[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"detail-sidebar-cat-0-en-105":3,"doc-seo-436919-105":59,"doc-detail-436919-en":130},{"code":4,"msg":5,"data":6},0,"success",[7,13,18,23,28,33,38,43,48,51,55],{"id":8,"doc_module":4,"doc_module_name":9,"category_name":10,"show_sort_weight":11,"slug":12},1,"Document","Story & Novel",90,"story-novel",{"id":14,"doc_module":4,"doc_module_name":9,"category_name":15,"show_sort_weight":16,"slug":17},2,"Literature",80,"literature",{"id":19,"doc_module":4,"doc_module_name":9,"category_name":20,"show_sort_weight":21,"slug":22},4,"Exam",70,"exam",{"id":24,"doc_module":4,"doc_module_name":9,"category_name":25,"show_sort_weight":26,"slug":27},5,"Comic",60,"comic",{"id":29,"doc_module":4,"doc_module_name":9,"category_name":30,"show_sort_weight":31,"slug":32},6,"Technology",50,"technology",{"id":34,"doc_module":4,"doc_module_name":9,"category_name":35,"show_sort_weight":36,"slug":37},7,"Healthcare",40,"healthcare",{"id":39,"doc_module":4,"doc_module_name":9,"category_name":40,"show_sort_weight":41,"slug":42},8,"Research & Report",30,"research-report",{"id":44,"doc_module":4,"doc_module_name":9,"category_name":45,"show_sort_weight":46,"slug":47},9,"Religion & Spirituality",20,"religion-spirituality",{"id":46,"doc_module":4,"doc_module_name":9,"category_name":49,"show_sort_weight":46,"slug":50},"World Cup","world-cup",{"id":52,"doc_module":4,"doc_module_name":9,"category_name":53,"show_sort_weight":52,"slug":54},10,"Lifestyle","lifestyle",{"id":56,"doc_module":4,"doc_module_name":9,"category_name":57,"show_sort_weight":24,"slug":58},19,"General","general",{"code":4,"msg":60,"data":61},"ok",{"site_id":62,"language":63,"slug":64,"title":65,"keywords":66,"description":67,"schema_data":68,"social_meta":123,"head_meta":125,"extra_data":127,"updated_unix":129},105,"en","maternal-factors-associated-with-fetal-macrosomia","Maternal factors associated with fetal macrosomia","","Editorial highlighting an article in the 2023 Journal of the Chinese Medical Association about maternal factors linked to fetal macrosomia in Taiwanese full-term singleton births. It summarizes findings from a retrospective cohort of 4262 infants and discusses significant associations with gestational diabetes, gestational weight gain, maternal BMI, and possibly maternal height. The editorial further critiques terminology use, inclusion/exclusion decisions, potential confounding from preeclampsia, and diagnostic screening approach for GDM, noting where evidence in the study may be insufficient.",{"@graph":69,"@context":122},[70,84,105],{"@type":71,"itemListElement":72},"BreadcrumbList",[73,77,79,82],{"item":74,"name":75,"@type":76,"position":8},"https://docshare.wps.com","Home","ListItem",{"item":78,"name":9,"@type":76,"position":14},"https://docshare.wps.com/document/",{"item":80,"name":35,"@type":76,"position":81},"https://docshare.wps.com/document/healthcare/",3,{"item":83,"name":65,"@type":76,"position":19},"https://docshare.wps.com/document/maternal-factors-associated-with-fetal-macrosomia/436919/",{"url":83,"name":65,"@type":85,"image":86,"author":91,"headline":65,"publisher":94,"fileFormat":97,"inLanguage":63,"description":67,"dateModified":98,"datePublished":99,"encodingFormat":97,"isAccessibleForFree":100,"interactionStatistic":101},"DigitalDocument",{"url":87,"@type":88,"width":89,"height":90},"https://docshare.wps.com/thumbnails/maternal-factors-associated-with-fetal-macrosomia/436919.png","ImageObject",300,407,{"name":92,"@type":93},"Chumphorn","Person",{"url":74,"name":95,"@type":96},"DocShare","Organization","application/pdf","2026-10-30","2026-09-29",true,{"@type":102,"interactionType":103,"userInteractionCount":34},"InteractionCounter",{"@type":104},"ViewAction",{"@type":106,"mainEntity":107},"FAQPage",[108,114,118],{"name":109,"@type":110,"acceptedAnswer":111},"What maternal and obstetric factors were associated with neonatal macrosomia in the referenced study?","Question",{"text":112,"@type":113},"The editorial reports significant associations with gestational diabetes mellitus, 6-month gestational weight gain, and maternal body mass index, and notes maternal height may also relate to increased risk after adjustment.","Answer",{"name":115,"@type":110,"acceptedAnswer":116},"How does the editorial question the study’s terminology for “full-term”?",{"text":117,"@type":113},"It argues that the study’s “full-term” wording may be misused and recommends using “term” for 37 to 42 weeks of gestation.",{"name":119,"@type":110,"acceptedAnswer":120},"What methodological issues does the editorial raise about the study design?",{"text":121,"@type":113},"It suggests low-birth-weight neonates should be excluded for accurate risk-factor analysis, questions grouping that limits direct comparison, and questions including preeclampsia due to likely confounding effects on fetal growth.","https://schema.org",{"og:url":83,"og:type":124,"og:title":65,"og:site_name":95,"og:description":67},"article",{"robots":126,"canonical":83},"index,follow",{"doc_id":128,"site_id":62},436919,1790764699,{"code":4,"msg":5,"data":131},{"doc_id":128,"user_id":132,"nickname":92,"user_avatar":133,"doc_module":4,"category_id":34,"category_name":35,"doc_title":65,"doc_description":67,"doc_content":134,"file_id":135,"file_url":136,"file_type":137,"file_size":138,"view_count":34,"is_deleted":4,"is_public":8,"is_downloadable":8,"audit_status":8,"page_count":14,"language":139,"language_code":63,"site_id":62,"html_lang":63,"table_of_contents":140,"faqs":141,"seo_title":142,"seo_description":67,"update_tm":143,"read_time":24,"preview_page_count":4},2336475401981,"https://ap-avatar.wpscdn.com/avatar/22000c94efd8d5204d?x-image-process=image/resize,m_fixed,w_180,h_180&k=1786935347598174694","J Chin MedAssoc  \nEditorial  \nMaternal factors associated with fetal macrosomia  \nChia-Hao Liua,b,c, Szu-Ting Yanga,b,c, Peng-Hui Wanga,b,c,*  \naDepartment of Obstetrics and Gynecology, Taipei Veterans General Hospital, Taipei, Taiwan, ROC; bInstitute of Clinical Medicine, National Yang Ming Chiao Tung University, Taipei, Taiwan, ROC; cFemale Cancer Foundation, Taipei, Taiwan, ROC  \nFetal macrosomia is an obstetric condition that can lead to serious perinatal complications. According to the definition from the American College of Obstetrics and Gynecology (ACOG), excessive fetal growth is referred to as large for gestational age (LGA) or macrosomia.1 LGA is typically representative of a birth weight ≥ the 90th percentile for a given gestational age.1 In the Asian population, fetal macrosomia is usually defined asan estimated fetal weight or birth weight >4000 g.2 Women with macrosomia are more likely to have cesarean deliveries (CD) and other obstetric and perinatal complications. As a birth weight increases, the risk of shoulder dystocia, birth-related trauma, and long-term birth-related injuries is increased. To raise awareness about this critical issue and prevent maternal and fetal adverse outcomes resulting from fetal macrosomia, we highlight a recent article published in the 2023 Journal of the Chinese Medical Association (JCMA), entitled “Association between maternal factors and fetal macrosomia in full-term singleton births,” which attempted to identify maternal factors related to fetal macrosomia in a Taiwanese population.3  \nChen et al3 retrospectively analyzed data from 4262 full-term singleton infants delivered at Taipei Veterans General Hospital between January 2013 and June 2016. They found that the prevalence of macrosomia was 1.8% and the following risk factors, including gestational diabetes mellitus (GDM), 6-month gestational weight gain (6m GWG), and maternal body mass index (BMI) were significantly associated with neonatal macrosomiain term singleton births. The odds ratio (OR) of macrosomia was 3.1 in neonates born to mothers with a 6m GWG of ≥15 kg, 6.3 in those born to mothers with GDM, and 4.1 in those born to mothers with a BMI of ≥30 kg/m2, respectively.3 Therefore, the authors suggested the importance of maternal counseling for weight management before and during pregnancy. The study is noteworthy and worthy of further discussion.  \nFirst, we have noticed that taller maternal height (≥164 cm) is associated with an increased risk of macrosomia (p = 0.008) in multivariate analysis, suggesting that this risk factor is  \n* Address correspondence. Dr. Peng-Hui Wang, Department of Obstetricsand Gynecology, Taipei Veterans General Hospital, 201, Section 2, Shi-Pai Road, Taipei 112, Taiwan, [ROC. E-mail address: phwang@vghtpe.gov.tw](ROC. E-mail address: phwang@vghtpe.gov.tw);  \n[pongpongwang@gmail.com](pongpongwang@gmail.com) (P.-H. Wang).  \nConflicts of interest: Dr. Peng-Hui Wang, an editorial board member at the Journal of the Chinese Medical Association, had no role in the peer review process of or decision to publish this article. The other authors declare no conflicts of interest related to the subject matter or materials discussed in this article.  \nJournal of Chinese Medical Association. (2023) 86: 455-456.  \nReceived January 29, 2023; accepted January 31, 2023.  \ndoi: 10. 1097/JCMA.0000000000000894.  \nCopyright © 2023, the Chinese Medical Association. This is an open access article under the CC BY-NC-ND license ([http://creativecommons.org/licenses/](http://creativecommons.org/licenses/)[ ](http://creativecommons.org/licenses/)[by-nc-nd/4.0/](by-nc-nd/4.0/))  \nindependent after adjusting other cofounders, such as BMI. Additionally, maternal height is inversely correlated with maternal BMI.4 According to this study’s results, should taller mothers be aware of the risk of macrosomia? It is interesting to know why the authors have neglected the aforementioned finding and no further discussion or evalu","cbCaidPs9arUdqH7","https://ap.wps.com/l/cbCaidPs9arUdqH7","pdf",289103,"English","# Editorial\n## Definition and clinical significance of fetal macrosomia\n## Summary of the referenced Taiwanese study\n## Editorial concerns and methodological critiques","[{\"question\":\"What maternal and obstetric factors were associated with neonatal macrosomia in the referenced study?\",\"answer\":\"The editorial reports significant associations with gestational diabetes mellitus, 6-month gestational weight gain, and maternal body mass index, and notes maternal height may also relate to increased risk after adjustment.\"},{\"question\":\"How does the editorial question the study’s terminology for “full-term”?\",\"answer\":\"It argues that the study’s “full-term” wording may be misused and recommends using “term” for 37 to 42 weeks of gestation.\"},{\"question\":\"What methodological issues does the editorial raise about the study design?\",\"answer\":\"It suggests low-birth-weight neonates should be excluded for accurate risk-factor analysis, questions grouping that limits direct comparison, and questions including preeclampsia due to likely confounding effects on fetal growth.\"}]","Maternal factors associated with fetal macrosomia | PDF",1790679443]