Determinants of macrosomia among newborns delivered in Jigjiga City, Eastern Ethiopia: a case-control study
Abstract Background Macrosomia is a forgotten health problem that directly or indirectly affects maternal and neonatal health outcomes. There is a lack of evidence on the factors that affect macrosomia in eastern Ethiopia. This study aimed to assess the determinants of macrosomia among newborns deli...
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| Format: | Article |
| Language: | English |
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BMC
2024-11-01
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| Series: | Maternal Health, Neonatology and Perinatology |
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| Online Access: | https://doi.org/10.1186/s40748-024-00194-4 |
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| author | Abdisalan Elmi Farah Dureti Abdurahman Kassiye Shiferaw Ahmedin Aliyi Usso Mohammed Abdurke Kure Beker Feto Hassen Abdi Adem Saba Hailu |
| author_facet | Abdisalan Elmi Farah Dureti Abdurahman Kassiye Shiferaw Ahmedin Aliyi Usso Mohammed Abdurke Kure Beker Feto Hassen Abdi Adem Saba Hailu |
| author_sort | Abdisalan Elmi Farah |
| collection | DOAJ |
| description | Abstract Background Macrosomia is a forgotten health problem that directly or indirectly affects maternal and neonatal health outcomes. There is a lack of evidence on the factors that affect macrosomia in eastern Ethiopia. This study aimed to assess the determinants of macrosomia among newborns delivered in Jigjiga City, Eastern Ethiopia. Methods An institutional-based case-control study was conducted among 82 cases and 164 controls in Jigjiga City from June 25 to August 24, 2023. Bivariable and multivariable logistic regression were used to identify the determinants of macrosomia. An adjusted odds ratio (AOR) with a 95% confidence interval was used to report the strength of the association, and the statistical significance was declared at a p-value < 0.05. Results This study found that lack of preconception care (AOR = 2.48, 95% CI: 1.29, 4.76); post-term pregnancy (AOR = 2.90, 95% CI: 1.16, 7.28); inadequate physical activity (AOR = 3.52, 95% CI: 1.55, 7.98), having previous macrosomia (AOR = 4.52, 95% CI: 2.18, 9.36), and gestational diabetic mellitus (AOR = 2.58, 95% CI: 1.10, 6.28) were the main risk factors of macrosomia. Conclusion This study indicated that failed utilization of preconception care, inadequate physical activity during pregnancy, post-term pregnancy, gestational diabetic mellitus, and having previous macrosomia were the risk factors for fetal macrosomia. Encouraging women to utilize reproductive health services and providing special care for high-risk mothers are essential to reducing and preventing the level of fetal macrosomia and its consequences. |
| format | Article |
| id | doaj-art-20880f6cf1654af8992e7ae41103ce0c |
| institution | DOAJ |
| issn | 2054-958X |
| language | English |
| publishDate | 2024-11-01 |
| publisher | BMC |
| record_format | Article |
| series | Maternal Health, Neonatology and Perinatology |
| spelling | doaj-art-20880f6cf1654af8992e7ae41103ce0c2025-08-20T02:50:02ZengBMCMaternal Health, Neonatology and Perinatology2054-958X2024-11-011011710.1186/s40748-024-00194-4Determinants of macrosomia among newborns delivered in Jigjiga City, Eastern Ethiopia: a case-control studyAbdisalan Elmi Farah0Dureti Abdurahman1Kassiye Shiferaw2Ahmedin Aliyi Usso3Mohammed Abdurke Kure4Beker Feto5Hassen Abdi Adem6Saba Hailu7School of Public Health, College of Medical and Health Sciences, Jigjiga UniversitySchool of Public Health, College of Health and Medical Sciences, Haramaya UniversitySchool of Nursing and Midwifery, College of Health and Medical Sciences, Haramaya UniversitySchool of Nursing and Midwifery, College of Health and Medical Sciences, Haramaya UniversitySchool of Nursing and Midwifery, College of Health and Medical Sciences, Haramaya UniversitySchool of Medical Laboratory Sciences, College of Health and Medical Sciences, Haramaya UniversitySchool of Public Health, College of Health and Medical Sciences, Haramaya UniversitySchool of Public Health, College of Health and Medical Sciences, Haramaya UniversityAbstract Background Macrosomia is a forgotten health problem that directly or indirectly affects maternal and neonatal health outcomes. There is a lack of evidence on the factors that affect macrosomia in eastern Ethiopia. This study aimed to assess the determinants of macrosomia among newborns delivered in Jigjiga City, Eastern Ethiopia. Methods An institutional-based case-control study was conducted among 82 cases and 164 controls in Jigjiga City from June 25 to August 24, 2023. Bivariable and multivariable logistic regression were used to identify the determinants of macrosomia. An adjusted odds ratio (AOR) with a 95% confidence interval was used to report the strength of the association, and the statistical significance was declared at a p-value < 0.05. Results This study found that lack of preconception care (AOR = 2.48, 95% CI: 1.29, 4.76); post-term pregnancy (AOR = 2.90, 95% CI: 1.16, 7.28); inadequate physical activity (AOR = 3.52, 95% CI: 1.55, 7.98), having previous macrosomia (AOR = 4.52, 95% CI: 2.18, 9.36), and gestational diabetic mellitus (AOR = 2.58, 95% CI: 1.10, 6.28) were the main risk factors of macrosomia. Conclusion This study indicated that failed utilization of preconception care, inadequate physical activity during pregnancy, post-term pregnancy, gestational diabetic mellitus, and having previous macrosomia were the risk factors for fetal macrosomia. Encouraging women to utilize reproductive health services and providing special care for high-risk mothers are essential to reducing and preventing the level of fetal macrosomia and its consequences.https://doi.org/10.1186/s40748-024-00194-4DeterminantsMotherNewbornNeonateMacrosomiaEthiopia |
| spellingShingle | Abdisalan Elmi Farah Dureti Abdurahman Kassiye Shiferaw Ahmedin Aliyi Usso Mohammed Abdurke Kure Beker Feto Hassen Abdi Adem Saba Hailu Determinants of macrosomia among newborns delivered in Jigjiga City, Eastern Ethiopia: a case-control study Maternal Health, Neonatology and Perinatology Determinants Mother Newborn Neonate Macrosomia Ethiopia |
| title | Determinants of macrosomia among newborns delivered in Jigjiga City, Eastern Ethiopia: a case-control study |
| title_full | Determinants of macrosomia among newborns delivered in Jigjiga City, Eastern Ethiopia: a case-control study |
| title_fullStr | Determinants of macrosomia among newborns delivered in Jigjiga City, Eastern Ethiopia: a case-control study |
| title_full_unstemmed | Determinants of macrosomia among newborns delivered in Jigjiga City, Eastern Ethiopia: a case-control study |
| title_short | Determinants of macrosomia among newborns delivered in Jigjiga City, Eastern Ethiopia: a case-control study |
| title_sort | determinants of macrosomia among newborns delivered in jigjiga city eastern ethiopia a case control study |
| topic | Determinants Mother Newborn Neonate Macrosomia Ethiopia |
| url | https://doi.org/10.1186/s40748-024-00194-4 |
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