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Weiss, J.L., Malone, F.D., Emig, D., Ball, R.H., Nyberg, D.A., Comstock, C.H., Saade, G., Eddleman, K., Carter, S.M., Craigo, S.D., Carr, S.R. and D’Alton, M.E. (2004) Obesity, Obstetric Complications and Caesarean Delivery Rate—A Population-Based Screening Study. American Journal of Obstetrics & Gynecology, 190, 1091-1097.
https://doi.org/10.1016/j.ajog.2003.09.058

has been cited by the following article:

• TITLE: Trends of Macrosomia at University Clinics of Kinshasa

  AUTHORS: Mbangama-Muela Andy, Mulumba Kapuku Sylvain, Tozin Rahma Rachid, Lumaya Ambis Joëlle, Tandu-Umba Barthélémy, Mbungu Mwimba Roger, Lokomba Bolamba Vicky, Mbanzulu Pita Damien

  KEYWORDS: Macrosomia, Adverse Obstetrical Outcomes, University Clinics of Kinshasa

  JOURNAL NAME: Open Journal of Obstetrics and Gynecology, Vol.8 No.3, March 30, 2018

  ABSTRACT: Context. The prevalence of macrosomia varies through the world according to racial and ethnic factors, life style and importance of non communicable diseases (maternal obesity, diabetes-gestational and type 2), post-term gestation and multiparity. At the University Clinics of Kinshasa (UCK), 30 years ago, the frequency of macrosomia was 2.4%. Objectives. To update data on the frequency of macrosomia at UCK, regarding variations in maternal anthropometrics (obesity) and socio-demographic factors. Methods. A cross-sectional study was conducted at UCK from 1 January 2007 to 31 December 2016. Mothers who delivered babies weighing at least 4000 g were included in this study. Results. The frequency of macrosomia was 3.7%. Trend shows a variation of this frequency over time with lowest frequency (2.1%) in 2012 and highest (5.3%) in 2009. The mother average age and parity were 32.3 ± 5.4 years and 3 ± 2, respectively. Pregnancies were complicated by polyhydramnios (48%) and gestational diabetes (19.7%). Caesarean section was performed in 60.5% cases, mainly for macrosomia (47.8%) and 81.6% of newborns had constitutional macrosomia. Adverse obstetrical outcomes of macrosomia were dominated by caesarean section (28.9%), lacerations of birth canal (23%) and neonatal distress (9.2%). Conclusion. Macrosomia remains a constant finding at UCK, and is associated with maternal, fetal and neonatal adverse outcomes. Trend shows a variation of the frequency over time between 2.1% and 5.3%.