Key result
Among macrosomic newborns delivered vaginally, maternal diabetes independently increased the risk of obstetrical trauma (brachial plexus and/or clavicle fractures) compared to non-diabetic mothers (aOR 2.29).
Why the study?
Does maternal diabetes increase the risk of newborn injuries in macrosomic births compared to non-diabetic mothers?
Cohort (n=1,391)
No
Does maternal diabetes increase the risk of newborn injuries in macrosomic births compared to non-diabetic mothers?
Odds Ratio: 2.29 (95% CI 1.05–4.98)
Absolute Event Rate: 10.4% vs 4.4%
p-value: p=0.03
Maternal diabetes is an independent risk factor for fetal trauma in macrosomic vaginal deliveries, even after adjusting for maternal BMI and birth weight.
Objective: To explore the association between diabetic status of the mother and subsequent pregnancy outcomes in a cohort of macrosomic births (birth weight 4000 grams).
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A 2019 study conducted a cohort in Fetal macrosomia (birth weight ≥ 4000g) (n=1,391). Maternal diabetes vs. Non-diabetic mothers was evaluated on Obstetrical trauma (brachial plexus and/or clavicle fracture) in vaginal deliveries (aOR 2.29, 95% CI 1.05-4.98, p=0.03). Among macrosomic newborns delivered vaginally, maternal diabetes independently increased the risk of obstetrical trauma (brachial plexus and/or clavicle fractures) compared to non-diabetic mothers (aOR 2.29).
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