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Macrosomia is associated with maternal and neonatal complications such as shoulder dystocia, birth trauma, cesarean delivery, and postpartum hemorrhage. Rates of macrosomia have increased in developed countries, paralleled by the rise in maternal obesity and diabetes. Although macrosomia may be less common in developing countries, its consequences in these resource-poor settings are likely to be greater. Investigators reviewed World Health Organization data to estimate prevalence of macrosomia (defined as >4000 g and >90th percentile for birth weights in the region) in 23 developing nations in Africa, Asia, and Latin America.
Prevalence of birth weight >4000 g varied widely from a low of 0.5% in India to a high of 14.9% in Algeria. Macrosomi…