Following the 2009 American Institute of Medicine recommendations for?normal body mass index and overweight women led to an increased risk?of fetal macrosomia among Taiwanese women

摘要

Objective This study aimed to investigate the risk of birth weights over 4000?g (macrosomia) in association with following the 2009 American Institute of Medicine (AIOM) recommendations. Materials and Methods Seventy-six nondiabetic women who delivered a singleton, term macrosomic fetus and 82 women who delivered a singleton, term fetus weighing <4000?g were analyzed retrospectively. The relationship between the risk of macrosomia and gestational weight gain in different periods of pregnancy was investigated using logistic regression. Results The incidence of macrosomia from January 2008 to December 2009 was 1.8% among the Taiwanese women. The incidences of cesarean delivery (54.5% vs. 18.2%, p ? 1000?mL at delivery (35.5% vs. 6.1%, p ? 11.5?kg, the risk of macrosomia increased nine-fold (OR?=?9.63; 95% CI 1.76–52.74). Conclusion Macrosomia resulted in more cesarean deliveries and greater maternal blood loss at birth. In Taiwan, to prevent macrosomia, we suggest that the total gestational weight gain should be <11.5?kg among normal weight women and within 10?kg for overweight women.