{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,2,21]],"date-time":"2025-02-21T08:33:28Z","timestamp":1740126808846,"version":"3.37.3"},"reference-count":22,"publisher":"Georg Thieme Verlag KG","issue":"16","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Am J Perinatol"],"published-print":{"date-parts":[[2024,12]]},"abstract":"<jats:p>\n            Objective\u2003Our objective was to examine the association between sonographic estimated fetal weight (EFW) and obstetrical and neonatal outcomes in women with neonatal macrosomia.<\/jats:p><jats:p>\n            Study Design\u2003This study, conducted at a tertiary university-affiliated hospital from 2017 to 2021, compared obstetrical and neonatal outcomes between two groups of women who delivered macrosomic newborns (actual birth weight \u2265 4,000\u2009g): (1) those with EFW \u2265 3,800\u2009g (suspected impending macrosomia) and (2) those with EFW\u2009&lt;\u20093,800\u2009g (unsuspected impending macrosomia).<\/jats:p><jats:p>\n            Results\u2003During the study period, 854 women with neonatal macrosomia attempted vaginal delivery. Only 9.2% had a sonographic EFW \u2265 4,000\u2009g. Among women with EFW \u22653,800\u2009g (n\u2009=\u2009317) compared with EFW\u2009&lt;\u20093,800\u2009g (n\u2009=\u2009537), the cesarean delivery (CD) rate was higher (17.0 vs. 10.5%, p\u2009=\u20090.004) and the operative delivery rate was lower (3.2 vs. 0.6%, p\u2009=\u20090.015). Among primiparous women, the CD rate was higher among those with EFW \u2265 3,800 versus &lt;3,800\u2009g (37.3 vs. 23.2%, p\u2009=\u20090.033). EFW \u22653,800\u2009g was associated with CD, regardless of predelivery body mass index, parity, diabetes mellitus, maximal fetal weight at previous deliveries, actual birth weight, and labor induction (p\u2009=\u20090.014). EFW \u22653,800\u2009g and diabetes mellitus were independent predictors of CD. Among women with EFW \u22653,800\u2009g and diabetes mellitus, the risk of CD was double that of those without diabetes and with EFW \u2265 3,800\u2009g (31.4% vs. 15.2%, p\u2009=\u20090.02), although their actual birth weights were similar. Obstetrical and neonatal outcomes were similar between those with sonographic EFW \u22653,800 and\u2009&lt;\u20093,800\u2009g.<\/jats:p><jats:p>\n            Conclusion\u2003Larger EFW increased CD risk among pregnancies with actual neonatal macrosomia. Antenatally suspected macrosomia might alter labor management due to concerns for potential complications, especially when associated with primiparity, diabetes mellitus, or maternal obesity. The increase in the CD rate did not show an association with improved maternal and neonatal outcomes.<\/jats:p><jats:p>\n            Key Points\n          <\/jats:p>","DOI":"10.1055\/s-0044-1786743","type":"journal-article","created":{"date-parts":[[2024,5,3]],"date-time":"2024-05-03T05:08:16Z","timestamp":1714712896000},"page":"2271-2277","source":"Crossref","is-referenced-by-count":0,"title":["The Impact on Birth Outcomes of Sonographic Fetal Weight Estimation in Neonatal Macrosomia"],"prefix":"10.1055","volume":"41","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5270-8436","authenticated-orcid":false,"given":"Inshirah","family":"Sgayer","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, Galilee Medical Center, Nahariya, Israel"},{"name":"Azrieli Faculty of Medicine, Bar Ilan University, Safed, Israel"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Karina","family":"Nskovica","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, Galilee Medical Center, Nahariya, Israel"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Iuliia","family":"Murkhovskyi","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, Galilee Medical Center, Nahariya, Israel"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Raneen Abu","family":"Shqara","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, Galilee Medical Center, Nahariya, Israel"},{"name":"Azrieli Faculty of Medicine, Bar Ilan University, Safed, Israel"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Artyom","family":"Bilyk","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, Galilee Medical Center, Nahariya, Israel"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lior","family":"Lowenstein","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, Galilee Medical Center, Nahariya, Israel"},{"name":"Azrieli Faculty of Medicine, Bar Ilan University, Safed, Israel"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Maya Frank","family":"Wolf","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, Galilee Medical Center, Nahariya, Israel"},{"name":"Azrieli Faculty of Medicine, Bar Ilan University, Safed, Israel"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2024,5,2]]},"reference":[{"issue":"08","key":"ref1","first-page":"1","article-title":"Births: final data for 2017","volume":"67","author":"J A Martin","year":"2018","journal-title":"Natl Vital Stat Rep"},{"issue":"01","key":"ref2","doi-asserted-by":"crossref","first-page":"e18","DOI":"10.1097\/AOG.0000000000003606","article-title":"Macrosomia: ACOG Practice Bulletin, Number 216","volume":"135","year":"2020","journal-title":"Obstet Gynecol"},{"issue":"05","key":"ref3","doi-asserted-by":"crossref","first-page":"515","DOI":"10.1055\/s-0037-1608811","article-title":"Morbidity associated with fetal macrosomia among women with diabetes mellitus","volume":"35","author":"Z B Jenner","year":"2018","journal-title":"Am J Perinatol"},{"issue":"03","key":"ref4","doi-asserted-by":"crossref","first-page":"308","DOI":"10.1002\/uog.20279","article-title":"Maternal and neonatal complications of fetal macrosomia: systematic review and meta-analysis","volume":"54","author":"J Beta","year":"2019","journal-title":"Ultrasound Obstet Gynecol"},{"key":"ref5","doi-asserted-by":"crossref","first-page":"34","DOI":"10.1016\/j.ejogrb.2022.04.007","article-title":"Evaluation of obstetric management of women with macrosomic foetuses in two Level 3 maternity hospitals in France and identification of predictive factors for obstetric and neonatal complications","volume":"274","author":"R Larad","year":"2022","journal-title":"Eur J Obstet Gynecol Reprod Biol"},{"issue":"01","key":"ref6","doi-asserted-by":"crossref","first-page":"241","DOI":"10.1186\/s12884-022-04519-z","article-title":"Percent error of ultrasound examination to estimate fetal weight at term in different categories of birth weight with focus on maternal diabetes and obesity","volume":"22","author":"L Dittkrist","year":"2022","journal-title":"BMC Pregnancy Childbirth"},{"issue":"06","key":"ref7","doi-asserted-by":"crossref","first-page":"1339","DOI":"10.1007\/s00404-020-05732-x","article-title":"Significant deviations in sonographic fetal weight estimation: causes and implications","volume":"302","author":"E Krispin","year":"2020","journal-title":"Arch Gynecol Obstet"},{"issue":"07","key":"ref8","doi-asserted-by":"crossref","first-page":"632","DOI":"10.1016\/j.jgyn.2014.10.015","article-title":"Performance de l'estimation \u00e9chographique du poids f\u0153tal r\u00e9alis\u00e9e par les internes de sp\u00e9cialit\u00e9 le jour de l'accouchement","volume":"44","author":"K Dimassi","year":"2015","journal-title":"J Gynecol Obstet Biol Reprod (Paris)"},{"issue":"05","key":"ref9","first-page":"311","article-title":"Birth weight standards in the live-born population in Israel","volume":"7","author":"S Dollberg","year":"2005","journal-title":"Isr Med Assoc J"},{"issue":"01","key":"ref10","first-page":"71","article-title":"Counseling for fetal macrosomia: an estimated fetal weight of 4,000\u2009g is excessively low","volume":"32","author":"D Peleg","year":"2015","journal-title":"Am J Perinatol"},{"issue":"03","key":"ref11","doi-asserted-by":"crossref","first-page":"635","DOI":"10.1007\/s00404-018-5003-2","article-title":"Does prenatal identification of fetal macrosomia change management and outcome?","volume":"299","author":"D Vitner","year":"2019","journal-title":"Arch Gynecol Obstet"},{"issue":"01","key":"ref12","doi-asserted-by":"crossref","first-page":"118","DOI":"10.1186\/s12884-018-1772-7","article-title":"Accuracy of immediate antepartum ultrasound estimated fetal weight and its impact on mode of delivery and outcome - a cohort analysis","volume":"18","author":"J Stubert","year":"2018","journal-title":"BMC Pregnancy Childbirth"},{"issue":"02","key":"ref13","doi-asserted-by":"crossref","first-page":"225","DOI":"10.7863\/jum.2010.29.2.225","article-title":"Sonographic prediction of fetal macrosomia: the consequences of false diagnosis","volume":"29","author":"N Melamed","year":"2010","journal-title":"J Ultrasound Med"},{"issue":"04","key":"ref14","doi-asserted-by":"crossref","first-page":"309.e1","DOI":"10.1016\/j.ajog.2012.06.065","article-title":"Estimated fetal weight by ultrasound: a modifiable risk factor for cesarean delivery?","volume":"207","author":"S E Little","year":"2012","journal-title":"Am J Obstet Gynecol"},{"issue":"15","key":"ref15","doi-asserted-by":"crossref","first-page":"1","DOI":"10.3310\/hta25150","article-title":"Universal late pregnancy ultrasound screening to predict adverse outcomes in nulliparous women: a systematic review and cost-effectiveness analysis","volume":"25","author":"G C Smith","year":"2021","journal-title":"Health Technol Assess"},{"issue":"03","key":"ref16","doi-asserted-by":"crossref","first-page":"252","DOI":"10.1055\/s-0039-1695011","article-title":"Influence of estimated fetal weight on labor management","volume":"37","author":"E T Bushman","year":"2020","journal-title":"Am J Perinatol"},{"issue":"02","key":"ref17","doi-asserted-by":"crossref","first-page":"e127","DOI":"10.1055\/s-0039-1684035","article-title":"Sonographic estimated fetal weight and cesarean delivery among nulliparous women with obesity","volume":"9","author":"A M Dude","year":"2019","journal-title":"AJP Rep"},{"issue":"02","key":"ref18","doi-asserted-by":"crossref","first-page":"170","DOI":"10.1016\/j.ejogrb.2012.01.010","article-title":"Is prenatal identification of fetal macrosomia useful?","volume":"161","author":"F Vendittelli","year":"2012","journal-title":"Eur J Obstet Gynecol Reprod Biol"},{"issue":"18","key":"ref19","doi-asserted-by":"crossref","first-page":"1480","DOI":"10.1001\/jama.1996.03540180036030","article-title":"The effectiveness and costs of elective cesarean delivery for fetal macrosomia diagnosed by ultrasound","volume":"276","author":"D J Rouse","year":"1996","journal-title":"JAMA"},{"issue":"02","key":"ref20","doi-asserted-by":"crossref","first-page":"125","DOI":"10.1016\/j.ejogrb.2012.03.005","article-title":"Prediction and prevention of the macrosomic fetus","volume":"162","author":"J M Walsh","year":"2012","journal-title":"Eur J Obstet Gynecol Reprod Biol"},{"issue":"03","key":"ref21","doi-asserted-by":"crossref","first-page":"276","DOI":"10.1055\/s-0043-102406","article-title":"Ultrasound versus clinical examination to estimate fetal weight at term","volume":"77","author":"J S Lanowski","year":"2017","journal-title":"Geburtshilfe Frauenheilkd"},{"issue":"01","key":"ref22","doi-asserted-by":"crossref","first-page":"122","DOI":"10.1186\/s12884-019-2251-5","article-title":"Fetal weight estimation at term - ultrasound versus clinical examination with Leopold's manoeuvres: a prospective blinded observational study","volume":"19","author":"O Preyer","year":"2019","journal-title":"BMC Pregnancy Childbirth"}],"container-title":["American Journal of Perinatology"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/www.thieme-connect.de\/products\/ejournals\/pdf\/10.1055\/s-0044-1786743.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,11,5]],"date-time":"2024-11-05T13:26:44Z","timestamp":1730813204000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.thieme-connect.de\/DOI\/DOI?10.1055\/s-0044-1786743"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,5,2]]},"references-count":22,"journal-issue":{"issue":"16","published-online":{"date-parts":[[2024,11,4]]},"published-print":{"date-parts":[[2024,12]]}},"URL":"https:\/\/doi.org\/10.1055\/s-0044-1786743","archive":["Portico","CLOCKSS"],"relation":{},"ISSN":["0735-1631","1098-8785"],"issn-type":[{"type":"print","value":"0735-1631"},{"type":"electronic","value":"1098-8785"}],"subject":[],"published":{"date-parts":[[2024,5,2]]}}}