,95％CI:1.306-5.039),being multipara (OR=1.874,95％CI:1.492-2.354)were risk factors for the fetal macrosomia.Conclusion The incidence of fetal macrosomia in Xi'an was higher than the national figures.The incidence of fetal macrosomia was higher in the central district than in rural-urban area.Having male neonate,postmature birth,gestational diabetes,being multipara,drinking during pregnancy were the risk factors related to fetal macrosomia.
