Incidence of fetal macrosomia in rural China, 2008

ZHANG Yu-han; HE Dian; HOU Li-yan; GAN Kang; MENG Yu-cui; CHENG Yi-min

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Chinese Journal of Child Health Care ›› 2011, Vol. 19 ›› Issue (2) : 117-120.

Incidence of fetal macrosomia in rural China, 2008

ZHANG Yu-han^1,2, HE Dian^1,2, HOU Li-yan^1,2, GAN Kang^1,2, MENG Yu-cui^1,2, CHENG Yi-min²

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Abstract

【Objective】 To describe the epidemiological distribution of fetal macrosomia in six counties (2 counties×3 provinces) of rural China. 【Method】 Stratified random cluster sampling was used to sample medical records of all live births in 2008 in 25 research medical institution. 【Results】 17 805 live births were investigated. The macrosomia incidence in rural China was 9.91%(95%CI:9.47,10.35), male for 12.01% and female for 7.54%. The macrosomia incidence in Mengcheng and Biyang County both reached to 15%. Male macrosomia reached to 18%, which was higher six percents than female infants. The incidence of macrosomia born in spring was higher than that of other seasons. Macrosomia incidence trended to rise with the increase of delivery age. Increased macrosomia incidence was observed in women with peasants, more parities, overweight and prolonged pregnancy. Relations between birth check frequency, first birth check week and macrosomia incidence appeared to be U-shaped, all the differences had statistical significance(P<0.05). 【Conclusions】 The 2008 macrosomia incidence in Anhui and Henan have reached to a high level. The male macrosomia incidence is higher than female in rural China. The incidence of macrosomia born in spring is higher and it show significant difference between characteristic maternal population.

Key words

fetal macrosomia / rural areas / epidemiological distribution

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ZHANG Yu-han, HE Dian, HOU Li-yan, GAN Kang, MENG Yu-cui, CHENG Yi-min. Incidence of fetal macrosomia in rural China, 2008[J]. Chinese Journal of Child Health Care. 2011, 19(2): 117-120

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