{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,9]],"date-time":"2026-10-09T15:50:06Z","timestamp":1791561006372,"version":"4.3.4"},"reference-count":0,"publisher":"African Journal of Reproductive Health (AJRH)","issue":"18","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["AJRH"],"published-print":{"date-parts":[[2026,9,30]]},"abstract":"<jats:p>Neonatal macrosomia is a major perinatal complication associated with maternal metabolic disorders. This study aimed to assess whether hemoglobin concentration and gestational diabetes mediate the association between pre-pregnancy body mass index and neonatal macrosomia. A retrospective analysis was conducted among 700 singleton full-term pregnancies at El Idrissi Provincial Hospital, Kenitra, Morocco. Macrosomia was defined as birth weight \u22654000 g, and elevated hemoglobin as \u226512.5 g\/dL. Gestational diabetes was diagnosed using fasting glucose or a 75-g oral glucose tolerance test. Mediation analysis using the Karlson\u2013Holm\u2013Breen method was adjusted for maternal age, parity, gestational hypertension, and infant sex. The prevalence of gestational diabetes was 11.9%, and macrosomia occurred in 14.7% of cases. Overweight and obesity were significantly associated with macrosomia, and 71.86% (overweight) and 67.52% (obesity) of these associations were jointly explained by hemoglobin concentration and gestational diabetes, mainly through gestational diabetes. Early metabolic screening during pregnancy may reduce the risk of adverse birth outcomes.<\/jats:p>","DOI":"10.29063\/ajrh2026\/v30i18.8","type":"journal-article","created":{"date-parts":[[2026,10,9]],"date-time":"2026-10-09T15:03:58Z","timestamp":1791558238000},"page":"87-99","source":"Crossref","is-referenced-by-count":0,"title":["Maternal pre-pregnancy body mass index, hemoglobin concentration, and gestational diabetes as predictors of neonatal macrosomia: A retrospective study in Kenitra, Morocco"],"prefix":"10.29063","volume":"30","author":[{"given":"Mohamed","family":"Derdaki","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mohamed El","family":"Bakkali","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mustapha","family":"Zghaid","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nabil Ait","family":"Ouaaziz","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Younes","family":"Laababid","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Khalid","family":"Hafiani","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Malika","family":"Elouardi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Abla","family":"Kourisna","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yassmine","family":"Nahab","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Amine","family":"Arfaoui","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ali","family":"Quyou","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Moulay Laarbi","family":"Ouahidi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"11599","published-online":{"date-parts":[[2026,9,30]]},"container-title":["AFRICAN JOURNAL OF REPRODUCTIVE HEALTH"],"original-title":[],"deposited":{"date-parts":[[2026,10,9]],"date-time":"2026-10-09T15:04:00Z","timestamp":1791558240000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ajrh.info\/index.php\/ajrh\/article\/view\/7291"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,9,30]]},"references-count":0,"journal-issue":{"issue":"18","published-online":{"date-parts":[[2026,9,30]]},"published-print":{"date-parts":[[2026,9,30]]}},"URL":"https:\/\/doi.org\/10.29063\/ajrh2026\/v30i18.8","relation":{},"ISSN":["1118-4841","2141-3606"],"issn-type":[{"value":"1118-4841","type":"print"},{"value":"2141-3606","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,9,30]]}}}