A Multiethnic Study of the Predictors of Macrosomia

Dale S. Hardy

Research output: Contribution to journalArticle

16 Citations (Scopus)

Abstract

PURPOSE this study examined predictors of macrosomia in a multiethnic sample of 213 low-income women diagnosed with gestational diabetes mellitus (GDM) after week 24 of their pregnancy. METHODS Medical records were reviewed retrospectively. Variables examined were mother's height, weight history, educational level, age at diagnosis, weeks at diagnosis and delivery, type of diabetes, mean fasting blood glucose (FBG), and infant's weight, sex, and Apgar scores. RESULTS Fifty-one percent of babies were macrosomic. Weight gain, nonpregnant weight, weight at delivery, FBG, and Apgar scores at 1 minute were associated with macrosomia, especially in Hispanic women. Logistic regression revealed that nonpregnant weight was the strongest predictor of macrosomia. CONCLUSIONS Nonobese GDM mothers with optimal weight gain but with high FBG levels >90 mg/dL may be at risk for macrosomia. The major concerns with obese GDM mothers are nonpregnant weight and high blood glucose levels, in this order. Education for women with GDM should target these risk factors to decrease macrosomia.

Original languageEnglish (US)
Pages (from-to)925-933
Number of pages9
JournalThe Diabetes Educator
Volume25
Issue number6
DOIs
StatePublished - Nov 1999

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Gestational Diabetes
Weights and Measures
Blood Glucose
Fasting
Apgar Score
Mothers
Weight Gain
Hispanic Americans
Medical Records
Logistic Models
History
Education
Pregnancy

ASJC Scopus subject areas

  • Endocrinology, Diabetes and Metabolism
  • Health Professions (miscellaneous)

Cite this

A Multiethnic Study of the Predictors of Macrosomia. / Hardy, Dale S.

In: The Diabetes Educator, Vol. 25, No. 6, 11.1999, p. 925-933.

Research output: Contribution to journalArticle

Hardy, Dale S. / A Multiethnic Study of the Predictors of Macrosomia. In: The Diabetes Educator. 1999 ; Vol. 25, No. 6. pp. 925-933.
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