{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,24]],"date-time":"2026-09-24T06:44:19Z","timestamp":1790232259622,"version":"4.1.0"},"reference-count":12,"publisher":"BMJ","issue":"6","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Arch Dis Child Fetal Neonatal Ed"],"published-print":{"date-parts":[[2009,11]]},"abstract":"<jats:sec>\n                  <jats:title>Objective:<\/jats:title>\n                  <jats:p>To compare the neonatal outcomes and birth injuries of macrosomic infants born to diabetic mothers (IDM) and non-diabetic mothers (non-IDM).<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Study design:<\/jats:title>\n                  <jats:p>This is a retrospective survey of all live born, singleton neonates with a birth weight of \u2a7e4000 g, delivered at the Albert Einstein Medical Center, Philadelphia during a 3-year period (2003 through 2005). 305 infants of the 7158 delivered during this period met entry criteria. Data were analysed using \u03c7<jats:sup>2<\/jats:sup> and Fisher\u2019s exact test. Logistic regression analysis was also performed.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Result:<\/jats:title>\n                  <jats:p>Compared to IDMs, non-IDMs were born later (40 vs 38 weeks) and were more likely to be delivered vaginally (70% vs 34%). Half of the non-IDMs (49.6%) had at least one morbidity compared with 73.2% of the IDMs. Non-IDMs had a higher incidence of birth injury than IDMs (8% vs 2.4%). Logistic regression showed an increased risk of poor outcome with weight \u2a7e4500 g and vaginal delivery.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusion:<\/jats:title>\n                  <jats:p>All macrosomic infants represent a high-risk group, regardless of maternal diabetes status.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1136\/adc.2008.156026","type":"journal-article","created":{"date-parts":[[2009,6,16]],"date-time":"2009-06-16T20:14:18Z","timestamp":1245183258000},"page":"F419-F422","source":"Crossref","is-referenced-by-count":56,"title":["Neonatal outcomes of macrosomic births in diabetic and non-diabetic women"],"prefix":"10.1136","volume":"94","author":[{"given":"S","family":"Das","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M","family":"Irigoyen","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M B","family":"Patterson","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"A","family":"Salvador","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"D L","family":"Schutzman","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2009,6,15]]},"reference":[{"key":"2025090511492620000_94.6.F419.1","first-page":"715","article-title":"Fetal macrosomia: prediction, risks, proposed management.","volume":"61","author":"Boyd","year":"1983","journal-title":"Obstet Gynecol"},{"key":"2025090511492620000_94.6.F419.2","doi-asserted-by":"publisher","DOI":"10.1007\/s004040050262"},{"key":"2025090511492620000_94.6.F419.3","doi-asserted-by":"publisher","DOI":"10.1097\/00003081-200006000-00012"},{"key":"2025090511492620000_94.6.F419.4","doi-asserted-by":"publisher","DOI":"10.1067\/mob.2003.302"},{"key":"2025090511492620000_94.6.F419.5","doi-asserted-by":"crossref","first-page":"831","DOI":"10.1016\/0002-9378(91)90424-P","article-title":"Shoulder dystocia: should the fetus weighing greater than or equal to 4000 grams be delivered by cesarean section?","volume":"165","author":"Langer","year":"1991","journal-title":"Am J Obstet Gynecol"},{"key":"2025090511492620000_94.6.F419.6","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajog.2005.02.054"},{"key":"2025090511492620000_94.6.F419.7","doi-asserted-by":"publisher","DOI":"10.1097\/00003081-200006000-00006"},{"key":"2025090511492620000_94.6.F419.8","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa0707943"},{"key":"2025090511492620000_94.6.F419.9","doi-asserted-by":"publisher","DOI":"10.1016\/0029-7844(95)00005-C"},{"key":"2025090511492620000_94.6.F419.10","doi-asserted-by":"publisher","DOI":"10.1016\/S0029-7844(97)00007-0"},{"key":"2025090511492620000_94.6.F419.11","doi-asserted-by":"publisher","DOI":"10.1016\/S0002-9378(97)70435-6"},{"key":"2025090511492620000_94.6.F419.12","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajog.2005.02.032"}],"container-title":["Archives of Disease in Childhood - Fetal and Neonatal Edition"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/adc.2008.156026","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,9,5]],"date-time":"2025-09-05T19:03:12Z","timestamp":1757098992000},"score":1,"resource":{"primary":{"URL":"https:\/\/fn.bmj.com\/lookup\/doi\/10.1136\/adc.2008.156026"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2009,6,15]]},"references-count":12,"journal-issue":{"issue":"6","published-online":{"date-parts":[[2009,10,21]]},"published-print":{"date-parts":[[2009,11]]}},"alternative-id":["10.1136\/adc.2008.156026"],"URL":"https:\/\/doi.org\/10.1136\/adc.2008.156026","relation":{},"ISSN":["1359-2998","1468-2052"],"issn-type":[{"value":"1359-2998","type":"print"},{"value":"1468-2052","type":"electronic"}],"subject":[],"published":{"date-parts":[[2009,6,15]]}}}