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: J. Patumanond, C. Tawichasri, S. Khunpradit
Format: Journal
Published: 2018
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http://cmuir.cmu.ac.th/jspui/handle/6653943832/51866
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Institution: Chiang Mai University
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spelling th-cmuir.6653943832-518662018-09-04T06:10:48Z Clinical risk score to recognize macrosomia at the time of delivery J. Patumanond C. Tawichasri S. Khunpradit Medicine 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. 2018-09-04T06:10:48Z 2018-09-04T06:10:48Z 2012-07-13 Journal 03906663 2-s2.0-84863627830 https://www.scopus.com/inward/record.uri?partnerID=HzOxMe3b&scp=84863627830&origin=inward http://cmuir.cmu.ac.th/jspui/handle/6653943832/51866
institution Chiang Mai University
building Chiang Mai University Library
country Thailand
collection CMU Intellectual Repository
topic Medicine
spellingShingle Medicine
J. Patumanond
C. Tawichasri
S. Khunpradit
Clinical risk score to recognize macrosomia at the time of delivery
description 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.
format Journal
author J. Patumanond
C. Tawichasri
S. Khunpradit
author_facet J. Patumanond
C. Tawichasri
S. Khunpradit
author_sort J. Patumanond
title Clinical risk score to recognize macrosomia at the time of delivery
title_short Clinical risk score to recognize macrosomia at the time of delivery
title_full Clinical risk score to recognize macrosomia at the time of delivery
title_fullStr Clinical risk score to recognize macrosomia at the time of delivery
title_full_unstemmed Clinical risk score to recognize macrosomia at the time of delivery
title_sort clinical risk score to recognize macrosomia at the time of delivery
publishDate 2018
url 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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