The influence factors of the delivery of macrosomia in pregnant women with gestational diabitets mellitus

Objective:To analyze the influence factors of the delivery of macrosomia in pregnant women with gestational diabitets mellitus(GDM).Methods:The clinical data,which included the age,height,pre-pregnancy body mass index,increase of body mass,family history of diabetes,abnormal pregnancy history,neonatal sex,treatment programmes of blood sugar,blood sugar control and delivery of macrosomiain 371 GDM pregnant women with more than 37 weeks LSA were retrospectively analyzed.The influence factors of the incidence of macrosomia in pregnant women with GDM were analyzed using multi-factor logistic regression analysis.Results:The height and body mass of pregnant women and male newborns in macrosomia group were higher than those in nonmacrosomia group(P<0.01 to P<0.05),the good rate of blood sugar control in macrosomia group was significantly lower than that in nonmacrosomia group(P<0.01).The analysis showed that the difference of body mass index between before and after pregnancy and blood sugar control were the independent influence factors of the delivery of macrosomia in pregnant women with GDM(P<0.05).Conclusions:The effective controlling the excessive growth of body mass and maintaining the good blood sugar level in pregnant women with GDM can reduce the incidence of the delivery of macrosomia.