Publication:
Neonatal Outcome of Macrosomia

creativeworkseries.issnISSN 1990-7974 eISSN 1990-7982
dc.contributor.authorSubhash Chandra Shah,
dc.contributor.authorAnusmriti, Guragain
dc.contributor.authorPandey, Shreejana
dc.contributor.authorDhakal, Ajaya Kumar
dc.date.accessioned2025-12-23T07:26:53Z
dc.date.available2025-12-23T07:26:53Z
dc.date.issued2020
dc.descriptionSubhash Chandra Shah Department of Paediatrics, KIST Medical College, Imadol, Lalitpur, Nepal Anusmriti Guragain Department of Paediatrics, KIST Medical College, Imadol, Lalitpur, Nepal Shreejana Pandey Department of Paediatrics, KIST Medical College, Imadol, Lalitpur, Nepal Ajaya Kumar Dhakal
dc.description.abstractAbstract: Introduction: Macrosomia is an emerging public health problem, both in the developed as well as in the developing countries. This study was aimed to examine the maternal and neonatal risk factors associated with macrosomia and compare adverse neonatal outcome between appropriate for gestational age (AGA) and macrosomia. Methods: Records of all live singleton AGA and macrosomic babies delivered at a tertiary care teaching hospital in Lalitpur, Nepal, between 14th April 2013 and 13th April 2014 were retrospectively reviewed. Results: Of the 769 deliveries, 684 neonates were eligible of which 93 were born macrosomic with an incidence of 12.1%. We observed the most significant neonatal outcome to be neonatal sepsis (14%; p = 0.005) compared to AGA babies (5.9%). Macrosomia was found to be associated with increasing maternal age and parity (p = 0.007) relative to mothers of AGA babies, most of whom underwent caesarean section (55.9%) whilst the same outcome was fewer for mothers of AGA babies (29.9%). A higher incidence of pregnancy induced hypertension (PIH) as maternal comorbidity (5.4%) was associated with macrosomia contrasted with mothers of AGA babies (4.4%). Conclusion: Macrosomic birth was found to be associated with relatively higher adverse neonatal outcome, warranting prolonged hospital admission than AGA births.
dc.identifierhttps://doi.org/10.3126/jnps.v40i2.28917
dc.identifier.urihttps://hdl.handle.net/20.500.14572/3804
dc.language.isoen_US
dc.publisherNepal Paediatric Society (JNPS)
dc.subjectAppropriate for gestation age
dc.subjectMacrosomia
dc.subjectNeonatal sepsis
dc.titleNeonatal Outcome of Macrosomia
dc.typeArticle
dspace.entity.typePublication
local.article.typeOriginal Article
oaire.citation.endPage119
oaire.citation.startPage114
relation.isJournalIssueOfPublication2824c45f-d40b-4646-b754-b63604ec415f
relation.isJournalIssueOfPublication.latestForDiscovery2824c45f-d40b-4646-b754-b63604ec415f
relation.isJournalOfPublication6f9be05c-05a9-4a3e-a5b5-a19a15ab042c

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