DETERMINANTS OF MACROSOMIA AMONG NEWBOR`NS DELIVERED AT PUBLIC HOSPITALS IN JIGJIGA CITY, SOMALI REGION, EASTERN ETHIOPIA

Abstract

Background: Macrosomia is defined as a birth weight of 4000g and above irrespective of the gestational age or more than 90 percentile for gestational age. It is becoming a public health problem and its effect is higher among women in developing countries like Ethiopia However, evidence on factors associated with macrosomia is limited in the study area and have not been conducted prior research. Objectives: To identify determinants of macrosomia among newborns delivered at public hospitals in Jigjiga city, Somali region, Eastern Ethiopia, from June 25 – 25 august, 2023. Methods: Facility based unmatched case-control study design was conducted in jijiga city with sample of 246 (82 cases 164 controls) both cases and controls were randomly selected. Data was collected through face to face interview of all mothers, collected data was coded and entered using Epi Data version 3.1 and SPSS version 20 software was used for data cleaning and statistical analysis. Bivariable analysis was done to see the association between each independent variable with the dependent variable and all variable with Pvalue < 0.25 were candidates for multivariate. multivariable logistic regression analysis was done to identify determinants of the outcome variable. Level of statistical significance was declared at p-value < to 0.05. Results: After controlling the confounders in this study, having history of gestational diabetes (AOR, 5.03, 95% CI: 1.1, 22.2), having history of macrosomia (AOR, 5.9, 95% CI: 2.4, 13.9), physical inactivity during pregnancy (AOR, 2.9, 95% CI: 1.0, 8.3) and gestational age > 40 weeks (AOR, 5.05, 95% CI: 1.6, 15.9) were found to be determinant factors of macrosomia. Conclusion and Recomendations: This study revealed that maternal factors such as gestational diabetes, advanced gestational age >40 weeks and physical inactivity during pregnancy were determinants of Macrosomia The findings of this study recommend at health facility level to promote awareness about preventive interventions of Macrosomia during pregnancy .