Clinical risk score to recognize macrosomia at the time of delivery
Objective: To develop a clinical risk score to help in recognizing macrosomia at the time of delivery. Methods: A case-control data analysis was conducted at a university-affiliated general hospital in Lamphun, Thailand. Macrosomic cases were 67 women who delivered babies weighing at least 4,000 g....
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| Main Authors: | , , |
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| Format: | Journal |
| Published: |
2018
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| Subjects: | |
| Online Access: | https://www.scopus.com/inward/record.uri?partnerID=HzOxMe3b&scp=84863627830&origin=inward http://cmuir.cmu.ac.th/jspui/handle/6653943832/51866 |
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| Institution: | Chiang Mai University |
| Summary: | Objective: To develop a clinical risk score to help in recognizing macrosomia at the time of delivery. Methods: A case-control data analysis was conducted at a university-affiliated general hospital in Lamphun, Thailand. Macrosomic cases were 67 women who delivered babies weighing at least 4,000 g. Controls were 779 women with babies weighing between 2,500 g. and < 4,000 g. The best predictors were selected by multivariable logistic regression and transformed into clinical risk scores. Result: The best combination of predictors included parity, gestational age at delivery, weight at delivery and symphysis-fundal height. The scores predicted macrosomia correctly with an AuROC of 94.1% (95% CI; 92.3, 95.6). The likelihood ratio of positive for macrosomia was 0 in the low risk category and 10.68 (95% CI; 7.76, 14.68) in the high risk. Conclusion: A simple clinical risk score may help obstetricians suspect macrosomia at the time of delivery in areas where antenatal care services are inadequate. |
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