Epidemiology of Macrosomia in Saudi Arabia: An Analysis of 12,045 Pregnancies from the Riyadh Mother and Baby Multicenter Cohort Study (RAHMA) Database
2024

Study on Macrosomia in Saudi Arabia

Sample size: 12045 publication 10 minutes Evidence: high

Author Information

Author(s): Wahabi Hayfaa, Fayed Amel, Aleyeidi Nouran, Esmaeil Samia

Primary Institution: Princess Nourah Bint Abdulrahman University

Hypothesis

What are the prevalence, risk factors, and complications associated with delivering macrosomic babies in Saudi Arabia?

Conclusion

The risk of macrosomia among Saudi women significantly increases with maternal age, parity, gestational age, hyperglycemia, and pre-pregnancy obesity.

Supporting Evidence

  • The prevalence of macrosomia (>4 kg) was 3.4%.
  • Macrosomia was associated with increased risk of shoulder dystocia and emergency cesarean sections.
  • Newborns weighing >4 kg were at greater risk of stillbirth and low APGAR scores.

Takeaway

This study found that having a very big baby can be more likely if the mother is older, has had many children, or has certain health issues.

Methodology

The study analyzed data from 12,045 singleton term pregnancies, using regression models to identify risk factors for macrosomia and its complications.

Potential Biases

Potential selection and reporting biases were minimized by inviting all eligible women to participate.

Limitations

The study did not examine all possible complications and outcomes of macrosomic pregnancies due to a lack of data.

Participant Demographics

The study included pregnant women from three tertiary maternity hospitals in Riyadh, Saudi Arabia.

Statistical Information

Confidence Interval

95% CI (1.02–3.48)

Statistical Significance

p<0.05

Digital Object Identifier (DOI)

10.3390/healthcare12242514

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