Prevalence and associated factors of macrosomia in Peru, 2013

Authors

  • Antonio José Ledo Alves da Cunha Faculdade de Medicina, Federal University of Rio de Janeiro. Rio de Janeiro, Brasil. Doctor en Epidemiología
  • Manuel Sobrino Toro Faculdad de Medicina, Universidad de Sevilla. Sevilla, España. doctor en Medicina
  • César Gutiérrez Instituto de Medicina Tropical Daniel A. Carrión, Universidad Nacional Mayor de San Marcos. Lima, Perú. magíster en Epidemiología
  • Jorge Alarcón-Villaverde Instituto de Medicina Tropical Daniel A. Carrión, Universidad Nacional Mayor de San Marcos. Lima, Perú. doctor en Medicina

DOI:

https://doi.org/10.17843/rpmesp.2017.341.2765

Keywords:

Fetal Macrosomia, Cesarean Section, Peru

Abstract

Objectives. To determine the prevalence of macrosomia and factors associated with it in Peru and to describe the occurrence of complications peri- and postpartum. Materials and Methods. Birth weights of children under the age of 5 years were analyzed using data from the 2013 Demographic and Family Health Survey (ENDES) carried out by the Instituto Nacional de Estadística e Informática. Children with a birth weight higher than 4000 g were considered macrosomic. A logistic regression analysis was used to establish the independent association of sociodemographic factors with macrosomia. Results. The sample comprised 6121 children. The prevalence of macrosomia was 5.3% (95% interval confidence: 4.8-5.9%). Being male, a higher birth order, maternal obesity, and greater maternal height were independently linked with macrosomia. Caesarean births were more common in macrosomic children than unaffected ones (43.9% vs 26.9%). Complications during birth and postpartum were common but not statistically linked with macrosomia. Conclusions. The prevalence of macrosomia in Peru is relatively low compared to other low-to-middle income countries. The factors associated with macrosomia were mainly unmodifiable, with the exception of maternal obesity. Macrosomic children were more frequently born by caesarean. Weight reduction and the prevention of obesity in women of childbearing age in Peru could potentially reduce macrosomia and caesarean rates.

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Published

2017-03-23

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Original Article

How to Cite

1.
Ledo Alves da Cunha AJ, Sobrino Toro M, Gutiérrez C, Alarcón-Villaverde J. Prevalence and associated factors of macrosomia in Peru, 2013. Rev Peru Med Exp Salud Publica [Internet]. 2017 Mar. 23 [cited 2024 Jun. 23];34(1):36-42. Available from: https://rpmesp.ins.gob.pe/index.php/rpmesp/article/view/2765

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