Özet:

Objective: To determine a cut-off value for gestational weight gain for the prediction of large for gestational age (LGA) fetuses Materials and Methods: This retrospective cohort study was conducted among 103 pregnant women who delivered at private hospitals in Izmir between January, 1, 2018 and December, 31, 2018. Patients were divided into two groups in terms of neonatal birth weight percentiles: 1) LGA group (≥90 percentile) (n=11), 2) Non-LGA Group (n=92). Demographic features and clinical characteristics were compared between the groups. Additionally, a cut-off value for maternal weight gain during pregnancy was determined for the prediction of LGA fetuses. Results: Significantly higher total weight gain during pregnancy and higher cesarean rates were observed in LGA group compared to non-LGA group (p values were 0.01 and 0.03, respectively). The cut-off value of 16.1 kg for gestational weight gain (72.7% sensitivity, 60.9% specificity) was determined for the prediction of LGA fetuses. Conclusion: Physicians should be cautious about excess weight gain during pregnancy.

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