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Purpose: The study aimed at assessing predictors of fetal macrosomia at Iringa Regional Referral hospital in Tanzania. It is currently challenging to predict fetal macrosomia before delivery which possess women to an increasing risk of sustaining adverse maternal or fetal outcomes. Methods: A case-control study design in which cases were women who delivered babies weighing ≥ 4000g while controls were those who delivered babies weighing 2500g to 3500g. Purposive sampling technique was employed to recruit both controls and cases. A total of 216 participants were included. This was an unmatched case control study. SPSS version 25 software program was used for data entry and analysis. Chi-squared test, P-value, unadjusted and adjusted logistic regression were used to determine statistical significant. Results: Predictors of fetal macrosomia at Iringa Regional Referral hospital were advanced gestation age (AOR=8.10, 95% CI 3.66-17.91, p=) and diabetes mellitus during pregnancy (AOR =14.94, 95% CI 1.60 -39.91, p= 0.0178).Conclusion: Women with advanced gestation age and diabetes mellitus during pregnancy are at an increased risk of delivering a macrosomic baby. Assessing predictors of fetal macrosomia will enable early prediction and intervention of women with fetal macrosomia hence preventing further maternal and fetal adverse outcomes. |
