{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,12]],"date-time":"2026-05-12T07:06:08Z","timestamp":1778569568398,"version":"3.51.4"},"reference-count":22,"publisher":"SAGE Publications","issue":"8","license":[{"start":{"date-parts":[[2025,8,1]],"date-time":"2025-08-01T00:00:00Z","timestamp":1754006400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2025,8,1]],"date-time":"2025-08-01T00:00:00Z","timestamp":1754006400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"name":"Yulin City Science and Technology Association Youth Talent Support Program Project","award":["20240657"],"award-info":[{"award-number":["20240657"]}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["J Int Med Res"],"published-print":{"date-parts":[[2025,8]]},"abstract":"<jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>We aimed to identify risk factors for macrosomia in women with high-risk pregnancies, which will allow for early identification and timely intervention and improve the health of mothers and infants.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A retrospective case\u2013control study was conducted of pregnant women and neonates born at Shenmu Hospital in China between 1 January 2020 and 31 December 2023. Cases comprised neonates with macrosomia (birth weight \u22654000\u2009g), and controls comprised a group of normal-weight neonates (birth weight 2500\u20133999\u2009g). Conditional logistic regression analysis was performed to identify independent predictor variables.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      In total, 10,253 cases with complete maternal and neonatal-related data were included in this study, with 1100 cases in the macrosomia group and 9153 in the control group. Male neonates (odds ratio\u2009=\u20091.636), gestational age (odds ratio\u2009=\u20091.726), maternal height \u2265165\u2009cm (odds ratio\u2009=\u20093.648), prepregnancy body mass index \u226528\u2009kg\/m\n                      <jats:sup>2<\/jats:sup>\n                      (odds ratio\u2009=\u20092.733), excessive weight gain during pregnancy (odds ratio\u2009=\u20092.817), \u22652 pregnancies (odds ratio\u2009=\u20091.368), \u22652 prior deliveries (odds ratio\u2009=\u20091.285), gestational diabetes (odds ratio\u2009=\u20093.227), excess amniotic fluid (odds ratio\u2009=\u20094.592), scarred uterus (odds ratio\u2009=\u20090.693), gestational hypertension (odds ratio\u2009=\u20090.750), oligohydramnios (odds ratio\u2009=\u20090.262), and umbilical cord anomalies (odds ratio\u2009=\u20090.727) were all associated with an increased risk of macrosomia.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Women with high-risk pregnancies who have a height of \u2265165\u2009cm, \u22652 previous deliveries, prepregnancy obesity, and a scarred uterus should be provided with individualized prenatal care and delivery plans; for these women, monitoring weight gain, blood glucose, and amniotic fluid should be intensified along with targeted interventions to provide optimal care for this high-risk population.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/03000605251365806","type":"journal-article","created":{"date-parts":[[2025,8,13]],"date-time":"2025-08-13T11:51:42Z","timestamp":1755085902000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":2,"title":["An evaluation of macrosomia risk factors in a cohort of Chinese women and neonates"],"prefix":"10.1177","volume":"53","author":[{"given":"Rui","family":"Xue","sequence":"first","affiliation":[{"name":"Department of Neonatology, Shenmu Hospital, The Affiliated Shenmu Hospital of Northwest University, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0000-8141-9660","authenticated-orcid":false,"given":"Zhongming","family":"Yun","sequence":"additional","affiliation":[{"name":"Department of Neonatology, Shenmu Hospital, The Affiliated Shenmu Hospital of Northwest University, China"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2025,8,13]]},"reference":[{"key":"e_1_3_7_2_2","doi-asserted-by":"publisher","DOI":"10.1111\/1471-0528.17802"},{"key":"e_1_3_7_3_2","article-title":"Neonatal mortality risk of large-for-gestational-age and macrosomic live births in 15 countries, including 115.6 million nationwide linked records, 2000\u20132020","author":"Su\u00e1rez-Idueta L","year":"2023","unstructured":"Su\u00e1rez-Idueta L, Ohuma EO, Chang CJ, et\u00a0al. Neonatal mortality risk of large-for-gestational-age and macrosomic live births in 15 countries, including 115.6 million nationwide linked records, 2000\u20132020. BJOG 2023.","journal-title":"BJOG"},{"key":"e_1_3_7_4_2","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0157081"},{"key":"e_1_3_7_5_2","doi-asserted-by":"publisher","DOI":"10.3346\/jkms.2021.36.e320"},{"key":"e_1_3_7_6_2","first-page":"1","article-title":"Births: final data for 2017. National vital statistics reports: from the Centers for Disease Control and Prevention, National Center for Health Statistics","volume":"67","author":"Martin JA","year":"2018","unstructured":"Martin JA, Hamilton BE, Osterman MJK, et\u00a0al. Births: final data for 2017. National vital statistics reports: from the Centers for Disease Control and Prevention, National Center for Health Statistics. 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