{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,5]],"date-time":"2026-10-05T19:21:08Z","timestamp":1791228068397,"version":"4.1.0"},"reference-count":21,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2004,10,7]],"date-time":"2004-10-07T00:00:00Z","timestamp":1097107200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Intl J Gynecology &amp; Obste"],"published-print":{"date-parts":[[2004,12]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>Macrosomia is associated with adverse maternal outcomes. The objective of this study was to characterize the epidemiology of macrosomia and related maternal complications.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Method<\/jats:title>\n                    <jats:p>Live births (146,526) were identified between 1995 and 1999 in the Kaiser Permanente Medical Care Program's Northern California Region (KPMCP NCR) database. Bivariate and multivariate analyses were performed for risk factors and complications associated with macrosomia (birth weight &gt;4500 g).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Result<\/jats:title>\n                    <jats:p>\n                      Male infant sex, multiparity, maternal age 30\u201340, white race, diabetes, and gestational age &gt;41 weeks were associated with macrosomia (\n                      <jats:italic>p<\/jats:italic>\n                      &lt;0.001). In bivariate and multivariate analyses, macrosomia was associated with higher rates of cesarean birth, chorioamnionitis, shoulder dystocia, fourth\u2010degree perineal lacerations, postpartum hemorrhage, and prolonged hospital stay (\n                      <jats:italic>p<\/jats:italic>\n                      &lt;0.01).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Macrosomia was associated with adverse maternal outcomes in this cohort. More research is needed to determine how to prevent complications related to excessive birth weight.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1016\/j.ijgo.2004.08.010","type":"journal-article","created":{"date-parts":[[2004,10,13]],"date-time":"2004-10-13T13:53:40Z","timestamp":1097675620000},"page":"220-226","source":"Crossref","is-referenced-by-count":225,"title":["Risk factors and obstetric complications associated with macrosomia"],"prefix":"10.1002","volume":"87","author":[{"given":"N.E.","family":"Stotland","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"A.B.","family":"Caughey","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"E.M.","family":"Breed","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"G.J.","family":"Escobar","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2004,10,7]]},"reference":[{"key":"e_1_2_5_2_2","doi-asserted-by":"publisher","DOI":"10.1177\/014572179902500610"},{"key":"e_1_2_5_3_2","first-page":"1","article-title":"Births: final data for 2000","volume":"50","author":"Martin J.A.","year":"2002","journal-title":"Natl. Vital Stat. Rep."},{"key":"e_1_2_5_4_2","doi-asserted-by":"publisher","DOI":"10.1001\/jama.288.14.1723"},{"key":"e_1_2_5_5_2","unstructured":"Chapter 29 Fetal Growth Disorders. In: Cunningham F editor. Williams Obstetrics (ed 21). New York: McGraw\u2010Hill; 2001:758."},{"key":"e_1_2_5_6_2","doi-asserted-by":"publisher","DOI":"10.1097\/00006250-200108000-00008"},{"key":"e_1_2_5_7_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0029-7844(98)00224-5"},{"key":"e_1_2_5_8_2","doi-asserted-by":"publisher","DOI":"10.1016\/0029-7844(95)00005-C"},{"key":"e_1_2_5_9_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0002-9378(97)70435-6"},{"key":"e_1_2_5_10_2","doi-asserted-by":"publisher","DOI":"10.1067\/mob.2003.302"},{"key":"e_1_2_5_11_2","doi-asserted-by":"publisher","DOI":"10.1542\/peds.104.1.e2"},{"key":"e_1_2_5_12_2","doi-asserted-by":"crossref","first-page":"360","DOI":"10.1542\/peds.103.SE1.360","article-title":"The neonatal \u201csepsis work\u2010up\u201d: personal reflections on the development of an evidence\u2010based approach toward newborn infections in a managed care organization","volume":"103","author":"Escobar G.J.","year":"1999","journal-title":"Pediatrics"},{"key":"e_1_2_5_13_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-3016.1997.tb00800.x"},{"key":"e_1_2_5_14_2","doi-asserted-by":"crossref","first-page":"693","DOI":"10.1542\/peds.97.5.693","article-title":"Postdischarge utilization of medical services by high\u2010risk infants: experience in a large managed care organization","volume":"97","author":"Cavalier S.","year":"1996","journal-title":"Pediatrics"},{"key":"e_1_2_5_15_2","doi-asserted-by":"publisher","DOI":"10.7326\/0003-4819-127-8_Part_2-199710151-00056"},{"key":"e_1_2_5_16_2","volume-title":"Generalized, Linear, and Mixed Models","author":"McCulloch C.E.","year":"2001"},{"key":"e_1_2_5_17_2","first-page":"2","article-title":"Induction of labour for suspected fetal macrosomia","author":"Irion O.","year":"2000","journal-title":"Cochrane Database Syst. Rev."},{"key":"e_1_2_5_18_2","doi-asserted-by":"publisher","DOI":"10.1034\/j.1600-0412.2002.810301.x"},{"key":"e_1_2_5_19_2","doi-asserted-by":"publisher","DOI":"10.1038\/sj.jp.7200500"},{"key":"e_1_2_5_20_2","doi-asserted-by":"publisher","DOI":"10.1080\/jmf.11.1.50.53"},{"key":"e_1_2_5_21_2","volume-title":"Nutrition during pregnancy: part I, weight gain: part II, nutrient supplements","author":"Institute of Medicine (U.S.). Subcommittee on Nutritional Status and Weight Gain during Pregnancy. Institute of Medicine (U.S.). Subcommittee on Dietary Intake and Nutrient Supplements during Pregnancy","year":"1990"},{"key":"e_1_2_5_22_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(97)06261-2"}],"container-title":["International Journal of Gynecology &amp; Obstetrics"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/api.elsevier.com\/content\/article\/PII:S0020729204003352?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/api.elsevier.com\/content\/article\/PII:S0020729204003352?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1016%2Fj.ijgo.2004.08.010","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1016%2Fj.ijgo.2004.08.010","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/pdf\/10.1016\/j.ijgo.2004.08.010","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,10,5]],"date-time":"2023-10-05T12:41:08Z","timestamp":1696509668000},"score":1,"resource":{"primary":{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/10.1016\/j.ijgo.2004.08.010"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2004,10,7]]},"references-count":21,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2004,12]]}},"alternative-id":["10.1016\/j.ijgo.2004.08.010"],"URL":"https:\/\/doi.org\/10.1016\/j.ijgo.2004.08.010","archive":["Portico"],"relation":{},"ISSN":["0020-7292","1879-3479"],"issn-type":[{"value":"0020-7292","type":"print"},{"value":"1879-3479","type":"electronic"}],"subject":[],"published":{"date-parts":[[2004,10,7]]}}}