우리나라 단태 거대아 출생에 관한 연구, 2010~2011
Macrosomia in Singleton Births in Korea, 2010~2011
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Objectives: This study was performed to investigate the incidence of macrosomia (≥4.0 kg),1993~2011, and the risk of macrosomia by analyzing 2010~2011 singleton birth certificated data(912,480 births) from Statistics Korea. Methods: Odds ratio (OR) and 95% confidence intervals were calculated from multivariate logisticregression analyses to describe the association between macrosomia and risk factors. Results: The incidence rate of macrosomia in total births decreased from 6.7 percent in 1993~94to 3.5 percent in 2010~2011. Male infants had a significantly higher odds ratio for macrosomia(OR: 1.78, 95% CI: 1.74~1.82, p<0.01). The risk of macrosomia in post-term gestation (≥42weeks) was 2.44 (2.12~2.81, p<0.01), compared with preterm & term gestation. Compared towomen aged ≤29 years old, the odds ratio of macrosomia were 1.14 for 30~34 years old, 1.23for age 35~39 years old, and 1.25 for 40~44 years old. The risk of macrosomia was 1.05 (1.02~1.07, p<0.01) for the second birth order and 1.41 (1.36~1.46, p<0.01) for the third and over birthorder, compared with the first birth order. A slight increase in the rate of macrosomia by birthseason was observed in spring (3.6 percent), and winter (3.9 percent), compared with summer(3.4 percent). Compared with maternal occupation (reference group: managers etc.), women whowere service workers had increased OR (1.07) of macrosomia. Risk of macrosomia was higher inmothers with high school than that of middle school educational level. Conclusions: There were significantly association between macrosomia and risk factors (infantilesex, birth order, post-term gestation, maternal age and season of birth).
Abstract
Objectives: This study was performed to investigate the incidence of macrosomia (≥4.0 kg),1993~2011, and the risk of macrosomia by analyzing 2010~2011 singleton birth certificated data(912,480 births) from Statistics Korea. Methods: Odds ratio (OR) and 95% confidence intervals were calculated from multivariate logisticregression analyses to describe the association between macrosomia and risk factors. Results: The incidence rate of macrosomia in total births decreased from 6.7 percent in 1993~94to 3.5 percent in 2010~2011. Male infants had a significantly higher odds ratio for macrosomia(OR: 1.78, 95% CI: 1.74~1.82, p<0.01). The risk of macrosomia in post-term gestation (≥42weeks) was 2.44 (2.12~2.81, p<0.01), compared with preterm & term gestation. Compared towomen aged ≤29 years old, the odds ratio of macrosomia were 1.14 for 30~34 years old, 1.23for age 35~39 years old, and 1.25 for 40~44 years old. The risk of macrosomia was 1.05 (1.02~1.07, p<0.01) for the second birth order and 1.41 (1.36~1.46, p<0.01) for the third and over birthorder, compared with the first birth order. A slight increase in the rate of macrosomia by birthseason was observed in spring (3.6 percent), and winter (3.9 percent), compared with summer(3.4 percent). Compared with maternal occupation (reference group: managers etc.), women whowere service workers had increased OR (1.07) of macrosomia. Risk of macrosomia was higher inmothers with high school than that of middle school educational level. Conclusions: There were significantly association between macrosomia and risk factors (infantilesex, birth order, post-term gestation, maternal age and season of birth).
참고문헌 (45)
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