Majalah Obstetri & Ginekologi
ISSN 0854-0381
Vol. 21 / No. 3 / Published : 2013-09
Order : 7, and page :121 - 124
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Original Article :
Igf-1 levels related to incidence of macrosomia
Author :
- Freddy Welly Wagey*1
- Kaeng Joice*2
- Indriani*3
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Abstract :
Macrosomia is used to describe a large baby with birthweight 4000 grams or more. Macrosomia incidence has increased over recentdecades and is associated with increased maternal and fetal morbidity and mortality. IGF-1 is an important regulator of fetalgrowth. The objective of this study was to find the relationship between IGF-1 levels with incidence of macrosomia. Study design wascorrelative with cross-sectional studies. Population were women who delivered macrosomias and normal babies in Prof. Dr. R.D.Kandou Hospital Manado and RW Mongisidi Hospital Manado. Sample of study is population who meet inclusion and exclusioncriterias. This study involved 65 women who meet inclusion and exclusion criteria. A total of 48 women gave birth to normal weightbabies and 17 women gave birth to macrosomia. Sample characteristics based on general age: 20-34 years (82% macrosomia, 64%normal birth weight), highest parity was multiparous (71%), most frequent maternal education level on macrosomia was elementaryschool (28%). The most frequent mode of delivery in macrosomia was cesarean section (59%). Most frequent BMI before pregnancywas obesity (53%) in macrosomia and 63% of normal BMI in normal weight. After logistic regression analysis, there was asignificant correlation between IGF-1 with the incidence of macrosomia (p = 0048 <0.05), with cut off point 195 ng/mL (sensitivity88.2%, specificity 97.9%). In conclusion, IGF-1 level was significantly associated with incidence of macrosomia. Analysis result ofthe relationship between IGF-1 levels with the incidence of macrosomia obtained cut-off point levels of IGF-1 at 195 ng/mL with asensitivity of 88.2% and specificity 97.9%.(MOG 2013;21:121-124)
Keyword :
IGF-1, macrosomia, -, -, -,
References :
Cunningham G,(2005) Macrosomia Boston : Williams Obstetrics
Benson RC,(2007) Disproportionale Fetal Growth Toronto : Current Obsgyn, Diagnosis and Treatment
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