Factors Associated with Fetal Macrosomia at Kenyatta National Hospital

Abstract

The World Health Organization defines macrosomia as absolute birth weight of 4000 grams and above. It occurs in 0.5%- 15% of pregnancies worldwide and is associated with adverse maternal and fetal outcomes that is mostly accounted for by the risk of labor and delivery. The aim of this study was to identify the risk factors associated with fetal macrosomia and to add new information that will help the health care providers to identify women at increased risk for fetal macrosomia and thus enabling effective and timely interventions. Broad Objective: To determine the sociodemographic and maternal factors associated with fetal macrosomia among women who deliver at Kenyatta National Hospital. Study design: This was a Case control study in which 101 women who delivered infants weighing 4000 grams and above were compared to 101 women who delivered infants of normal birth weight, from 2500 grams to 3999 grams. Study setting: This study was conducted at the maternity units of Kenyatta National Hospital, Nairobi Kenya Study population: This was drawn from women who delivered singleton infants and whose gestational age was 37 weeks and above at the maternity units Kenyatta National Hospital. Cases were 101 women with newborn infants weighing 4000 grams and above. The Controls were 101 women with new born infants of normal birth weight i.e. from 2500 grams to 3999 grams............................