Predictors of Fetal Macrosomia Among Women Delivering at a Tertiary Hospital in Tanzania: A Case Control Study

Predictors of Fetal Macrosomia Among Women Delivering at a Tertiary Hospital in Tanzania: A Case Control Study | Research Square window.SnipcartSettings = { analytics: { enabled: false } }; (function() { var accessVector = localStorage.getItem('access_vector') || ''; window.dataLayer = window.dataLayer || []; if (accessVector) { window.dataLayer.push({ user: { profile: { profileInfo: { snid: accessVector } } } }); } })(); (function(w,d,s,l,i){w[l]=w[l]||[];w[l].push({'gtm.start':new Date().getTime(),event:'gtm.js'});var f=d.getElementsByTagName(s)[0],j=d.createElement(s),dl=l!='dataLayer'?'&l='+l:'';j.async=true;j.src='https://www.googletagmanager.com/gtm.js?id='+i+dl;f.parentNode.insertBefore(j,f);})(window,document,'script','dataLayer','GTM-K279D39R'); Browse Preprints In Review Journals COVID-19 Preprints AJE Video Bytes Research Tools Research Promotion AJE Professional Editing AJE Rubriq About Preprint Platform In Review Editorial Policies Our Team Help Center Sign In Submit a Preprint Cite Share Download PDF Research Article Predictors of Fetal Macrosomia Among Women Delivering at a Tertiary Hospital in Tanzania: A Case Control Study Emmanuel Imani Ngadaya, Dr. Maria Angelica Rweyemamu, Proffesor Ipyana Hudson Mwampagatwa, and 1 more This is a preprint; it has not been peer reviewed by a journal. https://doi.org/ 10.21203/rs.3.rs-498898/v3 This work is licensed under a CC BY 4.0 License Status: Posted Version 3 posted You are reading this latest preprint version Show more versions Abstract Purpose: The study aimed at assessing predictors of fetal macrosomia at Iringa Regional Referral hospital in Tanzania. It is currently challenging to predict fetal macrosomia before delivery which possess women to an increasing risk of sustaining adverse maternal or fetal outcomes. Methods: A case-control study design in which cases were women who delivered babies weighing ≥ 4000g while controls were those who delivered babies weighing 2500g to 3500g. Purposive sampling technique was employed to recruit both controls and cases. A total of 216 participants were included. This was an unmatched case control study. SPSS version 25 software program was used for data entry and analysis. Chi - squared test, P-value, unadjusted and adjusted logistic regression were used to determine statistical significant. Results: Predictors of fetal macrosomia at Iringa Regional Referral hospital were advanced gestation age (AOR=8.10, 95% CI 3.66-17.91, p=<0.0001 ) and diabetes mellitus during pregnancy (AOR =14.94, 95% CI 1.60 -39.91, p= 0.0178 ). Conclusion: Women with advanced gestation age and diabetes mellitus during pregnancy are at an increased risk of delivering a macrosomic baby. Assessing predictors of fetal macrosomia will enable early prediction and intervention of women with fetal macrosomia hence preventing further maternal and fetal adverse outcomes. Maternal & Fetal Medicine Sexual & Reproductive Medicine Macrosomia Predictors Introduction Fetal macrosomia has been linked to increasing nutritional status and the prevalence differs according to ethnicity [1], [2]. It is a birth weight of ≥ 4000g or birth weight greater than the 90th percentile at birth [3]. So far the largest recorded birth weight worldwide was in 1894 in Ohio USA which was 10.78 kg[4]. The worldwide prevalence of fetal macrosomia is 0.5 % to 15 % of all pregnancies [5], [6]. The prevalence in developed countries ranges from 15 – 20 % due to increasing nutritional intake, obesity and diabetes mellitus [2]. In developing countries specifically in Africa, the prevalence ranges from 2% to 9 % and the reasons for this prevalence are multiparity and variations in maternal weight gain and height during pregnancy [2], [7]–[9]. The studied predictors of fetal macrosomia so far includes a previous history of delivering a macrosomic baby [10]. Other predictors include multiparty, male gender of the fetus, uncontrolled diabetes mellitus, gestational diabetes, gestational age, maternal weight gain during pregnancy (over nutrition), parental height, post term pregnancy and ethnicity [2], [7], [11], [12]. Fetal macrosomia has been linked to adverse maternal fetal outcomes of worst is postpartum hemorrhage as the leading cause of maternal mortality and neonatal death [7], [13]. Predicting fetal macrosomia in a clinical setting is a challenge in developing countries. The gold standard for diagnosing fetal macrosomia is magnetic resonant imaging (MRI) which is rarely available at many facilities in developing countries [14]. Clinical examination (Leopard maneuvers) is less accurate and obstetric ultrasound has been observed to be substandard compared to magnetic resonant imaging (MRI) [14], [15]. This study aimed at assessing the predictors of fetal macrosomia at Iringa Regional Referral Hospital in Tanzania. Methodology Study design and duration A hospital-based case-control study involving pregnant women and their newborns Study area Department of Obstetrics and Gynecology at Iringa Regional Referral Hospital in Iringa Region situated in the Southern Highland of Tanzania. Study population Term (≥ 37 weeks of gestation) singleton pregnant women. Inclusion criteria Term (≥37 weeks of gestation age) pregnant women. Women delivering ≥ 4000 g were considered as cases and those delivering 2500 g to 3500 g were considered as controls. Exclusion criteria Critically ill clients (unconscious state), women delivering congenital malformed babies, mental illness clients and women with no antenatal card or documented anthropometric measures. Sample size and Sampling A sample of 216 was calculated using modified Kesley formula for case control study. Purposive sampling method was used in which Cases were 72, they were those who delivered babies of weight ≥ 4000g while Controls were 144 and they delivered babies of weight 2500g to 3500g. Data collection methods and tools The weight of the mother was measured by a weighing balance with a sensitivity of 100 g and height of the mother was measured using a calibrated height measuring steel attached to the beam balance and recorded to 0.1 cm. Maternal weight gain was measured by subtracting the weight before pregnant from the last measured weight before delivery. The Reproductive and Child Health card (RCH) was checked to obtain weight of the mother at the first ANC visit. Body Mass Index (BMI) was calculated using preconception maternal weight reported by mothers in Kilograms dividing by maternal height in meters squared. Maternal random/fasting blood glucose (RBG/FBG) was measured by ACCU-Check Active meter by a drop of capillary blood obtained by finger prick. A modified World Health Organization criteria to diagnose diabetes mellitus during pregnancy was used. All women with a Fasting plasma glucose level of ≥7.0mmol/l (126mg/dl) or a 2–hour plasma glucose of ≥11.1mmol/l (200mg/dl) and those who are known diabetic were considered as women with diabetes during pregnancy [16]. A 2-hour oral Glucose Tolerance Test (OGTT) was used. Data collection procedure Soon after delivery, participants were categorized as cases or controls. The weight of the newborn was measured soon after delivery using a beam balance accurate to 100 g. Questionnaires were used to obtain data and were checked for clarity before data analysis. Questionnaire was adopted from previous studies [7], [17], [18]. This was an unmatched case control design. In a situation where the case never met the inclusion criteria, the next woman who delivered an infant with birth weight of ≥ 4000 g was recruited. In a case, whereby two consecutive women delivered infants with birth weight 4000 grams and above, the next four women who delivered infants with normal birth weights (2500 grams to 3500 grams) were recruited. Data analysis SPSS, version 25.0 (IBM Inc., Chicago) was used. Categorical variables were summarized as the frequency with percentages. The p-value, OR, and 95% confidence interval were tested to determine the predictors of macrosomia. A p-value of < 0.05 was considered to be significant for all statistical tests. Factors with significant odds ratio (OR) were subjected to multi variable logistic regression to determine the adjusted odds ratio (AOR). Validity of Data and reliability of Data To ensure the validity of the data, the weighing scales were being checked after every measurement of the newborn for zero error. Tools were pre-tested. Ethical Consideration Ethical clearance to conduct the study was sought from the University of Dodoma directorate of research and publication. Permission to conduct the study at the study site was obtained from medical officer in charge at Iringa Regional Referral hospital. A written informed consent was obtained from study participants before enrollment. Participants who never consented and those who were not eligible for the study were attended by the investigator as part of routine clinical duties Results A total of 216 participants were involved in this study. The mean age of study participants was 28.46 years and standard deviation of 6.00. Majority 116 (53.70%) of respondents were between the age 25 – 34 years of which 44 (61.11%) were cases and 72 (50%) were controls. Regarding parity, 78 (33.80%) of study participants were primiparous in which 15 (20.83%) were cases and 58 (40.28) were controls. As shown in Table I. Considering gestation age, majority of study participants 132 (61.11%) delivered at a gestation age of 37 – 39 weeks of which 17 (23.63%) were cases and 115 (79.86%) were controls. Consider Table I. Table I: Social Demographic characteristics of study participants at Iringa Regional Referral Hospital (N=216) Variable Total N=216 N (%) Cases n=72 n (%) Control n=144 n (%) Child’s Particulars Sex Male 124 (57.41) 45 (62.50) 79 (54.86) Female 92 (42.59) 27 (37.50) 65 (54.14) Maternal Particulars Maternal age (Years) 15 – 24 64 (29.63) 11 (15.28) 53 (36.81) 25-34 116 (53.70) 44 (61.11) 72 (50.00) 35+ 36 (16.67) 17 (23.61) 19 (13.19) Residence Rural 94 (43.52) 30 (41.67) 64 (44.44) Urban 122 (56.48) 42 (58.33) 80 (55.56) Parity 1 73 (33.80) 15 (20.83) 58 (40.28) 2 66 (30.56) 19 (26.39) 47 (32.64) 3 44 (20.37) 18 (25.00) 26 (18.06) 4+ 33 (15.28) 20 (27.78) 13 (9.03) Gestation age (weeks) 37 – 39 132 (61.11) 17 (23.61) 115 (79.86) 40 - 41(+6 days) 68 (31.48) 45 (62.50) 23 (15.97) 42+ 16 (7.14) 10 (13.89) 6 (4.17) Level of education No formal education 34 (15.74) 12 (16.67) 22 (15.28) Primary 106 (49.07) 28 (38.89) 48 (33.33) Secondary and above 76 (35.19) 32 (44.44) 74 (51.39) The predictors of fetal macrosomia among women delivering at Iringa regional referral hospital. This study found that, among the maternal factors, gestation age ≥ 40 weeks ( p-value = < 0.0001 ), a previous history of macrosomic baby ( p-value = < 0.0001 ), diabetes mellitus in pregnancy, higher parity ( p-value = < 0.0001 ) and advanced maternal age ( p-value =0.0028 ) were predictors of fetal macrosomia on cross tabulation as shown in Table II. Table II: Predictors of fetal macrosomia among women delivering at Iringa regional referral hospital (N=216) Variable Macrosomia Case n=72 Control n=144 X 2 P-value Child’s characteristics Sex 1.1455 a 0.2845 Male 45(62.50) 79(54.86) Female 27(37.50) 65(45.14) Maternal factors Age 11.7363 a 0.0028 15 – 24 11(15.28) 53(36.81) 25-34 44(61.11) 72 (50.00) 35+ 17(23.61) 19(13.19) Residence 0.1507 a 0.6979 Rural 30(41.67) 64(44.44) Urban 42(58.33) 80(55.56) Gestation age 63.9846 a <.0001 37 – 39 17(23.61) 115(79.86) 40 - 41(+6 days) 45(62.50) 23(15.97) 42+ 10(13.89) 6(4.17) Maternal Body Mass Index( kg/m 2) 0.8827 a 0.6432 18.5- 24.9 27(37.50) 51(35.42) 25.0-29.90 27(37.50) 59(40.97) ≥ 30.0 18(25.00) 30(20.83) Previous history of delivery Macrosomia 30.4912 a <.0001 Yes 35(48.61) 20(13.89) No 37(51.39) 124(86.11) Diabetes Mellitus <.0001* Diabetic 10(13.89) 1(0.69) Parity 18.1653 a 11 34(47.22) 59(40.97) P-Value with * indicate p-value of Fisher exact test Predictors of fetal macrosomia among women delivering at Iringa regional referral hospital (n=216). In this study, women with advanced gestation age (≥40 weeks) were 8 times more likely to give birth to a macrosomic baby compared to women who delivered at a gestation age of 37 to 39 weeks (AOR=8.10, 95% CI=3.66-17.91, p=<0.0001 ). Women with Diabetic mellitus were 14 times more likely to give birth to a macrosomic baby compared to women without diabetes mellitus (AOR=14.94, 95% CI=1.60-39.91, p=0.0178 ) as shown in Table III. Table III: Logistic Regression of Factors associated with fetal macrosomia at Iringa Regional Referral Hospital (N=216) Variable OR 95% CI OR P-value AOR 95% CI AOR P-value Lower Upper Lower Upper Maternal Age 15-24 Ref. 25-34 2.94 1.39 6.23 0.0048 1.75 0.65 4.71 0.2666 ≥35 4.31 1.72 10.84 0.0019 1.04 0.26 4.234 0.9584 Gestation age 37 – 39 Ref. 40 - 41(+6 days) 13.24 6.47 27.07 <0.0001 8.10 3.66 17.91 <0.0001 ≥ 42 11.28 3.63 35.01 <0.0001 8.67 2.53 29.74 0.0006 Parity 1 Ref. 2 1.56 0.72 3.41 0.2608 1.02 0.38 2.75 0.9713 3 2.68 1.17 6.12 0.0196 1.47 0.47 4.60 0.5072 4+ 5.95 2.42 14.63 0.0001 1.78 0.46 6.94 0.4068 History of delivery Macrosomia No Ref. Yes 5.87 3.03 11.36 <0.0001 2.34 0.90 6.09 0.0815 Diabetes mellitus Non-diabetic Ref. Diabetic 0.04 0.01 0.35 0.0031 14.94 1.60 39.91 0.0178 Discussion The identified predictors of fetal macrosomia in this study are advanced gestation age and diabetes mellitus during pregnancy. Maternal BMI, parity, weight gain during pregnancy, age of participant, previous history of macrosomic baby delivery and child’s gender were not significantly associated with fetal macrosomia. In Taiwan and Indonesia, fetal macrosomia has been strongly associated with overweight and obesity [19], [20]. This is contrary to the finding in this study in which body mass index didn’t predict occurrence of fetal macrosomia. Although not statistically significant, excessive weight gain before and during pregnancy have been linked to decreasing insulin sensitivity which facilitates transfer of glucose via the placenta to the growing fetus hence leading to increasing fetal size or macrosomia [21], [22]. The difference can be due to study designs in which the studies in Taiwan and Indonesia used a cohort study design while this was a control study. The predictors of fetal macrosomia in Malaysia include increasing maternal age, increasing body mass index (BMI), increasing weight gain during pregnancy, higher parity and diabetes mellitus during pregnancy [23]. This is contrary to the findings of this study in which advanced maternal age, maternal body mass index, maternal weight gains during pregnancy and higher parity were not associated with fetal macrosomia although diabetes mellitus during pregnancy was strongly associated with macrosomia. The differences in study duration and methodology can explain why findings differ although diabetes mellitus during pregnancy leads to increasing fetal adiposity and hence exposing a fetus into developing fetal macrosomia [24]. In Cameroon, predictors identified included a previous history of macrosomic delivery, maternal weight gain above 16 kg, higher parity, male gender and advanced gestation age [25]. Comparing to this study, only advanced gestation age is a similar factor identified while previous history of delivering macrosomic baby, higher parity, male gender and maternal weight gain were not associated with fetal macrosomia in this study. According to a study done in Sydney, it was estimated that a fetus gains 176.5g per week, this can explain why advanced gestation age predisposes a woman to deliver a macrosomic baby [26]. Macrosomia in Chad and Ghana has been associated with a previous history of delivering macrosomic baby [9], [27]. Although it was not significant in this study, a previous history of delivering a macrosomia baby predisposes a woman to increasing body mass index during conception and excessive weight gain during pregnancy, this leads to fetal macrosomia. In Hawassa city, Ethiopia, male gender, advanced gestation age and having a previous history of macrosomia baby delivery were significant predictors of fetal macrosomia [28] while in this study, advanced gestation age was a strong factors associated with fetal macrosomia. Male gender was not associated with fetal macrosomia in this study. Male gender of the fetus has been linked to fetal macrosomia and this is explained by the effect of sexual dimorphism in relation to maternal glucose intolerance and birth weight [29]. In Mekelle city, Tigray, Ethiopia in which women with a history of a previous macrosomic delivery were 3 times more likely to give birth to a macrosomia baby compared to women with no history [18], in this study women with a previous history of macrosomic delivery were not significantly associated with fetal macrosomia. In Ethiopia women who were aged 30 years and above were 2.6 times to delivery macrosomia baby compared to those who were less than 30 years [18]. Although not statistically significant in this study, advanced maternal age has been linked to increasing metabolism that leads to increasing growth of the fetus. In Tanzania, a study done at Muhimbili National Hospital, the predictors of fetal macrosomia were increasing maternal weight above 80 kg, advanced maternal age of 30 – 39 years, multiparty, diabetes mellitus during pregnancy and a previous history of delivering a macrosomic baby [7]. In this study done at advanced gestation age and diabetes mellitus during pregnancy were significantly associated with fetal macrosomia. Increasing maternal weight gain, a previous history of macrosomic baby delivery, advanced maternal age and multiparty were not associated with fetal macrosomia. Conclusion The factors which were associated with fetal macrosomia in the current study were; advanced maternal gestation age ≥ 40 weeks and diabetes mellitus during pregnancy. Abbreviations IRRH Iringa Regional Referral Hospital DM Diabetes Mellitus NICU Neonatal Intensive Care Unit WHO World Health Organization ANC Antenatal Clinic Declarations Funding: No funding was received Conflict of interest: The authors declare no conflict of interest. Availability of data and material: All research data and materials are available upon request Ethical statement Ethical statement was obtained from the University of Dodoma, Directorate of Research. Copies were sent to Iringa Regional Referral Hospital management for approval. Consent A complete description of the aims of the study, informed consent of participants, and confidentiality of the information sources were ensured. For participants who were below 18 years of age, consent was requested from the legal guardian/parent. Declaration and copyright I, Emmanuel Imani Ngadaya , declare that this research is my own original work and that it has not been presented, published or shared to any other professional for other purposes apart from academic purposes. Acknowledgements I thank all study participants for their willingness to participate in this study. References [1] J. Ye et al. , “Searching for the definition of macrosomia through an outcome-based approach in low- and middle-income countries: A secondary analysis of the WHO Global Survey in Africa, Asia and Latin America,” BMC Pregnancy Childbirth , vol. 15, no. 1, pp. 1–10, 2015, doi: 10.1186/s12884-015-0765-z. [2] M. C. Dennedy and F. Dunne, “Macrosomia: Defining the problem worldwide,” Lancet , vol. 381, no. 9865, pp. 435–436, 2013, doi: 10.1016/S0140-6736(12)62090-X. [3] ACOG, “Clinical Management Guidelines for Obstetrician – Gynecologists,” Obstet. Gynecol. , vol. 133, no. 76, pp. 168–186, 2019. [4] L. J. 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[26] M. Mongelli, R. Benzie, and G. Condous, “Average fetal weekly weight gain: A novel measure of fetal growth velocity,” J. Matern. Neonatal Med. , vol. 29, no. 4, pp. 676–679, 2016, doi: 10.3109/14767058.2015.1015981. [27] G. Bray Madoue, S. Nguele Sile, F. Lhagadang, and A. Saleh, “Foetal macrosomia: risk factors, maternal and foetal outcome in N’Djamena mother and child hospital, Chad,” Obstet. Gynecol. Int. J. , vol. 9, no. 3, pp. 40–43, 2018, doi: 10.15406/ogij.2018.09.00322. [28] A. K. Biratu, N. Wakgari, and B. Jikamo, “Magnitude of fetal macrosomia and its associated factors at public health institutions of Hawassa city, southern Ethiopia,” BMC Res. Notes , vol. 11, no. 1, pp. 1–6, 2018, doi: 10.1186/s13104-018-4005-2. [29] W. Ricart et al. , “Maternal glucose tolerance status influences the risk of macrosomia in male but not in female fetuses,” J. Epidemiol. Community Health , vol. 63, no. 1, pp. 64–68, 2009, doi: 10.1136/jech.2008.074542. 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Also discoverable on Platform About Our Team In Review Editorial Policies Help Center Resources Author Services Accessibility API Access RSS feed Manage Cookie Preferences © Research Square 2026 | ISSN 2693-5015 (online) Privacy Policy Terms of Service Do Not Sell My Personal Information {"props":{"pageProps":{"initialData":{"identity":"rs-498898","acceptedTermsAndConditions":true,"allowDirectSubmit":true,"archivedVersions":[],"articleType":"Research Article","associatedPublications":[],"authors":[{"id":30744733,"identity":"bb190417-acfc-4c0b-b3c5-2638c3a3a4d6","order_by":0,"name":"Emmanuel Imani Ngadaya","email":"data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAZAAAAAyAQMAAABI0h/eAAAABlBMVEX///8AAABVwtN+AAAACXBIWXMAAA7EAAAOxAGVKw4bAAABB0lEQVRIiWNgGAWjYJACCSS2hRyIPPCABC0SxmAtCaRoSWwAUfi0mPMvfnjjZ5udnO60w88e81RIpM8PO/wQaAtQpAG7FssZz4wte9uSjc1up5kb85yRyN14O80AqAUocgC7FoMbB8wkeNuYE7fdTjCT5m0DapmdANJyIHEbTi3Hv0n+bauv33Y7/Zs07z+JdMPZ6R/waznfAzL8cILZ7Rwgo0EiQV46h5AtPMXWMueOG267nVMmOeeYhOEG6ZyCAwkGePxy/vjGm2/KquXNbqdvk3hTYyMvPzt984cPFXZyuLQwSCQwMDCyIRsCVmmAQzkI8INU/EESkG/Ao3oUjIJRMApGJAAAaKFkXp09sDcAAAAASUVORK5CYII=","orcid":"https://orcid.org/0000-0001-9040-2844","institution":"University of Dodoma College of Health and Allied Sciences: The University of Dodoma College of Health Sciences","correspondingAuthor":true,"submittingAuthor":false,"prefix":"","firstName":"Emmanuel","middleName":"Imani","lastName":"Ngadaya","suffix":""},{"id":30744734,"identity":"7b423b43-9c31-49f6-b7f4-79a3ba051b8a","order_by":1,"name":"Dr. Maria Angelica Rweyemamu","email":"data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAZAAAAAyAQMAAABI0h/eAAAABlBMVEX///8AAABVwtN+AAAACXBIWXMAAA7EAAAOxAGVKw4bAAAAvklEQVRIiWNgGAWjYFACHjApByIOPCBFizFYSwIpWhIbQCRRWnTbzx6T+LjHLn1+2OGHQFvs5HQbCGgxO5OXJjnjWXLuxttpBkAtycZmBwhpucFjJs1zgDl34+wEkJYDiduI0vLnQH264ez0DyRoYThwOEFeOodYW87kJVv2HDhuuEE6p+BAggExfjl+9uCNHweq5eVnp2/+8KHCTo6gFiBgkQCRBmCVBoSVgwDzBxAp30Cc6lEwCkbBKBiBAAAyYEfFQ2gzTwAAAABJRU5ErkJggg==","orcid":"https://orcid.org/0000-0002-3187-7185","institution":"University of Dodoma College of Health and Allied Sciences: The University of Dodoma College of Health Sciences","correspondingAuthor":true,"submittingAuthor":false,"prefix":"Dr.","firstName":"Maria","middleName":"Angelica","lastName":"Rweyemamu","suffix":""},{"id":30744735,"identity":"4850b07f-a850-42a8-a2c9-10e311527cf1","order_by":2,"name":"Proffesor Ipyana Hudson Mwampagatwa","email":"","orcid":"","institution":"University of Dodoma College of Health and Allied Sciences: The University of Dodoma College of Health Sciences","correspondingAuthor":false,"submittingAuthor":false,"prefix":"","firstName":"Proffesor","middleName":"Ipyana Hudson","lastName":"Mwampagatwa","suffix":""},{"id":30744736,"identity":"b540f86b-0988-4ec3-8bd0-8d12e1daa6d2","order_by":3,"name":"Dr. Athanase Gervase Lilungulu","email":"","orcid":"","institution":"University of Dodoma College of Health and Allied Sciences: The University of Dodoma College of Health Sciences","correspondingAuthor":false,"submittingAuthor":false,"prefix":"Dr.","firstName":"Athanase","middleName":"Gervase","lastName":"Lilungulu","suffix":""}],"badges":[],"createdAt":"2021-05-06 08:18:47","currentVersionCode":3,"declarations":"","doi":"10.21203/rs.3.rs-498898/v3","doiUrl":"https://doi.org/10.21203/rs.3.rs-498898/v3","draftVersion":[],"editorialEvents":[],"editorialNote":"","failedWorkflow":false,"files":[{"id":13697084,"identity":"f5967b04-acb0-430b-a782-10c137981272","added_by":"auto","created_at":"2021-09-17 13:07:20","extension":"pdf","order_by":0,"title":"","display":"","copyAsset":false,"role":"manuscript-pdf","size":580624,"visible":true,"origin":"","legend":"","description":"","filename":"manuscript.pdf","url":"https://assets-eu.researchsquare.com/files/rs-498898/v3/8addff7d-ec73-4185-a549-cb38704b21c4.pdf"}],"financialInterests":"","formattedTitle":"\u003cp\u003ePredictors of Fetal Macrosomia Among Women Delivering at a Tertiary Hospital in Tanzania: A Case Control Study\u003c/p\u003e","fulltext":[{"header":"Introduction","content":"\u003cp\u003eFetal macrosomia has been linked to increasing nutritional status and the prevalence differs according to ethnicity [1], [2]. It is a birth weight of \u0026ge; 4000g or birth weight greater than the 90th percentile at birth [3]. So far the largest recorded birth weight worldwide was in 1894 in Ohio USA which was 10.78 kg[4].\u003c/p\u003e\n\u003cp\u003eThe worldwide prevalence of fetal macrosomia is 0.5 % to 15 % of all pregnancies [5], [6]. The prevalence in developed countries\u0026nbsp; ranges from 15 \u0026ndash; 20 % due to increasing nutritional intake, obesity and diabetes mellitus [2]. In developing countries specifically in Africa, the prevalence ranges from 2% to 9 % and the reasons for this prevalence are multiparity and variations in maternal weight gain and height during pregnancy [2], [7]\u0026ndash;[9].\u003c/p\u003e\n\u003cp\u003eThe studied predictors of fetal macrosomia so far includes a previous history of delivering a macrosomic baby [10]. Other predictors include multiparty, male gender of the fetus, uncontrolled diabetes mellitus, gestational diabetes, gestational age, maternal weight gain during pregnancy (over nutrition), parental height, post term pregnancy and ethnicity [2], [7], [11], [12]. Fetal macrosomia has been linked to adverse maternal fetal outcomes of worst is postpartum hemorrhage as the leading cause of maternal mortality and neonatal death [7], [13].\u003c/p\u003e\n\u003cp\u003ePredicting fetal macrosomia in a clinical setting is a challenge in developing countries. The gold standard for diagnosing fetal macrosomia is magnetic resonant imaging (MRI) which is rarely available at many facilities in developing countries [14]. Clinical examination (Leopard maneuvers) is less accurate and obstetric ultrasound has been observed to be substandard compared to magnetic resonant imaging (MRI) [14], [15].\u003c/p\u003e\n\u003cp\u003eThis study aimed at assessing the predictors of fetal macrosomia at Iringa Regional Referral Hospital in Tanzania.\u003c/p\u003e"},{"header":"Methodology","content":"\u003cp\u003e\u003cstrong\u003eStudy design and duration \u003c/strong\u003e\u003c/p\u003e\n\u003cp\u003eA hospital-based case-control study involving pregnant women and their newborns\u003c/p\u003e\n\u003cp\u003e\u003cstrong\u003eStudy area \u003c/strong\u003e\u003c/p\u003e\n\u003cp\u003eDepartment of Obstetrics and Gynecology at Iringa Regional Referral Hospital in Iringa Region situated in the Southern Highland of Tanzania.\u003c/p\u003e\n\u003cp\u003e\u003cstrong\u003eStudy population\u003c/strong\u003e\u003c/p\u003e\n\u003cp\u003eTerm (\u0026ge; 37 weeks of gestation) singleton pregnant women.\u003c/p\u003e\n\u003cp\u003e\u003cstrong\u003eInclusion \u003c/strong\u003e\u003cstrong\u003ecriteria\u003c/strong\u003e\u003c/p\u003e\n\u003cp\u003eTerm (\u0026ge;37 weeks of gestation age) pregnant women. Women delivering \u0026ge; 4000 g were considered as cases and those delivering 2500 g to 3500 g were considered as controls.\u003ca name=\"_Toc35265155\"\u003e\u003c/a\u003e\u003ca name=\"_Toc47512514\"\u003e\u003c/a\u003e\u003ca name=\"_Toc191144619\"\u003e\u003c/a\u003e\u003c/p\u003e\n\u003cp\u003e\u003cstrong\u003eExclusion \u003c/strong\u003e\u003cstrong\u003ecriteria\u003c/strong\u003e\u003c/p\u003e\n\u003cp\u003eCritically ill clients (unconscious state), women delivering congenital malformed babies, mental illness clients and women with no antenatal card or documented anthropometric measures.\u003c/p\u003e\n\u003cp\u003e\u003cstrong\u003eSample size and Sampling\u003c/strong\u003e\u003c/p\u003e\n\u003cp\u003eA sample of 216 was calculated using modified Kesley formula for case control study. Purposive sampling method was used in which Cases were 72, they were those who delivered babies of weight \u0026ge; 4000g while Controls were 144 and they delivered babies of weight 2500g to 3500g.\u003c/p\u003e\n\u003cp\u003e\u003cstrong\u003eData collection methods and tools\u003c/strong\u003e\u003c/p\u003e\n\u003cp\u003eThe weight of the mother was measured by a weighing balance with a sensitivity of 100 g and height of the mother was measured using a calibrated height measuring steel attached to the beam balance and recorded to 0.1 cm. Maternal weight gain was measured by subtracting the weight before pregnant from the last measured weight before delivery.\u003c/p\u003e\n\u003cp\u003eThe Reproductive and Child Health card (RCH) was checked to obtain weight of the mother at the first ANC visit. Body Mass Index (BMI) was calculated using preconception maternal weight reported by mothers in Kilograms dividing by maternal height in meters squared. Maternal random/fasting blood glucose (RBG/FBG) was measured by ACCU-Check Active meter by a drop of capillary blood obtained by finger prick. A modified World Health Organization criteria to diagnose diabetes mellitus during pregnancy was used. All women with a Fasting plasma glucose level of \u0026ge;7.0mmol/l (126mg/dl) or a 2\u0026ndash;hour plasma glucose of \u0026ge;11.1mmol/l (200mg/dl) and those who are known diabetic were considered as women with diabetes during pregnancy [16]. A 2-hour oral Glucose Tolerance Test (OGTT) was used.\u003c/p\u003e\n\u003cp\u003e\u003cstrong\u003eData collection procedure \u003c/strong\u003e\u003c/p\u003e\n\u003cp\u003eSoon after delivery, participants were categorized as cases or controls. The weight of the newborn was measured soon after delivery using a beam balance accurate to 100 g. Questionnaires were used to obtain data and were checked for clarity before data analysis. Questionnaire was adopted from previous studies [7], [17], [18]. This was an unmatched case control design. In a situation where the case never met the inclusion criteria, the next woman who delivered an infant with birth weight of \u0026ge; 4000 g was recruited. In a case, whereby two consecutive women delivered infants with birth weight 4000 grams and above, the next four women who delivered infants with normal birth weights (2500 grams to 3500 grams) were recruited.\u003c/p\u003e\n\u003cp\u003e\u003cstrong\u003eData analysis \u003c/strong\u003e\u003c/p\u003e\n\u003cp\u003eSPSS, version 25.0 (IBM Inc., Chicago) was used. Categorical variables were summarized as the frequency with percentages. The p-value, OR, and 95% confidence interval were tested to determine the predictors of macrosomia. A p-value of \u0026lt; 0.05 was considered to be significant for all statistical tests. Factors with significant odds ratio (OR) were subjected to multi variable logistic regression to determine the adjusted odds ratio (AOR).\u003c/p\u003e\n\u003cp\u003e\u003cstrong\u003eValidity of Data\u003c/strong\u003e\u003cstrong\u003e and reliability of Data\u003c/strong\u003e\u003c/p\u003e\n\u003cp\u003eTo ensure the validity of the data, the weighing scales were being checked after every measurement of the newborn for zero error. Tools were pre-tested.\u003c/p\u003e\n\u003cp\u003e\u003cstrong\u003eEthical Consideration\u003c/strong\u003e\u003c/p\u003e\n\u003cp\u003eEthical clearance to conduct the study was sought from the University of Dodoma directorate of research and publication.\u0026nbsp; Permission to conduct the study at the study site was obtained from medical officer in charge at Iringa Regional Referral hospital.\u003c/p\u003e\n\u003cp\u003eA written informed consent was obtained from study participants before enrollment. Participants who never consented and those who were not eligible for the study were attended by the investigator as part of routine clinical duties\u003c/p\u003e"},{"header":"Results","content":"\u003cp\u003eA total of 216 participants were involved in this study. The mean age of study participants was 28.46 years and standard deviation of 6.00. Majority 116 (53.70%) of respondents were between the age 25 \u0026ndash; 34 years of which 44 (61.11%) were cases and 72 (50%) were controls. Regarding parity, 78 (33.80%) of study participants were primiparous in which 15 (20.83%) were cases and 58 (40.28) were controls. As shown in Table I.\u003c/p\u003e\n\u003cp\u003eConsidering gestation age, majority of study participants 132 (61.11%) delivered at a gestation age of 37 \u0026ndash; 39 weeks of which 17 (23.63%) were cases and 115 (79.86%) were controls. Consider Table I.\u003c/p\u003e\u003cp style='margin:0in;line-height:normal;font-size:15px;font-family:\"Calibri\",sans-serif;margin-bottom:10.0pt;text-align:justify;'\u003e\u003cstrong\u003eTable I: Social Demographic characteristics of study participants at Iringa Regional Referral Hospital (N=216)\u003c/strong\u003e\u003c/p\u003e\n\u003ctable style=\"width:100.0%;border-collapse:collapse;border:none;\"\u003e\n \u003ctbody\u003e\n \u003ctr\u003e\n \u003ctd style=\"width: 37.32%;border: 1pt solid windowtext;padding: 0in 5.4pt;height: 1pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:15px;font-family:\"Calibri\",sans-serif;text-align:justify;'\u003e\u003cstrong\u003eVariable\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 21.52%;border-top: 1pt solid windowtext;border-right: 1pt solid windowtext;border-bottom: 1pt solid windowtext;border-image: initial;border-left: none;padding: 0in 5.4pt;height: 1pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:15px;font-family:\"Calibri\",sans-serif;text-align:justify;'\u003e\u003cstrong\u003eTotal\u003c/strong\u003e\u003c/p\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:15px;font-family:\"Calibri\",sans-serif;text-align:justify;'\u003e\u003cstrong\u003eN=216\u003c/strong\u003e\u003c/p\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:15px;font-family:\"Calibri\",sans-serif;text-align:justify;'\u003e\u003cstrong\u003eN (%)\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 19.64%;border-top: 1pt solid windowtext;border-right: 1pt solid windowtext;border-bottom: 1pt solid windowtext;border-image: initial;border-left: none;padding: 0in 5.4pt;height: 1pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:15px;font-family:\"Calibri\",sans-serif;text-align:justify;'\u003e\u003cstrong\u003eCases\u003c/strong\u003e\u003c/p\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:15px;font-family:\"Calibri\",sans-serif;text-align:justify;'\u003e\u003cstrong\u003en=72\u003c/strong\u003e\u003c/p\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:15px;font-family:\"Calibri\",sans-serif;text-align:justify;'\u003e\u003cstrong\u003en (%)\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 21.52%;border-top: 1pt solid windowtext;border-right: 1pt solid windowtext;border-bottom: 1pt solid windowtext;border-image: initial;border-left: none;padding: 0in 5.4pt;height: 1pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:15px;font-family:\"Calibri\",sans-serif;text-align:justify;'\u003e\u003cstrong\u003eControl\u0026nbsp;\u003c/strong\u003e\u003c/p\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:15px;font-family:\"Calibri\",sans-serif;text-align:justify;'\u003e\u003cstrong\u003en=144\u003c/strong\u003e\u003c/p\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:15px;font-family:\"Calibri\",sans-serif;text-align:justify;'\u003e\u003cstrong\u003en (%)\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd style=\"width: 37.32%;border-right: 1pt solid windowtext;border-bottom: 1pt solid windowtext;border-left: 1pt solid windowtext;border-image: initial;border-top: none;padding: 0in 5.4pt;height: 1pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:15px;font-family:\"Calibri\",sans-serif;text-align:justify;'\u003eChild\u0026rsquo;s Particulars\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 21.52%;border-top: none;border-left: none;border-bottom: 1pt solid windowtext;border-right: 1pt solid windowtext;padding: 0in 5.4pt;height: 1pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:15px;font-family:\"Calibri\",sans-serif;text-align:justify;'\u003e\u0026nbsp;\u003c/p\u003e\n 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1pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:15px;font-family:\"Calibri\",sans-serif;text-align:justify;'\u003eSex\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 21.52%;border-top: none;border-left: none;border-bottom: 1pt solid windowtext;border-right: 1pt solid windowtext;padding: 0in 5.4pt;height: 1pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:15px;font-family:\"Calibri\",sans-serif;text-align:justify;'\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 19.64%;border-top: none;border-left: none;border-bottom: 1pt solid windowtext;border-right: 1pt solid windowtext;padding: 0in 5.4pt;height: 1pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:15px;font-family:\"Calibri\",sans-serif;text-align:justify;'\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 21.52%;border-top: none;border-left: none;border-bottom: 1pt solid windowtext;border-right: 1pt solid windowtext;padding: 0in 5.4pt;height: 1pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:15px;font-family:\"Calibri\",sans-serif;text-align:justify;'\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd style=\"width: 37.32%;border-right: 1pt solid windowtext;border-bottom: 1pt solid windowtext;border-left: 1pt solid windowtext;border-image: initial;border-top: none;padding: 0in 5.4pt;height: 18.45pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:15px;font-family:\"Calibri\",sans-serif;text-align:justify;'\u003eMale\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 21.52%;border-top: none;border-left: none;border-bottom: 1pt solid windowtext;border-right: 1pt solid windowtext;padding: 0in 5.4pt;height: 18.45pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:15px;font-family:\"Calibri\",sans-serif;text-align:justify;'\u003e124 (57.41)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 19.64%;border-top: none;border-left: none;border-bottom: 1pt solid windowtext;border-right: 1pt solid windowtext;padding: 0in 5.4pt;height: 18.45pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:15px;font-family:\"Calibri\",sans-serif;text-align:justify;'\u003e45 (62.50)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 21.52%;border-top: none;border-left: none;border-bottom: 1pt solid windowtext;border-right: 1pt solid windowtext;padding: 0in 5.4pt;height: 18.45pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:15px;font-family:\"Calibri\",sans-serif;text-align:justify;'\u003e79 (54.86)\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd style=\"width: 37.32%;border-right: 1pt solid windowtext;border-bottom: 1pt solid windowtext;border-left: 1pt solid windowtext;border-image: initial;border-top: none;padding: 0in 5.4pt;height: 1pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:15px;font-family:\"Calibri\",sans-serif;text-align:justify;'\u003eFemale\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 21.52%;border-top: none;border-left: none;border-bottom: 1pt solid windowtext;border-right: 1pt solid windowtext;padding: 0in 5.4pt;height: 1pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:15px;font-family:\"Calibri\",sans-serif;text-align:justify;'\u003e92 (42.59)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 19.64%;border-top: none;border-left: none;border-bottom: 1pt solid windowtext;border-right: 1pt solid windowtext;padding: 0in 5.4pt;height: 1pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:15px;font-family:\"Calibri\",sans-serif;text-align:justify;'\u003e27 (37.50)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 21.52%;border-top: none;border-left: none;border-bottom: 1pt solid windowtext;border-right: 1pt solid windowtext;padding: 0in 5.4pt;height: 1pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:15px;font-family:\"Calibri\",sans-serif;text-align:justify;'\u003e65 (54.14)\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd style=\"width: 37.32%;border-right: 1pt solid windowtext;border-bottom: 1pt solid windowtext;border-left: 1pt solid windowtext;border-image: initial;border-top: none;padding: 0in 5.4pt;height: 1pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:15px;font-family:\"Calibri\",sans-serif;text-align:justify;'\u003eMaternal Particulars\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 21.52%;border-top: none;border-left: none;border-bottom: 1pt solid windowtext;border-right: 1pt solid windowtext;padding: 0in 5.4pt;height: 1pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:15px;font-family:\"Calibri\",sans-serif;text-align:justify;'\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 19.64%;border-top: none;border-left: none;border-bottom: 1pt solid windowtext;border-right: 1pt solid windowtext;padding: 0in 5.4pt;height: 1pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:15px;font-family:\"Calibri\",sans-serif;text-align:justify;'\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 21.52%;border-top: none;border-left: none;border-bottom: 1pt solid windowtext;border-right: 1pt solid windowtext;padding: 0in 5.4pt;height: 1pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:15px;font-family:\"Calibri\",sans-serif;text-align:justify;'\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd style=\"width: 37.32%;border-right: 1pt solid windowtext;border-bottom: 1pt solid windowtext;border-left: 1pt solid windowtext;border-image: initial;border-top: none;padding: 0in 5.4pt;height: 1pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:15px;font-family:\"Calibri\",sans-serif;text-align:justify;'\u003eMaternal age (Years)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 21.52%;border-top: none;border-left: none;border-bottom: 1pt solid windowtext;border-right: 1pt solid windowtext;padding: 0in 5.4pt;height: 1pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:15px;font-family:\"Calibri\",sans-serif;text-align:justify;'\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 19.64%;border-top: none;border-left: none;border-bottom: 1pt solid windowtext;border-right: 1pt solid windowtext;padding: 0in 5.4pt;height: 1pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:15px;font-family:\"Calibri\",sans-serif;text-align:justify;'\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 21.52%;border-top: none;border-left: none;border-bottom: 1pt solid windowtext;border-right: 1pt solid windowtext;padding: 0in 5.4pt;height: 1pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:15px;font-family:\"Calibri\",sans-serif;text-align:justify;'\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd style=\"width: 37.32%;border-right: 1pt solid windowtext;border-bottom: 1pt solid windowtext;border-left: 1pt solid windowtext;border-image: initial;border-top: none;padding: 0in 5.4pt;height: 1pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:15px;font-family:\"Calibri\",sans-serif;text-align:justify;'\u003e15 \u0026ndash; 24\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 21.52%;border-top: none;border-left: none;border-bottom: 1pt solid windowtext;border-right: 1pt solid windowtext;padding: 0in 5.4pt;height: 1pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:15px;font-family:\"Calibri\",sans-serif;text-align:justify;'\u003e64 (29.63)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 19.64%;border-top: none;border-left: none;border-bottom: 1pt solid windowtext;border-right: 1pt solid windowtext;padding: 0in 5.4pt;height: 1pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:15px;font-family:\"Calibri\",sans-serif;text-align:justify;'\u003e11 (15.28)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 21.52%;border-top: none;border-left: none;border-bottom: 1pt solid windowtext;border-right: 1pt solid windowtext;padding: 0in 5.4pt;height: 1pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:15px;font-family:\"Calibri\",sans-serif;text-align:justify;'\u003e53 (36.81)\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd style=\"width: 37.32%;border-right: 1pt solid windowtext;border-bottom: 1pt solid windowtext;border-left: 1pt solid windowtext;border-image: initial;border-top: none;padding: 0in 5.4pt;height: 1pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:15px;font-family:\"Calibri\",sans-serif;text-align:justify;'\u003e25-34\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 21.52%;border-top: none;border-left: none;border-bottom: 1pt solid windowtext;border-right: 1pt solid windowtext;padding: 0in 5.4pt;height: 1pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:15px;font-family:\"Calibri\",sans-serif;text-align:justify;'\u003e116 (53.70)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 19.64%;border-top: none;border-left: none;border-bottom: 1pt solid windowtext;border-right: 1pt solid windowtext;padding: 0in 5.4pt;height: 1pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:15px;font-family:\"Calibri\",sans-serif;text-align:justify;'\u003e44 (61.11)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 21.52%;border-top: none;border-left: none;border-bottom: 1pt solid windowtext;border-right: 1pt solid windowtext;padding: 0in 5.4pt;height: 1pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:15px;font-family:\"Calibri\",sans-serif;text-align:justify;'\u003e72 (50.00)\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd style=\"width: 37.32%;border-right: 1pt solid windowtext;border-bottom: 1pt solid windowtext;border-left: 1pt solid windowtext;border-image: initial;border-top: none;padding: 0in 5.4pt;height: 1pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:15px;font-family:\"Calibri\",sans-serif;text-align:justify;'\u003e35+\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 21.52%;border-top: none;border-left: none;border-bottom: 1pt solid windowtext;border-right: 1pt solid windowtext;padding: 0in 5.4pt;height: 1pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:15px;font-family:\"Calibri\",sans-serif;text-align:justify;'\u003e36 (16.67)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 19.64%;border-top: none;border-left: none;border-bottom: 1pt solid windowtext;border-right: 1pt solid windowtext;padding: 0in 5.4pt;height: 1pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:15px;font-family:\"Calibri\",sans-serif;text-align:justify;'\u003e17 (23.61)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 21.52%;border-top: none;border-left: none;border-bottom: 1pt solid windowtext;border-right: 1pt solid windowtext;padding: 0in 5.4pt;height: 1pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:15px;font-family:\"Calibri\",sans-serif;text-align:justify;'\u003e19 (13.19)\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd style=\"width: 37.32%;border-right: 1pt solid windowtext;border-bottom: 1pt solid windowtext;border-left: 1pt solid windowtext;border-image: initial;border-top: none;padding: 0in 5.4pt;height: 1pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:15px;font-family:\"Calibri\",sans-serif;text-align:justify;'\u003eResidence\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 21.52%;border-top: none;border-left: none;border-bottom: 1pt solid windowtext;border-right: 1pt solid windowtext;padding: 0in 5.4pt;height: 1pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:15px;font-family:\"Calibri\",sans-serif;text-align:justify;'\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 19.64%;border-top: none;border-left: none;border-bottom: 1pt solid windowtext;border-right: 1pt solid windowtext;padding: 0in 5.4pt;height: 1pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:15px;font-family:\"Calibri\",sans-serif;text-align:justify;'\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 21.52%;border-top: none;border-left: none;border-bottom: 1pt solid windowtext;border-right: 1pt solid windowtext;padding: 0in 5.4pt;height: 1pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:15px;font-family:\"Calibri\",sans-serif;text-align:justify;'\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd style=\"width: 37.32%;border-right: 1pt solid windowtext;border-bottom: 1pt solid windowtext;border-left: 1pt solid windowtext;border-image: initial;border-top: none;padding: 0in 5.4pt;height: 1pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:15px;font-family:\"Calibri\",sans-serif;text-align:justify;'\u003eRural\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 21.52%;border-top: none;border-left: none;border-bottom: 1pt solid windowtext;border-right: 1pt solid windowtext;padding: 0in 5.4pt;height: 1pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:15px;font-family:\"Calibri\",sans-serif;text-align:justify;'\u003e94 (43.52)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 19.64%;border-top: none;border-left: none;border-bottom: 1pt solid windowtext;border-right: 1pt solid windowtext;padding: 0in 5.4pt;height: 1pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:15px;font-family:\"Calibri\",sans-serif;text-align:justify;'\u003e30 (41.67)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 21.52%;border-top: none;border-left: none;border-bottom: 1pt solid windowtext;border-right: 1pt solid windowtext;padding: 0in 5.4pt;height: 1pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:15px;font-family:\"Calibri\",sans-serif;text-align:justify;'\u003e64 (44.44)\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd style=\"width: 37.32%;border-right: 1pt solid windowtext;border-bottom: 1pt solid windowtext;border-left: 1pt solid windowtext;border-image: initial;border-top: none;padding: 0in 5.4pt;height: 1pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:15px;font-family:\"Calibri\",sans-serif;text-align:justify;'\u003eUrban\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 21.52%;border-top: none;border-left: none;border-bottom: 1pt solid windowtext;border-right: 1pt solid windowtext;padding: 0in 5.4pt;height: 1pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:15px;font-family:\"Calibri\",sans-serif;text-align:justify;'\u003e122 (56.48)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 19.64%;border-top: none;border-left: none;border-bottom: 1pt solid windowtext;border-right: 1pt solid windowtext;padding: 0in 5.4pt;height: 1pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:15px;font-family:\"Calibri\",sans-serif;text-align:justify;'\u003e42 (58.33)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 21.52%;border-top: none;border-left: none;border-bottom: 1pt solid windowtext;border-right: 1pt solid windowtext;padding: 0in 5.4pt;height: 1pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:15px;font-family:\"Calibri\",sans-serif;text-align:justify;'\u003e80 (55.56)\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd style=\"width: 37.32%;border-right: 1pt solid windowtext;border-bottom: 1pt solid windowtext;border-left: 1pt solid windowtext;border-image: initial;border-top: none;padding: 0in 5.4pt;height: 1pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:15px;font-family:\"Calibri\",sans-serif;text-align:justify;'\u003eParity\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 21.52%;border-top: none;border-left: none;border-bottom: 1pt solid windowtext;border-right: 1pt solid windowtext;padding: 0in 5.4pt;height: 1pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:15px;font-family:\"Calibri\",sans-serif;text-align:justify;'\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 19.64%;border-top: none;border-left: none;border-bottom: 1pt solid windowtext;border-right: 1pt solid windowtext;padding: 0in 5.4pt;height: 1pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:15px;font-family:\"Calibri\",sans-serif;text-align:justify;'\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 21.52%;border-top: none;border-left: none;border-bottom: 1pt solid windowtext;border-right: 1pt solid windowtext;padding: 0in 5.4pt;height: 1pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:15px;font-family:\"Calibri\",sans-serif;text-align:justify;'\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd style=\"width: 37.32%;border-right: 1pt solid windowtext;border-bottom: 1pt solid windowtext;border-left: 1pt solid windowtext;border-image: initial;border-top: none;padding: 0in 5.4pt;height: 1pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:15px;font-family:\"Calibri\",sans-serif;text-align:justify;'\u003e1\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 21.52%;border-top: none;border-left: none;border-bottom: 1pt solid windowtext;border-right: 1pt solid windowtext;padding: 0in 5.4pt;height: 1pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:15px;font-family:\"Calibri\",sans-serif;text-align:justify;'\u003e73 (33.80)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 19.64%;border-top: none;border-left: none;border-bottom: 1pt solid windowtext;border-right: 1pt solid windowtext;padding: 0in 5.4pt;height: 1pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:15px;font-family:\"Calibri\",sans-serif;text-align:justify;'\u003e15 (20.83)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 21.52%;border-top: none;border-left: none;border-bottom: 1pt solid windowtext;border-right: 1pt solid windowtext;padding: 0in 5.4pt;height: 1pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:15px;font-family:\"Calibri\",sans-serif;text-align:justify;'\u003e58 (40.28)\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd style=\"width: 37.32%;border-right: 1pt solid windowtext;border-bottom: 1pt solid windowtext;border-left: 1pt solid windowtext;border-image: initial;border-top: none;padding: 0in 5.4pt;height: 1pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:15px;font-family:\"Calibri\",sans-serif;text-align:justify;'\u003e2\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 21.52%;border-top: none;border-left: none;border-bottom: 1pt solid windowtext;border-right: 1pt solid windowtext;padding: 0in 5.4pt;height: 1pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:15px;font-family:\"Calibri\",sans-serif;text-align:justify;'\u003e66 (30.56)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 19.64%;border-top: none;border-left: none;border-bottom: 1pt solid windowtext;border-right: 1pt solid windowtext;padding: 0in 5.4pt;height: 1pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:15px;font-family:\"Calibri\",sans-serif;text-align:justify;'\u003e19 (26.39)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 21.52%;border-top: none;border-left: none;border-bottom: 1pt solid windowtext;border-right: 1pt solid windowtext;padding: 0in 5.4pt;height: 1pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:15px;font-family:\"Calibri\",sans-serif;text-align:justify;'\u003e47 (32.64)\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd style=\"width: 37.32%;border-right: 1pt solid windowtext;border-bottom: 1pt solid windowtext;border-left: 1pt solid windowtext;border-image: initial;border-top: none;padding: 0in 5.4pt;height: 1pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:15px;font-family:\"Calibri\",sans-serif;text-align:justify;'\u003e3\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 21.52%;border-top: none;border-left: none;border-bottom: 1pt solid windowtext;border-right: 1pt solid windowtext;padding: 0in 5.4pt;height: 1pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:15px;font-family:\"Calibri\",sans-serif;text-align:justify;'\u003e44 (20.37)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 19.64%;border-top: none;border-left: none;border-bottom: 1pt solid windowtext;border-right: 1pt solid windowtext;padding: 0in 5.4pt;height: 1pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:15px;font-family:\"Calibri\",sans-serif;text-align:justify;'\u003e18 (25.00)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 21.52%;border-top: none;border-left: none;border-bottom: 1pt solid windowtext;border-right: 1pt solid windowtext;padding: 0in 5.4pt;height: 1pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:15px;font-family:\"Calibri\",sans-serif;text-align:justify;'\u003e26 (18.06)\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd style=\"width: 37.32%;border-right: 1pt solid windowtext;border-bottom: 1pt solid windowtext;border-left: 1pt solid windowtext;border-image: initial;border-top: none;padding: 0in 5.4pt;height: 1pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:15px;font-family:\"Calibri\",sans-serif;text-align:justify;'\u003e4+\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 21.52%;border-top: none;border-left: none;border-bottom: 1pt solid windowtext;border-right: 1pt solid windowtext;padding: 0in 5.4pt;height: 1pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:15px;font-family:\"Calibri\",sans-serif;text-align:justify;'\u003e33 (15.28)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 19.64%;border-top: none;border-left: none;border-bottom: 1pt solid windowtext;border-right: 1pt solid windowtext;padding: 0in 5.4pt;height: 1pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:15px;font-family:\"Calibri\",sans-serif;text-align:justify;'\u003e20 (27.78)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 21.52%;border-top: none;border-left: none;border-bottom: 1pt solid windowtext;border-right: 1pt solid windowtext;padding: 0in 5.4pt;height: 1pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:15px;font-family:\"Calibri\",sans-serif;text-align:justify;'\u003e13 (9.03)\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd style=\"width: 37.32%;border-right: 1pt solid windowtext;border-bottom: 1pt solid windowtext;border-left: 1pt solid windowtext;border-image: initial;border-top: none;padding: 0in 5.4pt;height: 1pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:15px;font-family:\"Calibri\",sans-serif;text-align:justify;'\u003eGestation age (weeks)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 21.52%;border-top: none;border-left: none;border-bottom: 1pt solid windowtext;border-right: 1pt solid windowtext;padding: 0in 5.4pt;height: 1pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:15px;font-family:\"Calibri\",sans-serif;text-align:justify;'\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 19.64%;border-top: none;border-left: none;border-bottom: 1pt solid windowtext;border-right: 1pt solid windowtext;padding: 0in 5.4pt;height: 1pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:15px;font-family:\"Calibri\",sans-serif;text-align:justify;'\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 21.52%;border-top: none;border-left: none;border-bottom: 1pt solid windowtext;border-right: 1pt solid windowtext;padding: 0in 5.4pt;height: 1pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:15px;font-family:\"Calibri\",sans-serif;text-align:justify;'\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd style=\"width: 37.32%;border-right: 1pt solid windowtext;border-bottom: 1pt solid windowtext;border-left: 1pt solid windowtext;border-image: initial;border-top: none;padding: 0in 5.4pt;height: 1pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:15px;font-family:\"Calibri\",sans-serif;text-align:justify;'\u003e37 \u0026ndash; 39\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 21.52%;border-top: none;border-left: none;border-bottom: 1pt solid windowtext;border-right: 1pt solid windowtext;padding: 0in 5.4pt;height: 1pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:15px;font-family:\"Calibri\",sans-serif;text-align:justify;'\u003e132 (61.11)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 19.64%;border-top: none;border-left: none;border-bottom: 1pt solid windowtext;border-right: 1pt solid windowtext;padding: 0in 5.4pt;height: 1pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:15px;font-family:\"Calibri\",sans-serif;text-align:justify;'\u003e17 (23.61)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 21.52%;border-top: none;border-left: none;border-bottom: 1pt solid windowtext;border-right: 1pt solid windowtext;padding: 0in 5.4pt;height: 1pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:15px;font-family:\"Calibri\",sans-serif;text-align:justify;'\u003e115 (79.86)\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd style=\"width: 37.32%;border-right: 1pt solid windowtext;border-bottom: 1pt solid windowtext;border-left: 1pt solid windowtext;border-image: initial;border-top: none;padding: 0in 5.4pt;height: 1pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:15px;font-family:\"Calibri\",sans-serif;text-align:justify;'\u003e40 - 41(+6 days)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 21.52%;border-top: none;border-left: none;border-bottom: 1pt solid windowtext;border-right: 1pt solid windowtext;padding: 0in 5.4pt;height: 1pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:15px;font-family:\"Calibri\",sans-serif;text-align:justify;'\u003e68 (31.48)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 19.64%;border-top: none;border-left: none;border-bottom: 1pt solid windowtext;border-right: 1pt solid windowtext;padding: 0in 5.4pt;height: 1pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:15px;font-family:\"Calibri\",sans-serif;text-align:justify;'\u003e45 (62.50)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 21.52%;border-top: none;border-left: none;border-bottom: 1pt solid windowtext;border-right: 1pt solid windowtext;padding: 0in 5.4pt;height: 1pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:15px;font-family:\"Calibri\",sans-serif;text-align:justify;'\u003e23 (15.97)\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd style=\"width: 37.32%;border-right: 1pt solid windowtext;border-bottom: 1pt solid windowtext;border-left: 1pt solid windowtext;border-image: initial;border-top: none;padding: 0in 5.4pt;height: 1pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:15px;font-family:\"Calibri\",sans-serif;text-align:justify;'\u003e42+\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 21.52%;border-top: none;border-left: none;border-bottom: 1pt solid windowtext;border-right: 1pt solid windowtext;padding: 0in 5.4pt;height: 1pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:15px;font-family:\"Calibri\",sans-serif;text-align:justify;'\u003e16 (7.14)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 19.64%;border-top: none;border-left: none;border-bottom: 1pt solid windowtext;border-right: 1pt solid windowtext;padding: 0in 5.4pt;height: 1pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:15px;font-family:\"Calibri\",sans-serif;text-align:justify;'\u003e10 (13.89)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 21.52%;border-top: none;border-left: none;border-bottom: 1pt solid windowtext;border-right: 1pt solid windowtext;padding: 0in 5.4pt;height: 1pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:15px;font-family:\"Calibri\",sans-serif;text-align:justify;'\u003e6 (4.17)\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd style=\"width: 37.32%;border-right: 1pt solid windowtext;border-bottom: 1pt solid windowtext;border-left: 1pt solid windowtext;border-image: initial;border-top: none;padding: 0in 5.4pt;height: 1pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:15px;font-family:\"Calibri\",sans-serif;text-align:justify;'\u003eLevel of education\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 21.52%;border-top: none;border-left: none;border-bottom: 1pt solid windowtext;border-right: 1pt solid windowtext;padding: 0in 5.4pt;height: 1pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:15px;font-family:\"Calibri\",sans-serif;text-align:justify;'\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 19.64%;border-top: none;border-left: none;border-bottom: 1pt solid windowtext;border-right: 1pt solid windowtext;padding: 0in 5.4pt;height: 1pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:15px;font-family:\"Calibri\",sans-serif;text-align:justify;'\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 21.52%;border-top: none;border-left: none;border-bottom: 1pt solid windowtext;border-right: 1pt solid windowtext;padding: 0in 5.4pt;height: 1pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:15px;font-family:\"Calibri\",sans-serif;text-align:justify;'\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd style=\"width: 37.32%;border-right: 1pt solid windowtext;border-bottom: 1pt solid windowtext;border-left: 1pt solid windowtext;border-image: initial;border-top: none;padding: 0in 5.4pt;height: 1pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:15px;font-family:\"Calibri\",sans-serif;text-align:justify;'\u003eNo formal education\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 21.52%;border-top: none;border-left: none;border-bottom: 1pt solid windowtext;border-right: 1pt solid windowtext;padding: 0in 5.4pt;height: 1pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:15px;font-family:\"Calibri\",sans-serif;text-align:justify;'\u003e34 (15.74)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 19.64%;border-top: none;border-left: none;border-bottom: 1pt solid windowtext;border-right: 1pt solid windowtext;padding: 0in 5.4pt;height: 1pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:15px;font-family:\"Calibri\",sans-serif;text-align:justify;'\u003e12 (16.67)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 21.52%;border-top: none;border-left: none;border-bottom: 1pt solid windowtext;border-right: 1pt solid windowtext;padding: 0in 5.4pt;height: 1pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:15px;font-family:\"Calibri\",sans-serif;text-align:justify;'\u003e22 (15.28)\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd style=\"width: 37.32%;border-right: 1pt solid windowtext;border-bottom: 1pt solid windowtext;border-left: 1pt solid windowtext;border-image: initial;border-top: none;padding: 0in 5.4pt;height: 1pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:15px;font-family:\"Calibri\",sans-serif;text-align:justify;'\u003ePrimary\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 21.52%;border-top: none;border-left: none;border-bottom: 1pt solid windowtext;border-right: 1pt solid windowtext;padding: 0in 5.4pt;height: 1pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:15px;font-family:\"Calibri\",sans-serif;text-align:justify;'\u003e106 (49.07)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 19.64%;border-top: none;border-left: none;border-bottom: 1pt solid windowtext;border-right: 1pt solid windowtext;padding: 0in 5.4pt;height: 1pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:15px;font-family:\"Calibri\",sans-serif;text-align:justify;'\u003e28 (38.89)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 21.52%;border-top: none;border-left: none;border-bottom: 1pt solid windowtext;border-right: 1pt solid windowtext;padding: 0in 5.4pt;height: 1pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:15px;font-family:\"Calibri\",sans-serif;text-align:justify;'\u003e48 (33.33)\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd style=\"width: 37.32%;border-right: 1pt solid windowtext;border-bottom: 1pt solid windowtext;border-left: 1pt solid windowtext;border-image: initial;border-top: none;padding: 0in 5.4pt;height: 1pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:15px;font-family:\"Calibri\",sans-serif;text-align:justify;'\u003eSecondary and above\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 21.52%;border-top: none;border-left: none;border-bottom: 1pt solid windowtext;border-right: 1pt solid windowtext;padding: 0in 5.4pt;height: 1pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:15px;font-family:\"Calibri\",sans-serif;text-align:justify;'\u003e76 (35.19)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 19.64%;border-top: none;border-left: none;border-bottom: 1pt solid windowtext;border-right: 1pt solid windowtext;padding: 0in 5.4pt;height: 1pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:15px;font-family:\"Calibri\",sans-serif;text-align:justify;'\u003e32 (44.44)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 21.52%;border-top: none;border-left: none;border-bottom: 1pt solid windowtext;border-right: 1pt solid windowtext;padding: 0in 5.4pt;height: 1pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:15px;font-family:\"Calibri\",sans-serif;text-align:justify;'\u003e74 (51.39)\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003c/tbody\u003e\n\u003c/table\u003e\n\u003cp style='margin:0in;line-height:200%;font-size:15px;font-family:\"Calibri\",sans-serif;text-align:justify;'\u003e\u003cstrong\u003e\u0026nbsp;\u003c/strong\u003e\u003c/p\u003e\u003cp\u003e\u003cstrong\u003eThe predictors of fetal macrosomia among women delivering at Iringa regional referral hospital.\u003c/strong\u003e\u003c/p\u003e\n\u003cp\u003eThis study found that, among the maternal factors, gestation age \u0026ge; 40 weeks (\u003cem\u003ep-value = \u0026lt; 0.0001\u003c/em\u003e), a previous history of macrosomic baby (\u003cem\u003ep-value = \u0026lt; 0.0001\u003c/em\u003e), diabetes mellitus in pregnancy, higher parity (\u003cem\u003ep-value = \u0026lt; 0.0001\u003c/em\u003e) and advanced maternal age (\u003cem\u003ep-value =0.0028\u003c/em\u003e) were predictors of fetal macrosomia on cross tabulation as shown in Table II.\u003c/p\u003e\u003cp style='margin:0in;line-height:200%;font-size:15px;font-family:\"Calibri\",sans-serif;text-align:justify;'\u003e\u003cstrong\u003eTable II: Predictors of fetal macrosomia among women delivering at Iringa regional referral hospital (N=216)\u003c/strong\u003e\u003c/p\u003e\n\u003ctable style=\"width:100.0%;border-collapse:collapse;border:none;\"\u003e\n \u003ctbody\u003e\n \u003ctr\u003e\n \u003ctd rowspan=\"2\" style=\"width: 48.54%;border: 1pt solid windowtext;padding: 0in 5.4pt;height: 0.2in;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:15px;font-family:\"Calibri\",sans-serif;text-align:justify;'\u003e\u003cstrong\u003eVariable\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd colspan=\"4\" style=\"width: 51.46%;border-top: 1pt solid windowtext;border-right: 1pt solid windowtext;border-bottom: 1pt solid windowtext;border-image: initial;border-left: none;padding: 0in 5.4pt;height: 0.2in;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:15px;font-family:\"Calibri\",sans-serif;text-align:justify;'\u003e\u003cstrong\u003eMacrosomia\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd style=\"width: 13.18%;border-top: none;border-left: none;border-bottom: 1pt solid windowtext;border-right: 1pt solid windowtext;padding: 0in 5.4pt;height: 0.2in;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:15px;font-family:\"Calibri\",sans-serif;text-align:justify;'\u003e\u003cstrong\u003eCase\u003c/strong\u003e\u003c/p\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:15px;font-family:\"Calibri\",sans-serif;text-align:justify;'\u003e\u003cstrong\u003en=72\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 14.5%;border-top: none;border-left: none;border-bottom: 1pt solid windowtext;border-right: 1pt solid windowtext;padding: 0in 5.4pt;height: 0.2in;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:15px;font-family:\"Calibri\",sans-serif;text-align:justify;'\u003e\u003cstrong\u003eControl\u003c/strong\u003e\u003c/p\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:15px;font-family:\"Calibri\",sans-serif;text-align:justify;'\u003e\u003cstrong\u003en=144\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 12.18%;border-top: none;border-left: none;border-bottom: 1pt solid windowtext;border-right: 1pt solid windowtext;padding: 0in 5.4pt;height: 0.2in;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:15px;font-family:\"Calibri\",sans-serif;text-align:justify;'\u003e\u003cstrong\u003eX\u003csup\u003e2\u003c/sup\u003e\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 11.58%;border-top: none;border-left: none;border-bottom: 1pt solid windowtext;border-right: 1pt solid windowtext;padding: 0in 5.4pt;height: 0.2in;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:15px;font-family:\"Calibri\",sans-serif;text-align:justify;'\u003e\u003cstrong\u003eP-value\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd style=\"width: 48.54%;border-right: 1pt solid windowtext;border-bottom: 1pt solid windowtext;border-left: 1pt solid windowtext;border-image: initial;border-top: none;padding: 0in 5.4pt;height: 0.2in;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:15px;font-family:\"Calibri\",sans-serif;text-align:justify;'\u003e\u003cstrong\u003eChild\u0026rsquo;s characteristics\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 13.18%;border-top: none;border-left: none;border-bottom: 1pt solid windowtext;border-right: 1pt solid windowtext;padding: 0in 5.4pt;height: 0.2in;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:15px;font-family:\"Calibri\",sans-serif;text-align:justify;'\u003e\u003cstrong\u003e\u0026nbsp;\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 14.5%;border-top: none;border-left: none;border-bottom: 1pt solid windowtext;border-right: 1pt solid windowtext;padding: 0in 5.4pt;height: 0.2in;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:15px;font-family:\"Calibri\",sans-serif;text-align:justify;'\u003e\u003cstrong\u003e\u0026nbsp;\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 12.18%;border-top: none;border-left: none;border-bottom: 1pt solid windowtext;border-right: 1pt solid windowtext;padding: 0in 5.4pt;height: 0.2in;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:15px;font-family:\"Calibri\",sans-serif;text-align:justify;'\u003e\u003cstrong\u003e\u0026nbsp;\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 11.58%;border-top: none;border-left: none;border-bottom: 1pt solid windowtext;border-right: 1pt solid windowtext;padding: 0in 5.4pt;height: 0.2in;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:15px;font-family:\"Calibri\",sans-serif;text-align:justify;'\u003e\u003cstrong\u003e\u0026nbsp;\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd style=\"width: 48.54%;border-right: 1pt solid windowtext;border-bottom: 1pt solid windowtext;border-left: 1pt solid windowtext;border-image: initial;border-top: none;padding: 0in 5.4pt;height: 0.2in;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:15px;font-family:\"Calibri\",sans-serif;text-align:justify;'\u003e\u003cstrong\u003eSex\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 13.18%;border-top: none;border-left: none;border-bottom: 1pt solid windowtext;border-right: 1pt solid windowtext;padding: 0in 5.4pt;height: 0.2in;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:15px;font-family:\"Calibri\",sans-serif;text-align:justify;'\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 14.5%;border-top: none;border-left: none;border-bottom: 1pt solid windowtext;border-right: 1pt solid windowtext;padding: 0in 5.4pt;height: 0.2in;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:15px;font-family:\"Calibri\",sans-serif;text-align:justify;'\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 12.18%;border-top: none;border-left: none;border-bottom: 1pt solid windowtext;border-right: 1pt solid windowtext;padding: 0in 5.4pt;height: 0.2in;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:15px;font-family:\"Calibri\",sans-serif;text-align:justify;'\u003e\u0026nbsp;1.1455\u003csup\u003ea\u003c/sup\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 11.58%;border-top: none;border-left: none;border-bottom: 1pt solid windowtext;border-right: 1pt solid windowtext;padding: 0in 5.4pt;height: 0.2in;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:15px;font-family:\"Calibri\",sans-serif;text-align:justify;'\u003e0.2845\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd style=\"width: 48.54%;border-right: 1pt solid windowtext;border-bottom: 1pt solid windowtext;border-left: 1pt solid windowtext;border-image: initial;border-top: none;padding: 0in 5.4pt;height: 0.2in;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:15px;font-family:\"Calibri\",sans-serif;text-align:justify;'\u003e\u0026nbsp; \u0026nbsp; \u0026nbsp;Male\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 13.18%;border-top: none;border-left: none;border-bottom: 1pt solid windowtext;border-right: 1pt solid windowtext;padding: 0in 5.4pt;height: 0.2in;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:15px;font-family:\"Calibri\",sans-serif;text-align:justify;'\u003e45(62.50)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 14.5%;border-top: none;border-left: none;border-bottom: 1pt solid windowtext;border-right: 1pt solid windowtext;padding: 0in 5.4pt;height: 0.2in;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:15px;font-family:\"Calibri\",sans-serif;text-align:justify;'\u003e79(54.86)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 12.18%;border-top: none;border-left: none;border-bottom: 1pt solid windowtext;border-right: 1pt solid windowtext;padding: 0in 5.4pt;height: 0.2in;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:15px;font-family:\"Calibri\",sans-serif;text-align:justify;'\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 11.58%;border-top: none;border-left: none;border-bottom: 1pt solid windowtext;border-right: 1pt solid windowtext;padding: 0in 5.4pt;height: 0.2in;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:15px;font-family:\"Calibri\",sans-serif;text-align:justify;'\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd style=\"width: 48.54%;border-right: 1pt solid windowtext;border-bottom: 1pt solid windowtext;border-left: 1pt solid windowtext;border-image: initial;border-top: none;padding: 0in 5.4pt;height: 0.2in;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:15px;font-family:\"Calibri\",sans-serif;text-align:justify;'\u003e\u0026nbsp; \u0026nbsp; \u0026nbsp; \u0026nbsp; Female\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 13.18%;border-top: none;border-left: none;border-bottom: 1pt solid windowtext;border-right: 1pt solid windowtext;padding: 0in 5.4pt;height: 0.2in;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:15px;font-family:\"Calibri\",sans-serif;text-align:justify;'\u003e27(37.50)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 14.5%;border-top: none;border-left: none;border-bottom: 1pt solid windowtext;border-right: 1pt solid windowtext;padding: 0in 5.4pt;height: 0.2in;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:15px;font-family:\"Calibri\",sans-serif;text-align:justify;'\u003e65(45.14)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 12.18%;border-top: none;border-left: none;border-bottom: 1pt solid windowtext;border-right: 1pt solid windowtext;padding: 0in 5.4pt;height: 0.2in;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:15px;font-family:\"Calibri\",sans-serif;text-align:justify;'\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 11.58%;border-top: none;border-left: none;border-bottom: 1pt solid windowtext;border-right: 1pt solid windowtext;padding: 0in 5.4pt;height: 0.2in;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:15px;font-family:\"Calibri\",sans-serif;text-align:justify;'\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd style=\"width: 48.54%;border-right: 1pt solid windowtext;border-bottom: 1pt solid windowtext;border-left: 1pt solid windowtext;border-image: initial;border-top: none;padding: 0in 5.4pt;height: 0.2in;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:15px;font-family:\"Calibri\",sans-serif;text-align:justify;'\u003e\u003cstrong\u003eMaternal factors\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 13.18%;border-top: none;border-left: none;border-bottom: 1pt solid windowtext;border-right: 1pt solid windowtext;padding: 0in 5.4pt;height: 0.2in;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:15px;font-family:\"Calibri\",sans-serif;text-align:justify;'\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 14.5%;border-top: none;border-left: none;border-bottom: 1pt solid windowtext;border-right: 1pt solid windowtext;padding: 0in 5.4pt;height: 0.2in;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:15px;font-family:\"Calibri\",sans-serif;text-align:justify;'\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 12.18%;border-top: none;border-left: none;border-bottom: 1pt solid windowtext;border-right: 1pt solid windowtext;padding: 0in 5.4pt;height: 0.2in;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:15px;font-family:\"Calibri\",sans-serif;text-align:justify;'\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 11.58%;border-top: none;border-left: none;border-bottom: 1pt solid windowtext;border-right: 1pt solid windowtext;padding: 0in 5.4pt;height: 0.2in;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:15px;font-family:\"Calibri\",sans-serif;text-align:justify;'\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd style=\"width: 48.54%;border-right: 1pt solid windowtext;border-bottom: 1pt solid windowtext;border-left: 1pt solid windowtext;border-image: initial;border-top: none;padding: 0in 5.4pt;height: 0.2in;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:15px;font-family:\"Calibri\",sans-serif;text-align:justify;'\u003e\u003cstrong\u003eAge\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 13.18%;border-top: none;border-left: none;border-bottom: 1pt solid windowtext;border-right: 1pt solid windowtext;padding: 0in 5.4pt;height: 0.2in;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:15px;font-family:\"Calibri\",sans-serif;text-align:justify;'\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 14.5%;border-top: none;border-left: none;border-bottom: 1pt solid windowtext;border-right: 1pt solid windowtext;padding: 0in 5.4pt;height: 0.2in;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:15px;font-family:\"Calibri\",sans-serif;text-align:justify;'\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 12.18%;border-top: none;border-left: none;border-bottom: 1pt solid windowtext;border-right: 1pt solid windowtext;padding: 0in 5.4pt;height: 0.2in;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:15px;font-family:\"Calibri\",sans-serif;text-align:justify;'\u003e11.7363\u003csup\u003ea\u003c/sup\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 11.58%;border-top: none;border-left: none;border-bottom: 1pt solid windowtext;border-right: 1pt solid windowtext;padding: 0in 5.4pt;height: 0.2in;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:15px;font-family:\"Calibri\",sans-serif;text-align:justify;'\u003e0.0028\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd style=\"width: 48.54%;border-right: 1pt solid windowtext;border-bottom: 1pt solid windowtext;border-left: 1pt solid windowtext;border-image: initial;border-top: none;padding: 0in 5.4pt;height: 0.2in;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:15px;font-family:\"Calibri\",sans-serif;text-align:justify;'\u003e\u0026nbsp; \u0026nbsp; \u0026nbsp;15 \u0026ndash; 24\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 13.18%;border-top: none;border-left: none;border-bottom: 1pt solid windowtext;border-right: 1pt solid windowtext;padding: 0in 5.4pt;height: 0.2in;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:15px;font-family:\"Calibri\",sans-serif;text-align:justify;'\u003e11(15.28)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 14.5%;border-top: none;border-left: none;border-bottom: 1pt solid windowtext;border-right: 1pt solid windowtext;padding: 0in 5.4pt;height: 0.2in;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:15px;font-family:\"Calibri\",sans-serif;text-align:justify;'\u003e53(36.81)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 12.18%;border-top: none;border-left: none;border-bottom: 1pt solid windowtext;border-right: 1pt solid windowtext;padding: 0in 5.4pt;height: 0.2in;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:15px;font-family:\"Calibri\",sans-serif;text-align:justify;'\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 11.58%;border-top: none;border-left: none;border-bottom: 1pt solid windowtext;border-right: 1pt solid windowtext;padding: 0in 5.4pt;height: 0.2in;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:15px;font-family:\"Calibri\",sans-serif;text-align:justify;'\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd style=\"width: 48.54%;border-right: 1pt solid windowtext;border-bottom: 1pt solid windowtext;border-left: 1pt solid windowtext;border-image: initial;border-top: none;padding: 0in 5.4pt;height: 0.2in;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:15px;font-family:\"Calibri\",sans-serif;text-align:justify;'\u003e\u0026nbsp; \u0026nbsp; \u0026nbsp; \u0026nbsp; 25-34\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 13.18%;border-top: none;border-left: none;border-bottom: 1pt solid windowtext;border-right: 1pt solid windowtext;padding: 0in 5.4pt;height: 0.2in;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:15px;font-family:\"Calibri\",sans-serif;text-align:justify;'\u003e44(61.11)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 14.5%;border-top: none;border-left: none;border-bottom: 1pt solid windowtext;border-right: 1pt solid windowtext;padding: 0in 5.4pt;height: 0.2in;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:15px;font-family:\"Calibri\",sans-serif;text-align:justify;'\u003e72 (50.00)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 12.18%;border-top: none;border-left: none;border-bottom: 1pt solid windowtext;border-right: 1pt solid windowtext;padding: 0in 5.4pt;height: 0.2in;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:15px;font-family:\"Calibri\",sans-serif;text-align:justify;'\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 11.58%;border-top: none;border-left: none;border-bottom: 1pt solid windowtext;border-right: 1pt solid windowtext;padding: 0in 5.4pt;height: 0.2in;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:15px;font-family:\"Calibri\",sans-serif;text-align:justify;'\u003e\u003cstrong\u003e\u0026nbsp;\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd style=\"width: 48.54%;border-right: 1pt solid windowtext;border-bottom: 1pt solid windowtext;border-left: 1pt solid windowtext;border-image: initial;border-top: none;padding: 0in 5.4pt;height: 0.2in;vertical-align: top;\"\u003e\n \u003cp 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1pt solid windowtext;border-right: 1pt solid windowtext;padding: 0in 5.4pt;height: 0.2in;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:15px;font-family:\"Calibri\",sans-serif;text-align:justify;'\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 11.58%;border-top: none;border-left: none;border-bottom: 1pt solid windowtext;border-right: 1pt solid windowtext;padding: 0in 5.4pt;height: 0.2in;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:15px;font-family:\"Calibri\",sans-serif;text-align:justify;'\u003e\u003cstrong\u003e\u0026nbsp;\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd style=\"width: 48.54%;border-right: 1pt solid windowtext;border-bottom: 1pt solid windowtext;border-left: 1pt solid windowtext;border-image: initial;border-top: none;padding: 0in 5.4pt;height: 0.2in;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:15px;font-family:\"Calibri\",sans-serif;text-align:justify;'\u003e\u003cstrong\u003eResidence\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 13.18%;border-top: none;border-left: none;border-bottom: 1pt solid windowtext;border-right: 1pt solid windowtext;padding: 0in 5.4pt;height: 0.2in;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:15px;font-family:\"Calibri\",sans-serif;text-align:justify;'\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 14.5%;border-top: none;border-left: none;border-bottom: 1pt solid windowtext;border-right: 1pt solid windowtext;padding: 0in 5.4pt;height: 0.2in;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:15px;font-family:\"Calibri\",sans-serif;text-align:justify;'\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 12.18%;border-top: none;border-left: none;border-bottom: 1pt solid windowtext;border-right: 1pt solid windowtext;padding: 0in 5.4pt;height: 0.2in;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:15px;font-family:\"Calibri\",sans-serif;text-align:justify;'\u003e0.1507\u003csup\u003ea\u003c/sup\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 11.58%;border-top: none;border-left: none;border-bottom: 1pt solid windowtext;border-right: 1pt solid windowtext;padding: 0in 5.4pt;height: 0.2in;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:15px;font-family:\"Calibri\",sans-serif;text-align:justify;'\u003e0.6979\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd style=\"width: 48.54%;border-right: 1pt solid windowtext;border-bottom: 1pt solid windowtext;border-left: 1pt solid windowtext;border-image: initial;border-top: none;padding: 0in 5.4pt;height: 0.2in;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:15px;font-family:\"Calibri\",sans-serif;text-align:justify;'\u003e\u0026nbsp; \u0026nbsp; \u0026nbsp; \u0026nbsp; Rural\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 13.18%;border-top: none;border-left: none;border-bottom: 1pt solid windowtext;border-right: 1pt solid windowtext;padding: 0in 5.4pt;height: 0.2in;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:15px;font-family:\"Calibri\",sans-serif;text-align:justify;'\u003e30(41.67)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 14.5%;border-top: none;border-left: none;border-bottom: 1pt solid windowtext;border-right: 1pt solid windowtext;padding: 0in 5.4pt;height: 0.2in;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:15px;font-family:\"Calibri\",sans-serif;text-align:justify;'\u003e64(44.44)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 12.18%;border-top: none;border-left: none;border-bottom: 1pt solid windowtext;border-right: 1pt solid windowtext;padding: 0in 5.4pt;height: 0.2in;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:15px;font-family:\"Calibri\",sans-serif;text-align:justify;'\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 11.58%;border-top: none;border-left: none;border-bottom: 1pt solid windowtext;border-right: 1pt solid windowtext;padding: 0in 5.4pt;height: 0.2in;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:15px;font-family:\"Calibri\",sans-serif;text-align:justify;'\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd style=\"width: 48.54%;border-right: 1pt solid windowtext;border-bottom: 1pt solid windowtext;border-left: 1pt solid windowtext;border-image: initial;border-top: none;padding: 0in 5.4pt;height: 0.2in;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:15px;font-family:\"Calibri\",sans-serif;text-align:justify;'\u003e\u0026nbsp; \u0026nbsp; \u0026nbsp; \u0026nbsp; Urban\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 13.18%;border-top: none;border-left: none;border-bottom: 1pt solid windowtext;border-right: 1pt solid windowtext;padding: 0in 5.4pt;height: 0.2in;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:15px;font-family:\"Calibri\",sans-serif;text-align:justify;'\u003e42(58.33)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 14.5%;border-top: none;border-left: none;border-bottom: 1pt solid windowtext;border-right: 1pt solid windowtext;padding: 0in 5.4pt;height: 0.2in;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:15px;font-family:\"Calibri\",sans-serif;text-align:justify;'\u003e80(55.56)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 12.18%;border-top: none;border-left: none;border-bottom: 1pt solid windowtext;border-right: 1pt solid windowtext;padding: 0in 5.4pt;height: 0.2in;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:15px;font-family:\"Calibri\",sans-serif;text-align:justify;'\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 11.58%;border-top: none;border-left: none;border-bottom: 1pt solid windowtext;border-right: 1pt solid windowtext;padding: 0in 5.4pt;height: 0.2in;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:15px;font-family:\"Calibri\",sans-serif;text-align:justify;'\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd style=\"width: 48.54%;border-right: 1pt solid windowtext;border-bottom: 1pt solid windowtext;border-left: 1pt solid windowtext;border-image: initial;border-top: none;padding: 0in 5.4pt;height: 0.2in;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:15px;font-family:\"Calibri\",sans-serif;text-align:justify;'\u003e\u003cstrong\u003eGestation age\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 13.18%;border-top: none;border-left: none;border-bottom: 1pt solid windowtext;border-right: 1pt solid windowtext;padding: 0in 5.4pt;height: 0.2in;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:15px;font-family:\"Calibri\",sans-serif;text-align:justify;'\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 14.5%;border-top: none;border-left: none;border-bottom: 1pt solid windowtext;border-right: 1pt solid windowtext;padding: 0in 5.4pt;height: 0.2in;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:15px;font-family:\"Calibri\",sans-serif;text-align:justify;'\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 12.18%;border-top: none;border-left: none;border-bottom: 1pt solid windowtext;border-right: 1pt solid windowtext;padding: 0in 5.4pt;height: 0.2in;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:15px;font-family:\"Calibri\",sans-serif;text-align:justify;'\u003e63.9846\u003csup\u003ea\u003c/sup\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 11.58%;border-top: none;border-left: none;border-bottom: 1pt solid windowtext;border-right: 1pt solid windowtext;padding: 0in 5.4pt;height: 0.2in;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:15px;font-family:\"Calibri\",sans-serif;text-align:justify;'\u003e\u0026lt;.0001\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd style=\"width: 48.54%;border-right: 1pt solid windowtext;border-bottom: 1pt solid windowtext;border-left: 1pt solid windowtext;border-image: initial;border-top: none;padding: 0in 5.4pt;height: 0.2in;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;line-height: normal;font-size:15px;font-family:\"Calibri\",sans-serif;text-align:justify;text-indent:13.5pt;'\u003e37 \u0026ndash; 39\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 13.18%;border-top: none;border-left: none;border-bottom: 1pt solid windowtext;border-right: 1pt solid windowtext;padding: 0in 5.4pt;height: 0.2in;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:15px;font-family:\"Calibri\",sans-serif;text-align:justify;'\u003e17(23.61)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 14.5%;border-top: none;border-left: none;border-bottom: 1pt solid windowtext;border-right: 1pt solid windowtext;padding: 0in 5.4pt;height: 0.2in;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:15px;font-family:\"Calibri\",sans-serif;text-align:justify;'\u003e115(79.86)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 12.18%;border-top: none;border-left: none;border-bottom: 1pt solid windowtext;border-right: 1pt solid windowtext;padding: 0in 5.4pt;height: 0.2in;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:15px;font-family:\"Calibri\",sans-serif;text-align:justify;'\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 11.58%;border-top: none;border-left: none;border-bottom: 1pt solid windowtext;border-right: 1pt solid windowtext;padding: 0in 5.4pt;height: 0.2in;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:15px;font-family:\"Calibri\",sans-serif;text-align:justify;'\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd style=\"width: 48.54%;border-right: 1pt solid windowtext;border-bottom: 1pt solid windowtext;border-left: 1pt solid windowtext;border-image: initial;border-top: none;padding: 0in 5.4pt;height: 0.2in;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;line-height: normal;font-size:15px;font-family:\"Calibri\",sans-serif;text-align:justify;text-indent:13.5pt;'\u003e40 - 41(+6 days)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 13.18%;border-top: none;border-left: none;border-bottom: 1pt solid windowtext;border-right: 1pt solid windowtext;padding: 0in 5.4pt;height: 0.2in;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:15px;font-family:\"Calibri\",sans-serif;text-align:justify;'\u003e45(62.50)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 14.5%;border-top: none;border-left: none;border-bottom: 1pt solid windowtext;border-right: 1pt solid windowtext;padding: 0in 5.4pt;height: 0.2in;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:15px;font-family:\"Calibri\",sans-serif;text-align:justify;'\u003e23(15.97)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 12.18%;border-top: none;border-left: none;border-bottom: 1pt solid windowtext;border-right: 1pt solid windowtext;padding: 0in 5.4pt;height: 0.2in;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:15px;font-family:\"Calibri\",sans-serif;text-align:justify;'\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 11.58%;border-top: none;border-left: none;border-bottom: 1pt solid windowtext;border-right: 1pt solid windowtext;padding: 0in 5.4pt;height: 0.2in;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:15px;font-family:\"Calibri\",sans-serif;text-align:justify;'\u003e\u003cstrong\u003e\u0026nbsp;\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd style=\"width: 48.54%;border-right: 1pt solid windowtext;border-bottom: 1pt solid windowtext;border-left: 1pt solid windowtext;border-image: initial;border-top: none;padding: 0in 5.4pt;height: 0.2in;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;line-height: normal;font-size:15px;font-family:\"Calibri\",sans-serif;text-align:justify;text-indent:13.5pt;'\u003e42+\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 13.18%;border-top: none;border-left: none;border-bottom: 1pt solid windowtext;border-right: 1pt solid windowtext;padding: 0in 5.4pt;height: 0.2in;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:15px;font-family:\"Calibri\",sans-serif;text-align:justify;'\u003e10(13.89)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 14.5%;border-top: none;border-left: none;border-bottom: 1pt solid windowtext;border-right: 1pt solid windowtext;padding: 0in 5.4pt;height: 0.2in;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:15px;font-family:\"Calibri\",sans-serif;text-align:justify;'\u003e6(4.17)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 12.18%;border-top: none;border-left: none;border-bottom: 1pt solid windowtext;border-right: 1pt solid windowtext;padding: 0in 5.4pt;height: 0.2in;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:15px;font-family:\"Calibri\",sans-serif;text-align:justify;'\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 11.58%;border-top: none;border-left: none;border-bottom: 1pt solid windowtext;border-right: 1pt solid windowtext;padding: 0in 5.4pt;height: 0.2in;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:15px;font-family:\"Calibri\",sans-serif;text-align:justify;'\u003e\u003cstrong\u003e\u0026nbsp;\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd style=\"width: 48.54%;border-right: 1pt solid windowtext;border-bottom: 1pt solid windowtext;border-left: 1pt solid windowtext;border-image: initial;border-top: none;padding: 0in 5.4pt;height: 0.2in;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:15px;font-family:\"Calibri\",sans-serif;text-align:justify;'\u003e\u003cstrong\u003eMaternal Body Mass Index(\u003c/strong\u003ekg/m\u003csup\u003e2)\u003c/sup\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 13.18%;border-top: none;border-left: none;border-bottom: 1pt solid windowtext;border-right: 1pt solid windowtext;padding: 0in 5.4pt;height: 0.2in;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:15px;font-family:\"Calibri\",sans-serif;text-align:justify;'\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 14.5%;border-top: none;border-left: none;border-bottom: 1pt solid windowtext;border-right: 1pt solid windowtext;padding: 0in 5.4pt;height: 0.2in;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:15px;font-family:\"Calibri\",sans-serif;text-align:justify;'\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 12.18%;border-top: none;border-left: none;border-bottom: 1pt solid windowtext;border-right: 1pt solid windowtext;padding: 0in 5.4pt;height: 0.2in;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:15px;font-family:\"Calibri\",sans-serif;text-align:justify;'\u003e0.8827\u003csup\u003ea\u003c/sup\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 11.58%;border-top: none;border-left: none;border-bottom: 1pt solid windowtext;border-right: 1pt solid windowtext;padding: 0in 5.4pt;height: 0.2in;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:15px;font-family:\"Calibri\",sans-serif;text-align:justify;'\u003e0.6432\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd style=\"width: 48.54%;border-right: 1pt solid windowtext;border-bottom: 1pt solid windowtext;border-left: 1pt solid windowtext;border-image: initial;border-top: none;padding: 0in 5.4pt;height: 0.2in;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:15px;font-family:\"Calibri\",sans-serif;text-align:justify;'\u003e\u0026nbsp; \u0026nbsp; \u0026nbsp; \u0026nbsp; 18.5- 24.9\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 13.18%;border-top: none;border-left: none;border-bottom: 1pt solid windowtext;border-right: 1pt solid windowtext;padding: 0in 5.4pt;height: 0.2in;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:15px;font-family:\"Calibri\",sans-serif;text-align:justify;'\u003e27(37.50)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 14.5%;border-top: none;border-left: none;border-bottom: 1pt solid windowtext;border-right: 1pt solid windowtext;padding: 0in 5.4pt;height: 0.2in;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:15px;font-family:\"Calibri\",sans-serif;text-align:justify;'\u003e51(35.42)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 12.18%;border-top: none;border-left: none;border-bottom: 1pt solid windowtext;border-right: 1pt solid windowtext;padding: 0in 5.4pt;height: 0.2in;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:15px;font-family:\"Calibri\",sans-serif;text-align:justify;'\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 11.58%;border-top: none;border-left: none;border-bottom: 1pt solid windowtext;border-right: 1pt solid windowtext;padding: 0in 5.4pt;height: 0.2in;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:15px;font-family:\"Calibri\",sans-serif;text-align:justify;'\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd style=\"width: 48.54%;border-right: 1pt solid windowtext;border-bottom: 1pt solid windowtext;border-left: 1pt solid windowtext;border-image: initial;border-top: none;padding: 0in 5.4pt;height: 17.25pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:15px;font-family:\"Calibri\",sans-serif;text-align:justify;'\u003e\u0026nbsp; \u0026nbsp; \u0026nbsp; \u0026nbsp; 25.0-29.90\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 13.18%;border-top: none;border-left: none;border-bottom: 1pt solid windowtext;border-right: 1pt solid windowtext;padding: 0in 5.4pt;height: 17.25pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:15px;font-family:\"Calibri\",sans-serif;text-align:justify;'\u003e27(37.50)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 14.5%;border-top: none;border-left: none;border-bottom: 1pt solid windowtext;border-right: 1pt solid windowtext;padding: 0in 5.4pt;height: 17.25pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:15px;font-family:\"Calibri\",sans-serif;text-align:justify;'\u003e59(40.97)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 12.18%;border-top: none;border-left: none;border-bottom: 1pt solid windowtext;border-right: 1pt solid windowtext;padding: 0in 5.4pt;height: 17.25pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:15px;font-family:\"Calibri\",sans-serif;text-align:justify;'\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 11.58%;border-top: none;border-left: none;border-bottom: 1pt solid windowtext;border-right: 1pt solid windowtext;padding: 0in 5.4pt;height: 17.25pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:15px;font-family:\"Calibri\",sans-serif;text-align:justify;'\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd style=\"width: 48.54%;border-right: 1pt solid windowtext;border-bottom: 1pt solid windowtext;border-left: 1pt solid windowtext;border-image: initial;border-top: none;padding: 0in 5.4pt;height: 16.8pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:15px;font-family:\"Calibri\",sans-serif;text-align:justify;'\u003e\u0026nbsp; \u0026nbsp; \u0026nbsp; \u0026ge; 30.0\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 13.18%;border-top: none;border-left: none;border-bottom: 1pt solid windowtext;border-right: 1pt solid windowtext;padding: 0in 5.4pt;height: 16.8pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:15px;font-family:\"Calibri\",sans-serif;text-align:justify;'\u003e18(25.00)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 14.5%;border-top: none;border-left: none;border-bottom: 1pt solid windowtext;border-right: 1pt solid windowtext;padding: 0in 5.4pt;height: 16.8pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:15px;font-family:\"Calibri\",sans-serif;text-align:justify;'\u003e30(20.83)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 12.18%;border-top: none;border-left: none;border-bottom: 1pt solid windowtext;border-right: 1pt solid windowtext;padding: 0in 5.4pt;height: 16.8pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:15px;font-family:\"Calibri\",sans-serif;text-align:justify;'\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 11.58%;border-top: none;border-left: none;border-bottom: 1pt solid windowtext;border-right: 1pt solid windowtext;padding: 0in 5.4pt;height: 16.8pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:15px;font-family:\"Calibri\",sans-serif;text-align:justify;'\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd style=\"width: 48.54%;border-right: 1pt solid windowtext;border-bottom: 1pt solid windowtext;border-left: 1pt solid windowtext;border-image: initial;border-top: none;padding: 0in 5.4pt;height: 0.2in;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:15px;font-family:\"Calibri\",sans-serif;text-align:justify;'\u003e\u003cstrong\u003ePrevious history of delivery Macrosomia\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 13.18%;border-top: none;border-left: none;border-bottom: 1pt solid windowtext;border-right: 1pt solid windowtext;padding: 0in 5.4pt;height: 0.2in;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:15px;font-family:\"Calibri\",sans-serif;text-align:justify;'\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 14.5%;border-top: none;border-left: none;border-bottom: 1pt solid windowtext;border-right: 1pt solid windowtext;padding: 0in 5.4pt;height: 0.2in;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:15px;font-family:\"Calibri\",sans-serif;text-align:justify;'\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 12.18%;border-top: none;border-left: none;border-bottom: 1pt solid windowtext;border-right: 1pt solid windowtext;padding: 0in 5.4pt;height: 0.2in;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:15px;font-family:\"Calibri\",sans-serif;text-align:justify;'\u003e30.4912\u003csup\u003ea\u003c/sup\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 11.58%;border-top: none;border-left: none;border-bottom: 1pt solid windowtext;border-right: 1pt solid windowtext;padding: 0in 5.4pt;height: 0.2in;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:15px;font-family:\"Calibri\",sans-serif;text-align:justify;'\u003e\u0026lt;.0001\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd style=\"width: 48.54%;border-right: 1pt solid windowtext;border-bottom: 1pt solid windowtext;border-left: 1pt solid windowtext;border-image: initial;border-top: none;padding: 0in 5.4pt;height: 0.2in;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:15px;font-family:\"Calibri\",sans-serif;text-align:justify;'\u003e\u0026nbsp; \u0026nbsp; \u0026nbsp;Yes\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 13.18%;border-top: none;border-left: none;border-bottom: 1pt solid windowtext;border-right: 1pt solid windowtext;padding: 0in 5.4pt;height: 0.2in;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:15px;font-family:\"Calibri\",sans-serif;text-align:justify;'\u003e35(48.61)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 14.5%;border-top: none;border-left: none;border-bottom: 1pt solid windowtext;border-right: 1pt solid windowtext;padding: 0in 5.4pt;height: 0.2in;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:15px;font-family:\"Calibri\",sans-serif;text-align:justify;'\u003e20(13.89)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 12.18%;border-top: none;border-left: none;border-bottom: 1pt solid windowtext;border-right: 1pt solid windowtext;padding: 0in 5.4pt;height: 0.2in;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:15px;font-family:\"Calibri\",sans-serif;text-align:justify;'\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 11.58%;border-top: none;border-left: none;border-bottom: 1pt solid windowtext;border-right: 1pt solid windowtext;padding: 0in 5.4pt;height: 0.2in;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:15px;font-family:\"Calibri\",sans-serif;text-align:justify;'\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd style=\"width: 48.54%;border-right: 1pt solid windowtext;border-bottom: 1pt solid windowtext;border-left: 1pt solid windowtext;border-image: initial;border-top: none;padding: 0in 5.4pt;height: 0.2in;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:15px;font-family:\"Calibri\",sans-serif;text-align:justify;'\u003e\u0026nbsp; \u0026nbsp; \u0026nbsp;No\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 13.18%;border-top: none;border-left: none;border-bottom: 1pt solid windowtext;border-right: 1pt solid windowtext;padding: 0in 5.4pt;height: 0.2in;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:15px;font-family:\"Calibri\",sans-serif;text-align:justify;'\u003e37(51.39)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 14.5%;border-top: none;border-left: none;border-bottom: 1pt solid windowtext;border-right: 1pt solid windowtext;padding: 0in 5.4pt;height: 0.2in;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:15px;font-family:\"Calibri\",sans-serif;text-align:justify;'\u003e124(86.11)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 12.18%;border-top: none;border-left: none;border-bottom: 1pt solid windowtext;border-right: 1pt solid windowtext;padding: 0in 5.4pt;height: 0.2in;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:15px;font-family:\"Calibri\",sans-serif;text-align:justify;'\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 11.58%;border-top: none;border-left: none;border-bottom: 1pt solid windowtext;border-right: 1pt solid windowtext;padding: 0in 5.4pt;height: 0.2in;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:15px;font-family:\"Calibri\",sans-serif;text-align:justify;'\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd style=\"width: 48.54%;border-right: 1pt solid windowtext;border-bottom: 1pt solid windowtext;border-left: 1pt solid windowtext;border-image: initial;border-top: none;padding: 0in 5.4pt;height: 0.2in;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:15px;font-family:\"Calibri\",sans-serif;text-align:justify;'\u003e\u003cstrong\u003eDiabetes Mellitus\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 13.18%;border-top: none;border-left: none;border-bottom: 1pt solid windowtext;border-right: 1pt solid windowtext;padding: 0in 5.4pt;height: 0.2in;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:15px;font-family:\"Calibri\",sans-serif;text-align:justify;'\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 14.5%;border-top: none;border-left: none;border-bottom: 1pt solid windowtext;border-right: 1pt solid windowtext;padding: 0in 5.4pt;height: 0.2in;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:15px;font-family:\"Calibri\",sans-serif;text-align:justify;'\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 12.18%;border-top: none;border-left: none;border-bottom: 1pt solid windowtext;border-right: 1pt solid windowtext;padding: 0in 5.4pt;height: 0.2in;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:15px;font-family:\"Calibri\",sans-serif;text-align:justify;'\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 11.58%;border-top: none;border-left: none;border-bottom: 1pt solid windowtext;border-right: 1pt solid windowtext;padding: 0in 5.4pt;height: 0.2in;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:15px;font-family:\"Calibri\",sans-serif;text-align:justify;'\u003e\u0026lt;.0001*\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd style=\"width: 48.54%;border-right: 1pt solid windowtext;border-bottom: 1pt solid windowtext;border-left: 1pt solid windowtext;border-image: initial;border-top: none;padding: 0in 5.4pt;height: 0.2in;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:15px;font-family:\"Calibri\",sans-serif;text-align:justify;'\u003e\u0026nbsp; \u0026nbsp; \u0026nbsp; \u0026nbsp; Diabetic\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 13.18%;border-top: none;border-left: none;border-bottom: 1pt solid windowtext;border-right: 1pt solid windowtext;padding: 0in 5.4pt;height: 0.2in;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:15px;font-family:\"Calibri\",sans-serif;text-align:justify;'\u003e10(13.89)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 14.5%;border-top: none;border-left: none;border-bottom: 1pt solid windowtext;border-right: 1pt solid windowtext;padding: 0in 5.4pt;height: 0.2in;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:15px;font-family:\"Calibri\",sans-serif;text-align:justify;'\u003e1(0.69)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 12.18%;border-top: none;border-left: none;border-bottom: 1pt solid windowtext;border-right: 1pt solid windowtext;padding: 0in 5.4pt;height: 0.2in;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:15px;font-family:\"Calibri\",sans-serif;text-align:justify;'\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 11.58%;border-top: none;border-left: none;border-bottom: 1pt solid windowtext;border-right: 1pt solid windowtext;padding: 0in 5.4pt;height: 0.2in;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:15px;font-family:\"Calibri\",sans-serif;text-align:justify;'\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd style=\"width: 48.54%;border-right: 1pt solid windowtext;border-bottom: 1pt solid windowtext;border-left: 1pt solid windowtext;border-image: initial;border-top: none;padding: 0in 5.4pt;height: 0.2in;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:15px;font-family:\"Calibri\",sans-serif;text-align:justify;'\u003e\u003cstrong\u003eParity\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 13.18%;border-top: none;border-left: none;border-bottom: 1pt solid windowtext;border-right: 1pt solid windowtext;padding: 0in 5.4pt;height: 0.2in;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:15px;font-family:\"Calibri\",sans-serif;text-align:justify;'\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 14.5%;border-top: none;border-left: none;border-bottom: 1pt solid windowtext;border-right: 1pt solid windowtext;padding: 0in 5.4pt;height: 0.2in;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:15px;font-family:\"Calibri\",sans-serif;text-align:justify;'\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 12.18%;border-top: none;border-left: none;border-bottom: 1pt solid windowtext;border-right: 1pt solid windowtext;padding: 0in 5.4pt;height: 0.2in;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:15px;font-family:\"Calibri\",sans-serif;text-align:justify;'\u003e18.1653\u003csup\u003ea\u003c/sup\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 11.58%;border-top: none;border-left: none;border-bottom: 1pt solid windowtext;border-right: 1pt solid windowtext;padding: 0in 5.4pt;height: 0.2in;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:15px;font-family:\"Calibri\",sans-serif;text-align:justify;'\u003e\u0026lt;.0001\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd style=\"width: 48.54%;border-right: 1pt solid windowtext;border-bottom: 1pt solid windowtext;border-left: 1pt solid windowtext;border-image: initial;border-top: none;padding: 0in 5.4pt;height: 0.2in;vertical-align: top;\"\u003e\n \u003cp 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windowtext;padding: 0in 5.4pt;height: 0.2in;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:15px;font-family:\"Calibri\",sans-serif;text-align:justify;'\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 11.58%;border-top: none;border-left: none;border-bottom: 1pt solid windowtext;border-right: 1pt solid windowtext;padding: 0in 5.4pt;height: 0.2in;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:15px;font-family:\"Calibri\",sans-serif;text-align:justify;'\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd style=\"width: 48.54%;border-right: 1pt solid windowtext;border-bottom: 1pt solid windowtext;border-left: 1pt solid windowtext;border-image: initial;border-top: none;padding: 0in 5.4pt;height: 0.2in;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;line-height: 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windowtext;padding: 0in 5.4pt;height: 0.2in;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:15px;font-family:\"Calibri\",sans-serif;text-align:justify;'\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 11.58%;border-top: none;border-left: none;border-bottom: 1pt solid windowtext;border-right: 1pt solid windowtext;padding: 0in 5.4pt;height: 0.2in;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:15px;font-family:\"Calibri\",sans-serif;text-align:justify;'\u003e\u003cstrong\u003e\u0026nbsp;\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd style=\"width: 48.54%;border-right: 1pt solid windowtext;border-bottom: 1pt solid windowtext;border-left: 1pt solid windowtext;border-image: initial;border-top: none;padding: 0in 5.4pt;height: 0.2in;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;line-height: normal;font-size:15px;font-family:\"Calibri\",sans-serif;text-align:justify;text-indent:.25in;'\u003e4+\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 13.18%;border-top: none;border-left: none;border-bottom: 1pt solid windowtext;border-right: 1pt solid windowtext;padding: 0in 5.4pt;height: 0.2in;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:15px;font-family:\"Calibri\",sans-serif;text-align:justify;'\u003e20(27.78)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 14.5%;border-top: none;border-left: none;border-bottom: 1pt solid windowtext;border-right: 1pt solid windowtext;padding: 0in 5.4pt;height: 0.2in;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:15px;font-family:\"Calibri\",sans-serif;text-align:justify;'\u003e13(9.03)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 12.18%;border-top: none;border-left: none;border-bottom: 1pt solid windowtext;border-right: 1pt solid windowtext;padding: 0in 5.4pt;height: 0.2in;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:15px;font-family:\"Calibri\",sans-serif;text-align:justify;'\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 11.58%;border-top: none;border-left: none;border-bottom: 1pt solid windowtext;border-right: 1pt solid windowtext;padding: 0in 5.4pt;height: 0.2in;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:15px;font-family:\"Calibri\",sans-serif;text-align:justify;'\u003e\u003cstrong\u003e\u0026nbsp;\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd style=\"width: 48.54%;border-right: 1pt solid windowtext;border-bottom: 1pt solid windowtext;border-left: 1pt solid windowtext;border-image: initial;border-top: none;padding: 0in 5.4pt;height: 0.2in;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:15px;font-family:\"Calibri\",sans-serif;text-align:justify;'\u003e\u003cstrong\u003eWeight gain during pregnancy\u0026nbsp;\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 13.18%;border-top: none;border-left: none;border-bottom: 1pt solid windowtext;border-right: 1pt solid windowtext;padding: 0in 5.4pt;height: 0.2in;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:15px;font-family:\"Calibri\",sans-serif;text-align:justify;'\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 14.5%;border-top: none;border-left: none;border-bottom: 1pt solid windowtext;border-right: 1pt solid windowtext;padding: 0in 5.4pt;height: 0.2in;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:15px;font-family:\"Calibri\",sans-serif;text-align:justify;'\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 12.18%;border-top: none;border-left: none;border-bottom: 1pt solid windowtext;border-right: 1pt solid windowtext;padding: 0in 5.4pt;height: 0.2in;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:15px;font-family:\"Calibri\",sans-serif;text-align:justify;'\u003e0.7648\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 11.58%;border-top: none;border-left: none;border-bottom: 1pt solid windowtext;border-right: 1pt solid windowtext;padding: 0in 5.4pt;height: 0.2in;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:15px;font-family:\"Calibri\",sans-serif;text-align:justify;'\u003e0.3818\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd style=\"width: 48.54%;border-right: 1pt solid windowtext;border-bottom: 1pt solid windowtext;border-left: 1pt solid windowtext;border-image: initial;border-top: none;padding: 0in 5.4pt;height: 0.2in;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;line-height: normal;font-size:15px;font-family:\"Calibri\",sans-serif;text-align:justify;text-indent:13.5pt;'\u003e\u0026le;11\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 13.18%;border-top: none;border-left: none;border-bottom: 1pt solid windowtext;border-right: 1pt solid windowtext;padding: 0in 5.4pt;height: 0.2in;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:15px;font-family:\"Calibri\",sans-serif;text-align:justify;'\u003e38(52.78)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 14.5%;border-top: none;border-left: none;border-bottom: 1pt solid windowtext;border-right: 1pt solid windowtext;padding: 0in 5.4pt;height: 0.2in;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:15px;font-family:\"Calibri\",sans-serif;text-align:justify;'\u003e85(59.03)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 12.18%;border-top: none;border-left: none;border-bottom: 1pt solid windowtext;border-right: 1pt solid windowtext;padding: 0in 5.4pt;height: 0.2in;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:15px;font-family:\"Calibri\",sans-serif;text-align:justify;'\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 11.58%;border-top: none;border-left: none;border-bottom: 1pt solid windowtext;border-right: 1pt solid windowtext;padding: 0in 5.4pt;height: 0.2in;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:15px;font-family:\"Calibri\",sans-serif;text-align:justify;'\u003e\u003cstrong\u003e\u0026nbsp;\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd style=\"width: 48.54%;border-right: 1pt solid windowtext;border-bottom: 1pt solid windowtext;border-left: 1pt solid windowtext;border-image: initial;border-top: none;padding: 0in 5.4pt;height: 0.2in;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;line-height: normal;font-size:15px;font-family:\"Calibri\",sans-serif;text-align:justify;text-indent:13.5pt;'\u003e\u0026gt;11\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 13.18%;border-top: none;border-left: none;border-bottom: 1pt solid windowtext;border-right: 1pt solid windowtext;padding: 0in 5.4pt;height: 0.2in;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:15px;font-family:\"Calibri\",sans-serif;text-align:justify;'\u003e34(47.22)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 14.5%;border-top: none;border-left: none;border-bottom: 1pt solid windowtext;border-right: 1pt solid windowtext;padding: 0in 5.4pt;height: 0.2in;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:15px;font-family:\"Calibri\",sans-serif;text-align:justify;'\u003e59(40.97)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 12.18%;border-top: none;border-left: none;border-bottom: 1pt solid windowtext;border-right: 1pt solid windowtext;padding: 0in 5.4pt;height: 0.2in;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:15px;font-family:\"Calibri\",sans-serif;text-align:justify;'\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 11.58%;border-top: none;border-left: none;border-bottom: 1pt solid windowtext;border-right: 1pt solid windowtext;padding: 0in 5.4pt;height: 0.2in;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:15px;font-family:\"Calibri\",sans-serif;text-align:justify;'\u003e\u003cstrong\u003e\u0026nbsp;\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003c/tbody\u003e\n\u003c/table\u003e\n\u003cp style='margin:0in;line-height:200%;font-size:15px;font-family:\"Calibri\",sans-serif;text-align:justify;'\u003e\u003cstrong\u003e\u003cem\u003eP-Value with * indicate p-value of Fisher exact test\u003c/em\u003e\u003c/strong\u003e\u003c/p\u003e\n\u003cbr\u003e\u003cp\u003e\u003cstrong\u003ePredictors of fetal macrosomia among women delivering at Iringa regional referral hospital (n=216).\u003c/strong\u003e\u003c/p\u003e\n\u003cp\u003eIn this study, women with advanced gestation age (\u0026ge;40 weeks) were 8 times more likely to give birth to a macrosomic baby compared to women who delivered at a gestation age of 37 to 39 weeks (AOR=8.10, 95% CI=3.66-17.91, \u003cem\u003ep=\u0026lt;0.0001\u003c/em\u003e). Women with Diabetic mellitus were 14 times more likely to give birth to a macrosomic baby compared to women without diabetes mellitus (AOR=14.94, 95% CI=1.60-39.91,\u003cem\u003e p=0.0178\u003c/em\u003e) as shown in Table III.\u003c/p\u003e\u003cp style='margin:0in;line-height:200%;font-size:15px;font-family:\"Calibri\",sans-serif;text-align:justify;'\u003e\u003cstrong\u003eTable III: Logistic Regression of Factors associated with fetal macrosomia at Iringa Regional Referral Hospital (N=216)\u003c/strong\u003e\u003c/p\u003e\n\u003ctable style=\"width:100.0%;border-collapse:collapse;border:none;\"\u003e\n \u003ctbody\u003e\n \u003ctr\u003e\n \u003ctd rowspan=\"2\" style=\"width: 17.68%;border: 1pt solid windowtext;padding: 0in 5.4pt;height: 11.25pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:15px;font-family:\"Calibri\",sans-serif;text-align:justify;'\u003e\u003cstrong\u003eVariable\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd rowspan=\"2\" style=\"width: 8.84%;border-top: 1pt solid windowtext;border-right: 1pt solid windowtext;border-bottom: 1pt solid windowtext;border-image: initial;border-left: none;padding: 0in 5.4pt;height: 11.25pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:15px;font-family:\"Calibri\",sans-serif;text-align:justify;'\u003e\u003cstrong\u003eOR\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd colspan=\"2\" style=\"width: 20.5%;border-top: 1pt solid windowtext;border-right: 1pt solid windowtext;border-bottom: 1pt solid windowtext;border-image: initial;border-left: none;padding: 0in 5.4pt;height: 11.25pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:15px;font-family:\"Calibri\",sans-serif;text-align:justify;'\u003e\u003cstrong\u003e95% CI\u003c/strong\u003e\u003c/p\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:15px;font-family:\"Calibri\",sans-serif;text-align:justify;'\u003e\u003cstrong\u003eOR\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd rowspan=\"2\" style=\"width: 11.84%;border-top: 1pt solid windowtext;border-right: 1pt solid windowtext;border-bottom: 1pt solid windowtext;border-image: initial;border-left: none;padding: 0in 5.4pt;height: 11.25pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:15px;font-family:\"Calibri\",sans-serif;text-align:justify;'\u003e\u003cstrong\u003eP-value\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd rowspan=\"2\" style=\"width: 8.84%;border-top: 1pt solid windowtext;border-right: 1pt solid windowtext;border-bottom: 1pt solid windowtext;border-image: initial;border-left: none;padding: 0in 5.4pt;height: 11.25pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:15px;font-family:\"Calibri\",sans-serif;text-align:justify;'\u003e\u003cstrong\u003eAOR\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd colspan=\"2\" style=\"width: 20.5%;border-top: 1pt solid windowtext;border-right: 1pt solid windowtext;border-bottom: 1pt solid windowtext;border-image: initial;border-left: none;padding: 0in 5.4pt;height: 11.25pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:15px;font-family:\"Calibri\",sans-serif;text-align:justify;'\u003e\u003cstrong\u003e95% CI\u003c/strong\u003e\u003c/p\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:15px;font-family:\"Calibri\",sans-serif;text-align:justify;'\u003e\u003cstrong\u003eAOR\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd rowspan=\"2\" style=\"width: 11.84%;border-top: 1pt solid windowtext;border-right: 1pt solid windowtext;border-bottom: 1pt solid windowtext;border-image: initial;border-left: none;padding: 0in 5.4pt;height: 11.25pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:15px;font-family:\"Calibri\",sans-serif;text-align:justify;'\u003e\u003cstrong\u003eP-value\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd style=\"width: 10.32%;border-top: none;border-left: none;border-bottom: 1pt solid windowtext;border-right: 1pt solid windowtext;padding: 0in 5.4pt;height: 9.95pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:15px;font-family:\"Calibri\",sans-serif;text-align:justify;'\u003e\u003cstrong\u003eLower\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 10.18%;border-top: none;border-left: none;border-bottom: 1pt solid windowtext;border-right: 1pt solid windowtext;padding: 0in 5.4pt;height: 9.95pt;vertical-align: top;\"\u003e\n \u003cp 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8.84%;border-top: none;border-left: none;border-bottom: 1pt solid windowtext;border-right: 1pt solid windowtext;padding: 0in 5.4pt;height: 20.9pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:15px;font-family:\"Calibri\",sans-serif;text-align:justify;'\u003e13.24\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 10.32%;border-top: none;border-left: none;border-bottom: 1pt solid windowtext;border-right: 1pt solid windowtext;padding: 0in 5.4pt;height: 20.9pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:15px;font-family:\"Calibri\",sans-serif;text-align:justify;'\u003e6.47\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 10.18%;border-top: none;border-left: none;border-bottom: 1pt solid windowtext;border-right: 1pt solid windowtext;padding: 0in 5.4pt;height: 20.9pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:15px;font-family:\"Calibri\",sans-serif;text-align:justify;'\u003e27.07\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 11.84%;border-top: none;border-left: none;border-bottom: 1pt solid windowtext;border-right: 1pt solid windowtext;padding: 0in 5.4pt;height: 20.9pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:15px;font-family:\"Calibri\",sans-serif;text-align:justify;'\u003e\u0026lt;0.0001\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 8.84%;border-top: none;border-left: none;border-bottom: 1pt solid windowtext;border-right: 1pt solid windowtext;padding: 0in 5.4pt;height: 20.9pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:15px;font-family:\"Calibri\",sans-serif;text-align:justify;'\u003e8.10\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 10.32%;border-top: none;border-left: none;border-bottom: 1pt solid 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20.9pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:15px;font-family:\"Calibri\",sans-serif;text-align:justify;'\u003e3.63\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 10.18%;border-top: none;border-left: none;border-bottom: 1pt solid windowtext;border-right: 1pt solid windowtext;padding: 0in 5.4pt;height: 20.9pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:15px;font-family:\"Calibri\",sans-serif;text-align:justify;'\u003e35.01\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 11.84%;border-top: none;border-left: none;border-bottom: 1pt solid windowtext;border-right: 1pt solid windowtext;padding: 0in 5.4pt;height: 20.9pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:15px;font-family:\"Calibri\",sans-serif;text-align:justify;'\u003e\u0026lt;0.0001\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 8.84%;border-top: none;border-left: 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style='margin:0in;line-height:normal;font-size:15px;font-family:\"Calibri\",sans-serif;text-align:justify;'\u003e29.74\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 11.84%;border-top: none;border-left: none;border-bottom: 1pt solid windowtext;border-right: 1pt solid windowtext;padding: 0in 5.4pt;height: 20.9pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:15px;font-family:\"Calibri\",sans-serif;text-align:justify;'\u003e0.0006\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd style=\"width: 17.68%;border-right: 1pt solid windowtext;border-bottom: 1pt solid windowtext;border-left: 1pt solid windowtext;border-image: initial;border-top: none;padding: 0in 5.4pt;height: 20.9pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:15px;font-family:\"Calibri\",sans-serif;text-align:justify;'\u003e\u003cstrong\u003eParity\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 8.84%;border-top: none;border-left: none;border-bottom: 1pt solid windowtext;border-right: 1pt solid windowtext;padding: 0in 5.4pt;height: 20.9pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:15px;font-family:\"Calibri\",sans-serif;text-align:justify;'\u003e\u003cstrong\u003e\u0026nbsp;\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 10.32%;border-top: none;border-left: none;border-bottom: 1pt solid windowtext;border-right: 1pt solid windowtext;padding: 0in 5.4pt;height: 20.9pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:15px;font-family:\"Calibri\",sans-serif;text-align:justify;'\u003e\u003cstrong\u003e\u0026nbsp;\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 10.18%;border-top: none;border-left: none;border-bottom: 1pt solid windowtext;border-right: 1pt solid windowtext;padding: 0in 5.4pt;height: 20.9pt;vertical-align: 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windowtext;border-right: 1pt solid windowtext;padding: 0in 5.4pt;height: 20.9pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:15px;font-family:\"Calibri\",sans-serif;text-align:justify;'\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 8.84%;border-top: none;border-left: none;border-bottom: 1pt solid windowtext;border-right: 1pt solid windowtext;padding: 0in 5.4pt;height: 20.9pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:15px;font-family:\"Calibri\",sans-serif;text-align:justify;'\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 10.32%;border-top: none;border-left: none;border-bottom: 1pt solid windowtext;border-right: 1pt solid windowtext;padding: 0in 5.4pt;height: 20.9pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:15px;font-family:\"Calibri\",sans-serif;text-align:justify;'\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 10.18%;border-top: none;border-left: none;border-bottom: 1pt solid windowtext;border-right: 1pt solid windowtext;padding: 0in 5.4pt;height: 20.9pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:15px;font-family:\"Calibri\",sans-serif;text-align:justify;'\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 11.84%;border-top: none;border-left: none;border-bottom: 1pt solid windowtext;border-right: 1pt solid windowtext;padding: 0in 5.4pt;height: 20.9pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:15px;font-family:\"Calibri\",sans-serif;text-align:justify;'\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd style=\"width: 17.68%;border-right: 1pt solid windowtext;border-bottom: 1pt solid windowtext;border-left: 1pt solid windowtext;border-image: initial;border-top: none;padding: 0in 5.4pt;height: 20.9pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:15px;font-family:\"Calibri\",sans-serif;text-align:justify;'\u003eNo\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 8.84%;border-top: none;border-left: none;border-bottom: 1pt solid windowtext;border-right: 1pt solid windowtext;padding: 0in 5.4pt;height: 20.9pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:15px;font-family:\"Calibri\",sans-serif;text-align:justify;'\u003e\u003cstrong\u003eRef.\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 10.32%;border-top: none;border-left: none;border-bottom: 1pt solid windowtext;border-right: 1pt solid windowtext;padding: 0in 5.4pt;height: 20.9pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:15px;font-family:\"Calibri\",sans-serif;text-align:justify;'\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 10.18%;border-top: none;border-left: none;border-bottom: 1pt solid windowtext;border-right: 1pt solid windowtext;padding: 0in 5.4pt;height: 20.9pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:15px;font-family:\"Calibri\",sans-serif;text-align:justify;'\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 11.84%;border-top: none;border-left: none;border-bottom: 1pt solid windowtext;border-right: 1pt solid windowtext;padding: 0in 5.4pt;height: 20.9pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:15px;font-family:\"Calibri\",sans-serif;text-align:justify;'\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 8.84%;border-top: none;border-left: none;border-bottom: 1pt solid windowtext;border-right: 1pt solid windowtext;padding: 0in 5.4pt;height: 20.9pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:15px;font-family:\"Calibri\",sans-serif;text-align:justify;'\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 10.32%;border-top: none;border-left: none;border-bottom: 1pt solid windowtext;border-right: 1pt solid windowtext;padding: 0in 5.4pt;height: 20.9pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:15px;font-family:\"Calibri\",sans-serif;text-align:justify;'\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 10.18%;border-top: none;border-left: none;border-bottom: 1pt solid windowtext;border-right: 1pt solid windowtext;padding: 0in 5.4pt;height: 20.9pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:15px;font-family:\"Calibri\",sans-serif;text-align:justify;'\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 11.84%;border-top: none;border-left: none;border-bottom: 1pt solid windowtext;border-right: 1pt solid windowtext;padding: 0in 5.4pt;height: 20.9pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:15px;font-family:\"Calibri\",sans-serif;text-align:justify;'\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd style=\"width: 17.68%;border-right: 1pt solid windowtext;border-bottom: 1pt solid windowtext;border-left: 1pt solid windowtext;border-image: initial;border-top: none;padding: 0in 5.4pt;height: 20.9pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:15px;font-family:\"Calibri\",sans-serif;text-align:justify;'\u003eYes\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 8.84%;border-top: none;border-left: none;border-bottom: 1pt solid windowtext;border-right: 1pt solid windowtext;padding: 0in 5.4pt;height: 20.9pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:15px;font-family:\"Calibri\",sans-serif;text-align:justify;'\u003e5.87\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 10.32%;border-top: none;border-left: none;border-bottom: 1pt solid windowtext;border-right: 1pt solid windowtext;padding: 0in 5.4pt;height: 20.9pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:15px;font-family:\"Calibri\",sans-serif;text-align:justify;'\u003e3.03\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 10.18%;border-top: none;border-left: none;border-bottom: 1pt solid windowtext;border-right: 1pt solid windowtext;padding: 0in 5.4pt;height: 20.9pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:15px;font-family:\"Calibri\",sans-serif;text-align:justify;'\u003e11.36\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 11.84%;border-top: none;border-left: none;border-bottom: 1pt solid windowtext;border-right: 1pt solid windowtext;padding: 0in 5.4pt;height: 20.9pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:15px;font-family:\"Calibri\",sans-serif;text-align:justify;'\u003e\u0026lt;0.0001\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 8.84%;border-top: none;border-left: none;border-bottom: 1pt solid windowtext;border-right: 1pt solid windowtext;padding: 0in 5.4pt;height: 20.9pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:15px;font-family:\"Calibri\",sans-serif;text-align:justify;'\u003e2.34\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 10.32%;border-top: none;border-left: none;border-bottom: 1pt solid windowtext;border-right: 1pt solid windowtext;padding: 0in 5.4pt;height: 20.9pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:15px;font-family:\"Calibri\",sans-serif;text-align:justify;'\u003e0.90\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 10.18%;border-top: none;border-left: none;border-bottom: 1pt solid windowtext;border-right: 1pt solid windowtext;padding: 0in 5.4pt;height: 20.9pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:15px;font-family:\"Calibri\",sans-serif;text-align:justify;'\u003e6.09\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 11.84%;border-top: none;border-left: none;border-bottom: 1pt solid windowtext;border-right: 1pt solid windowtext;padding: 0in 5.4pt;height: 20.9pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:15px;font-family:\"Calibri\",sans-serif;text-align:justify;'\u003e0.0815\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd style=\"width: 17.68%;border-right: 1pt solid windowtext;border-bottom: 1pt solid windowtext;border-left: 1pt solid windowtext;border-image: initial;border-top: none;padding: 0in 5.4pt;height: 20.9pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:15px;font-family:\"Calibri\",sans-serif;text-align:justify;'\u003e\u003cstrong\u003eDiabetes mellitus\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 8.84%;border-top: none;border-left: none;border-bottom: 1pt solid windowtext;border-right: 1pt solid windowtext;padding: 0in 5.4pt;height: 20.9pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:15px;font-family:\"Calibri\",sans-serif;text-align:justify;'\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 10.32%;border-top: none;border-left: none;border-bottom: 1pt solid windowtext;border-right: 1pt solid windowtext;padding: 0in 5.4pt;height: 20.9pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:15px;font-family:\"Calibri\",sans-serif;text-align:justify;'\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 10.18%;border-top: none;border-left: none;border-bottom: 1pt solid windowtext;border-right: 1pt solid windowtext;padding: 0in 5.4pt;height: 20.9pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:15px;font-family:\"Calibri\",sans-serif;text-align:justify;'\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 11.84%;border-top: none;border-left: none;border-bottom: 1pt solid windowtext;border-right: 1pt solid windowtext;padding: 0in 5.4pt;height: 20.9pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:15px;font-family:\"Calibri\",sans-serif;text-align:justify;'\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 8.84%;border-top: none;border-left: none;border-bottom: 1pt solid windowtext;border-right: 1pt solid windowtext;padding: 0in 5.4pt;height: 20.9pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:15px;font-family:\"Calibri\",sans-serif;text-align:justify;'\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 10.32%;border-top: none;border-left: none;border-bottom: 1pt solid windowtext;border-right: 1pt solid windowtext;padding: 0in 5.4pt;height: 20.9pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:15px;font-family:\"Calibri\",sans-serif;text-align:justify;'\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 10.18%;border-top: none;border-left: none;border-bottom: 1pt solid windowtext;border-right: 1pt solid windowtext;padding: 0in 5.4pt;height: 20.9pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:15px;font-family:\"Calibri\",sans-serif;text-align:justify;'\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 11.84%;border-top: none;border-left: none;border-bottom: 1pt solid windowtext;border-right: 1pt solid windowtext;padding: 0in 5.4pt;height: 20.9pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:15px;font-family:\"Calibri\",sans-serif;text-align:justify;'\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd style=\"width: 17.68%;border-right: 1pt solid windowtext;border-bottom: 1pt solid windowtext;border-left: 1pt solid windowtext;border-image: initial;border-top: none;padding: 0in 5.4pt;height: 20.9pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:15px;font-family:\"Calibri\",sans-serif;text-align:justify;'\u003eNon-diabetic\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 8.84%;border-top: none;border-left: none;border-bottom: 1pt solid windowtext;border-right: 1pt solid windowtext;padding: 0in 5.4pt;height: 20.9pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:15px;font-family:\"Calibri\",sans-serif;text-align:justify;'\u003e\u003cstrong\u003eRef.\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 10.32%;border-top: none;border-left: none;border-bottom: 1pt solid windowtext;border-right: 1pt solid windowtext;padding: 0in 5.4pt;height: 20.9pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:15px;font-family:\"Calibri\",sans-serif;text-align:justify;'\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 10.18%;border-top: none;border-left: none;border-bottom: 1pt solid windowtext;border-right: 1pt solid windowtext;padding: 0in 5.4pt;height: 20.9pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:15px;font-family:\"Calibri\",sans-serif;text-align:justify;'\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 11.84%;border-top: none;border-left: none;border-bottom: 1pt solid windowtext;border-right: 1pt solid windowtext;padding: 0in 5.4pt;height: 20.9pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:15px;font-family:\"Calibri\",sans-serif;text-align:justify;'\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 8.84%;border-top: none;border-left: none;border-bottom: 1pt solid windowtext;border-right: 1pt solid windowtext;padding: 0in 5.4pt;height: 20.9pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:15px;font-family:\"Calibri\",sans-serif;text-align:justify;'\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 10.32%;border-top: none;border-left: none;border-bottom: 1pt solid windowtext;border-right: 1pt solid windowtext;padding: 0in 5.4pt;height: 20.9pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:15px;font-family:\"Calibri\",sans-serif;text-align:justify;'\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 10.18%;border-top: none;border-left: none;border-bottom: 1pt solid windowtext;border-right: 1pt solid windowtext;padding: 0in 5.4pt;height: 20.9pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:15px;font-family:\"Calibri\",sans-serif;text-align:justify;'\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 11.84%;border-top: none;border-left: none;border-bottom: 1pt solid windowtext;border-right: 1pt solid windowtext;padding: 0in 5.4pt;height: 20.9pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:15px;font-family:\"Calibri\",sans-serif;text-align:justify;'\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd style=\"width: 17.68%;border-right: 1pt solid windowtext;border-bottom: 1pt solid windowtext;border-left: 1pt solid windowtext;border-image: initial;border-top: none;padding: 0in 5.4pt;height: 20.9pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:15px;font-family:\"Calibri\",sans-serif;text-align:justify;'\u003eDiabetic\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 8.84%;border-top: none;border-left: none;border-bottom: 1pt solid windowtext;border-right: 1pt solid windowtext;padding: 0in 5.4pt;height: 20.9pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:15px;font-family:\"Calibri\",sans-serif;text-align:justify;'\u003e0.04\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 10.32%;border-top: none;border-left: none;border-bottom: 1pt solid windowtext;border-right: 1pt solid windowtext;padding: 0in 5.4pt;height: 20.9pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:15px;font-family:\"Calibri\",sans-serif;text-align:justify;'\u003e0.01\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 10.18%;border-top: none;border-left: none;border-bottom: 1pt solid windowtext;border-right: 1pt solid windowtext;padding: 0in 5.4pt;height: 20.9pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:15px;font-family:\"Calibri\",sans-serif;text-align:justify;'\u003e0.35\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 11.84%;border-top: none;border-left: none;border-bottom: 1pt solid windowtext;border-right: 1pt solid windowtext;padding: 0in 5.4pt;height: 20.9pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:15px;font-family:\"Calibri\",sans-serif;text-align:justify;'\u003e0.0031\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 8.84%;border-top: none;border-left: none;border-bottom: 1pt solid windowtext;border-right: 1pt solid windowtext;padding: 0in 5.4pt;height: 20.9pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:15px;font-family:\"Calibri\",sans-serif;text-align:justify;'\u003e14.94\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 10.32%;border-top: none;border-left: none;border-bottom: 1pt solid windowtext;border-right: 1pt solid windowtext;padding: 0in 5.4pt;height: 20.9pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:15px;font-family:\"Calibri\",sans-serif;text-align:justify;'\u003e1.60\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 10.18%;border-top: none;border-left: none;border-bottom: 1pt solid windowtext;border-right: 1pt solid windowtext;padding: 0in 5.4pt;height: 20.9pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:15px;font-family:\"Calibri\",sans-serif;text-align:justify;'\u003e39.91\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 11.84%;border-top: none;border-left: none;border-bottom: 1pt solid windowtext;border-right: 1pt solid windowtext;padding: 0in 5.4pt;height: 20.9pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:15px;font-family:\"Calibri\",sans-serif;text-align:justify;'\u003e0.0178\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003c/tbody\u003e\n\u003c/table\u003e\n\u003cp style='margin:0in;line-height:200%;font-size:15px;font-family:\"Calibri\",sans-serif;text-align:justify;'\u003e\u003cstrong\u003e\u0026nbsp;\u003c/strong\u003e\u003c/p\u003e"},{"header":"Discussion","content":"\u003cp\u003eThe identified predictors of fetal macrosomia in this study are advanced gestation age and diabetes mellitus during pregnancy. Maternal BMI, parity, weight gain during pregnancy, age of participant, previous history of macrosomic baby delivery and child\u0026rsquo;s gender were not significantly associated with fetal macrosomia.\u003c/p\u003e\n\u003cp\u003eIn Taiwan and Indonesia, fetal macrosomia has been strongly associated with overweight and obesity [19], [20]. This is contrary to the finding in this study in which body mass index didn\u0026rsquo;t predict occurrence of fetal macrosomia. Although not statistically significant, excessive weight gain before and during pregnancy have been linked to decreasing insulin sensitivity which facilitates transfer of glucose via the placenta to the growing fetus hence leading to increasing fetal size or macrosomia [21], [22]. The difference can be due to study designs in which the studies in Taiwan and Indonesia used a cohort study design while this was a control study.\u003c/p\u003e\n\u003cp\u003eThe predictors of fetal macrosomia in Malaysia include increasing maternal age, increasing body mass index (BMI), increasing weight gain during pregnancy, higher parity and diabetes mellitus during pregnancy [23]. This is contrary to the findings of this study in which advanced maternal age, maternal body mass index, maternal weight gains during pregnancy and higher parity were not associated with fetal macrosomia although diabetes mellitus during pregnancy was strongly associated with macrosomia. The differences in study duration and methodology can explain why findings differ although diabetes mellitus during pregnancy leads to increasing fetal adiposity and hence exposing a fetus into developing fetal macrosomia [24].\u003c/p\u003e\n\u003cp\u003eIn Cameroon, predictors identified included a previous history of macrosomic delivery, maternal weight gain above 16 kg, higher parity, male gender and advanced gestation age [25]. Comparing to this study, only advanced gestation age is a similar factor identified while previous history of delivering macrosomic baby, higher parity, male gender and maternal weight gain were not associated with fetal macrosomia in this study. According to a study done in Sydney, it was estimated that a fetus gains 176.5g per week, this can explain why advanced gestation age predisposes a woman to deliver a macrosomic baby [26].\u003c/p\u003e\n\u003cp\u003eMacrosomia in Chad and Ghana has been associated with a previous history of delivering macrosomic baby [9], [27]. Although it was not significant in this study, a previous history of delivering a macrosomia baby predisposes a woman to increasing body mass index during conception and excessive weight gain during pregnancy, this leads to fetal macrosomia.\u0026nbsp;\u003c/p\u003e\n\u003cp\u003eIn Hawassa city, Ethiopia, male gender, advanced gestation age and having a previous history of macrosomia baby delivery were significant predictors of fetal macrosomia [28] while in this study, advanced gestation age was a strong factors associated with fetal macrosomia. Male gender was not associated with fetal macrosomia in this study. Male gender of the fetus has been linked to fetal macrosomia and this is explained by the effect of sexual dimorphism in relation to maternal glucose intolerance and birth weight [29].\u0026nbsp;\u003c/p\u003e\n\u003cp\u003eIn Mekelle city, Tigray, Ethiopia in which women with a history of a previous macrosomic delivery were 3 times more likely to give birth to a macrosomia baby compared to women with no history [18], in this study women with a previous history of macrosomic delivery were not significantly associated with fetal macrosomia. In Ethiopia women who were aged 30 years and above were 2.6 times to delivery macrosomia baby compared to those who were less than 30 years [18]. Although not statistically significant in this study, advanced maternal age has been linked to increasing metabolism that leads to increasing growth of the fetus.\u0026nbsp;\u003c/p\u003e\n\u003cp\u003eIn Tanzania, a study done at Muhimbili National Hospital, the predictors of fetal macrosomia were increasing maternal weight above 80 kg, advanced maternal age of 30 \u0026ndash; 39 years, multiparty, diabetes mellitus during pregnancy and a previous history of delivering a macrosomic baby [7]. In this study done at advanced gestation age and diabetes mellitus during pregnancy were significantly associated with fetal macrosomia. Increasing maternal weight gain, a previous history of macrosomic baby delivery, advanced maternal age and multiparty were not associated with fetal macrosomia.\u003c/p\u003e"},{"header":"Conclusion","content":"\u003cp\u003eThe factors which were associated with fetal macrosomia in the current study were; advanced maternal gestation age \u0026ge; 40 weeks and diabetes mellitus during pregnancy.\u003c/p\u003e"},{"header":"Abbreviations","content":"\u003cp\u003eIRRH \u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp; Iringa Regional Referral Hospital\u003c/p\u003e\n\u003cp\u003eDM \u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp; Diabetes Mellitus\u003c/p\u003e\n\u003cp\u003eNICU\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp; \u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp; \u0026nbsp;Neonatal Intensive Care Unit\u003c/p\u003e\n\u003cp\u003eWHO\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp; World Health Organization\u003c/p\u003e\n\u003cp\u003eANC\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp; Antenatal Clinic\u003c/p\u003e"},{"header":"Declarations","content":"\u003cp\u003e\u003cstrong\u003eFunding:\u003c/strong\u003e No funding was received\u003c/p\u003e\n\u003cp\u003e\u003cstrong\u003eConflict of interest: \u003c/strong\u003eThe authors declare no conflict of interest.\u003c/p\u003e\n\u003cp\u003e\u003cstrong\u003eAvailability of data and material: All research data and materials are available upon request \u003c/strong\u003e\u003c/p\u003e\n\u003cp\u003e\u003cstrong\u003eEthical statement\u003c/strong\u003e\u003c/p\u003e\n\u003cp\u003eEthical statement was obtained from the University of Dodoma, Directorate of Research. Copies were sent to Iringa Regional Referral Hospital management for approval.\u003c/p\u003e\n\u003cp\u003e\u003cstrong\u003eConsent\u003c/strong\u003e\u003c/p\u003e\n\u003cp\u003eA complete description of the aims of the study, informed consent of participants, and confidentiality of the information sources were ensured. For participants who were below 18 years of age, consent was requested from the legal guardian/parent.\u003c/p\u003e\n\u003cp\u003e\u003cstrong\u003eDeclaration and copyright\u003c/strong\u003e\u003c/p\u003e\n\u003cp\u003eI, \u003cstrong\u003eEmmanuel Imani Ngadaya\u003c/strong\u003e, declare that this research is my own original work and that it has not been presented, published or shared to any other professional for other purposes apart from academic purposes.\u003c/p\u003e\n\u003cp\u003e\u003cstrong\u003eAcknowledgements\u003c/strong\u003e\u003c/p\u003e\n\u003cp\u003eI thank all study participants for their willingness to participate in this study.\u003c/p\u003e"},{"header":"References","content":"\u003cp\u003e[1]\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp; J. 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Metab.\u003c/em\u003e, vol. 64, no. SUPPL.1, pp. 26\u0026ndash;34, 2014, doi: 10.1159/000360506.\u003c/p\u003e\n\u003cp\u003e[23]\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp; H. Yadav and N. Lee, \u0026ldquo;Factors influencing macrosomia in pregnant women in a tertiary care hospital in Malaysia,\u0026rdquo; \u003cem\u003eJ. Obstet. Gynaecol. Res.\u003c/em\u003e, vol. 40, no. 2, pp. 439\u0026ndash;444, 2014, doi: 10.1111/jog.12209.\u003c/p\u003e\n\u003cp\u003e[24]\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp; A. W. Mwanri, \u003cem\u003eGestational diabetes mellitus in Tanzania - public health perspectives.\u003c/em\u003e 2015.\u003c/p\u003e\n\u003cp\u003e[25]\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp; E. Nkwabong and G. R. Nzalli Tangho, \u0026ldquo;Risk Factors for Macrosomia,\u0026rdquo; \u003cem\u003eJ. Obstet. Gynecol. India\u003c/em\u003e, vol. 65, no. 4, pp. 226\u0026ndash;229, 2015, doi: 10.1007/s13224-014-0586-4.\u003c/p\u003e\n\u003cp\u003e[26]\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp; M. Mongelli, R. Benzie, and G. Condous, \u0026ldquo;Average fetal weekly weight gain: A novel measure of fetal growth velocity,\u0026rdquo; \u003cem\u003eJ. Matern. Neonatal Med.\u003c/em\u003e, vol. 29, no. 4, pp. 676\u0026ndash;679, 2016, doi: 10.3109/14767058.2015.1015981.\u003c/p\u003e\n\u003cp\u003e[27]\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp; G. Bray Madoue, S. Nguele Sile, F. Lhagadang, and A. Saleh, \u0026ldquo;Foetal macrosomia: risk factors, maternal and foetal outcome in N\u0026rsquo;Djamena mother and child hospital, Chad,\u0026rdquo; \u003cem\u003eObstet. Gynecol. Int. J.\u003c/em\u003e, vol. 9, no. 3, pp. 40\u0026ndash;43, 2018, doi: 10.15406/ogij.2018.09.00322.\u003c/p\u003e\n\u003cp\u003e[28]\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp; A. K. Biratu, N. Wakgari, and B. Jikamo, \u0026ldquo;Magnitude of fetal macrosomia and its associated factors at public health institutions of Hawassa city, southern Ethiopia,\u0026rdquo; \u003cem\u003eBMC Res. Notes\u003c/em\u003e, vol. 11, no. 1, pp. 1\u0026ndash;6, 2018, doi: 10.1186/s13104-018-4005-2.\u003c/p\u003e\n\u003cp\u003e[29]\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp; W. Ricart \u003cem\u003eet al.\u003c/em\u003e, \u0026ldquo;Maternal glucose tolerance status influences the risk of macrosomia in male but not in female fetuses,\u0026rdquo; \u003cem\u003eJ. Epidemiol. Community Health\u003c/em\u003e, vol. 63, no. 1, pp. 64\u0026ndash;68, 2009, doi: 10.1136/jech.2008.074542.\u003c/p\u003e"}],"fulltextSource":"","fullText":"","funders":[],"hasAdminPriorityOnWorkflow":false,"hasManuscriptDocX":true,"hasOptedInToPreprint":true,"hasPassedJournalQc":"","hasAnyPriority":true,"hideJournal":true,"highlight":"","institution":"","isAcceptedByJournal":false,"isAuthorSuppliedPdf":false,"isDeskRejected":"","isHiddenFromSearch":false,"isInQc":false,"isInWorkflow":false,"isPdf":false,"isPdfUpToDate":true,"isWithdrawnOrRetracted":false,"journal":{"display":true,"email":"[email protected]","identity":"researchsquare","isNatureJournal":false,"hasQc":true,"allowDirectSubmit":true,"externalIdentity":"","sideBox":"","snPcode":"","submissionUrl":"/submission","title":"Research Square","twitterHandle":"researchsquare","acdcEnabled":true,"dfaEnabled":false,"editorialSystem":"","reportingPortfolio":"","inReviewEnabled":false,"inReviewRevisionsEnabled":true},"keywords":"Macrosomia, Predictors","lastPublishedDoi":"10.21203/rs.3.rs-498898/v3","lastPublishedDoiUrl":"https://doi.org/10.21203/rs.3.rs-498898/v3","license":{"name":"CC BY 4.0","url":"https://creativecommons.org/licenses/by/4.0/"},"manuscriptAbstract":"\u003cp\u003e\u003cstrong\u003ePurpose:\u003c/strong\u003e The study aimed at assessing predictors of fetal macrosomia at Iringa Regional Referral hospital in Tanzania. It is currently challenging to predict fetal macrosomia before delivery which possess women to an increasing risk of sustaining adverse maternal or fetal outcomes. \u003c/p\u003e\u003cp\u003e\u003cstrong\u003eMethods: \u003c/strong\u003eA case-control study design in which cases were women who delivered babies weighing ≥ 4000g while controls were those who delivered babies weighing 2500g to 3500g. Purposive sampling technique was employed to recruit both controls and cases. A total of 216 participants were included. This was an unmatched case control study. SPSS version 25 software program was used for data entry and analysis.\u003cem\u003e Chi\u003c/em\u003e-\u003cem\u003esquared\u003c/em\u003e test, P-value, unadjusted and adjusted logistic regression were used to determine statistical significant. \u003c/p\u003e\u003cp\u003e\u003cstrong\u003eResults:\u003c/strong\u003e Predictors of fetal macrosomia at Iringa Regional Referral hospital were advanced gestation age (AOR=8.10, 95% CI 3.66-17.91, \u003cem\u003ep=\u0026lt;0.0001\u003c/em\u003e) and diabetes mellitus during pregnancy (AOR =14.94, 95% CI 1.60 -39.91, \u003cem\u003ep= 0.0178\u003c/em\u003e).\u003c/p\u003e\u003cp\u003e\u003cstrong\u003eConclusion:\u003c/strong\u003e Women with advanced gestation age and diabetes mellitus during pregnancy are at an increased risk of delivering a macrosomic baby. Assessing predictors of fetal macrosomia will enable early prediction and intervention of women with fetal macrosomia hence preventing further maternal and fetal adverse outcomes.\u0026nbsp;\u003c/p\u003e","manuscriptTitle":"Predictors of Fetal Macrosomia Among Women Delivering at a Tertiary Hospital in Tanzania: A Case Control Study","msid":"","msnumber":"","nonDraftVersions":[{"code":3,"date":"2021-06-03 18:13:57","doi":"10.21203/rs.3.rs-498898/v3","editorialEvents":[{"type":"communityComments","content":0}],"status":"published","journal":{"display":true,"email":"[email protected]","identity":"researchsquare","isNatureJournal":false,"hasQc":true,"allowDirectSubmit":true,"externalIdentity":"","sideBox":"","snPcode":"","submissionUrl":"/submission","title":"Research Square","twitterHandle":"researchsquare","acdcEnabled":true,"dfaEnabled":false,"editorialSystem":"","reportingPortfolio":"","inReviewEnabled":false,"inReviewRevisionsEnabled":true}},{"code":2,"date":"2021-06-02 17:23:45","doi":"10.21203/rs.3.rs-498898/v2","editorialEvents":[{"type":"communityComments","content":0}],"status":"published","journal":{"display":true,"email":"[email protected]","identity":"researchsquare","isNatureJournal":false,"hasQc":true,"allowDirectSubmit":true,"externalIdentity":"","sideBox":"","snPcode":"","submissionUrl":"/submission","title":"Research Square","twitterHandle":"researchsquare","acdcEnabled":true,"dfaEnabled":false,"editorialSystem":"","reportingPortfolio":"","inReviewEnabled":false,"inReviewRevisionsEnabled":true}},{"code":1,"date":"2021-05-19 15:00:18","doi":"10.21203/rs.3.rs-498898/v1","editorialEvents":[{"type":"communityComments","content":0}],"status":"published","journal":{"display":true,"email":"[email protected]","identity":"researchsquare","isNatureJournal":false,"hasQc":true,"allowDirectSubmit":true,"externalIdentity":"","sideBox":"","snPcode":"","submissionUrl":"/submission","title":"Research Square","twitterHandle":"researchsquare","acdcEnabled":true,"dfaEnabled":false,"editorialSystem":"","reportingPortfolio":"","inReviewEnabled":false,"inReviewRevisionsEnabled":true}}],"origin":"","ownerIdentity":"977844e9-774b-47b4-b0cb-f83d2767d4ca","owner":[],"postedDate":"June 3rd, 2021","published":true,"recentEditorialEvents":[],"rejectedJournal":[],"revision":"","amendment":"","status":"posted","subjectAreas":[{"id":4754253,"name":"Maternal \u0026 Fetal Medicine"},{"id":4754254,"name":"Sexual \u0026 Reproductive Medicine"}],"tags":[],"updatedAt":"2021-05-29T15:30:19+00:00","versionOfRecord":[],"versionCreatedAt":"2021-06-03 18:13:57","video":"","vorDoi":"","vorDoiUrl":"","workflowStages":[]},"version":"v3","identity":"rs-498898","journalConfig":"researchsquare"},"__N_SSP":true},"page":"/article/[identity]/[[...version]]","query":{"redirect":"/article/rs-498898","identity":"rs-498898","version":["v3"]},"buildId":"omnImTCwR2MFx8CMYfrG7","isFallback":false,"isExperimentalCompile":false,"dynamicIds":[84888],"gssp":true,"scriptLoader":[]}