The environmental risk factors associated with fetal macrosomia: An umbrella review.
Pediatr Neonatol
; 65(3): 217-221, 2024 May.
Article
en En
| MEDLINE
| ID: mdl-38195281
ABSTRACT
The present umbrella review evaluated the environmental risk factors prior to conception associated with fetal macrosomia based on meta-analyses and systematic reviews. We systematically searched international databases, including PubMed, Scopus, and Web of Science, until April 2023 by using some relevant keywords. The quality of the included studies was assessed using the AMSTAR 2checklist. The risk factor of advanced maternal age 35-39 years compared with <30 years (OR 1·42, 95 % CI 1·25, 1·60), prepregnancy obesity (OR 1.93, 95 % CI 1.65, 2.27) and excessive weight gain before and during pregnancy (OR 2.35, 95 % CI 1.95, 2.85) were graded as suggestive evidence (class III). Two risk factors of advanced maternal age >40 years compared with <30 years (OR 1.40, 95 % CI 1.02, 1.78) and gestational diabetes mellitus (GDM) without insulin use (OR 1.70, 95 % CI 1.23, 2.36) were graded as risk factors with weak evidence (class IV). Advanced maternal age, prepregnancy obesity, excessive weight gain before and during pregnancy, and GDM without insulin use were environmental risk factors for macrosomia.
Palabras clave
Texto completo:
1
Colección:
01-internacional
Base de datos:
MEDLINE
Asunto principal:
Macrosomía Fetal
/
Diabetes Gestacional
Tipo de estudio:
Etiology_studies
/
Risk_factors_studies
/
Systematic_reviews
Límite:
Female
/
Humans
/
Pregnancy
Idioma:
En
Revista:
Pediatr Neonatol
Año:
2024
Tipo del documento:
Article
País de afiliación:
Irán
Pais de publicación:
Singapur