title: Correlations Among Parental and Neonatal Anthropometric Parameters, Feeding Practices and Infant Obesity.
abstract: OBJECTIVE
  Infant and adult obesity is becoming a real public health concern in Romania, similar to other countries of the European Union. Maternal obesity and excessive weight gain during pregnancy are proven risk factors for the obesity of the child. The protective role of the breastfeeding against obesity has also been demonstrated. The most important issue is whether the choice of a milk formula with the right protein composition could or not protect the newborn from becoming a future obese infant and child. Our study aims to describe the characteristics of a group of macrosomic newborns, in relation to the mothers' weight gain during pregnancy, mode of delivery, birth weight, complications at birth, time of first feeding and type of feeding during maternity stay.
  
  
  METHODS
  We conducted a retrospective study on 179 newborns with birth weights >4000 grams, born over a period of three months (March-May) in 6 large maternity hospitals in Romania.
  
  
  RESULTS
  the newborns had a mean gestational age of 39.5 weeks and a mean birth weight of 4195 grams. Male newborns were prevalent (74%). More than half were born by Cesarian section and had Apgar scores with a median of 9. Macrosomes are prone to complications at birth and in our study those were mainly hypoglycemia and birth trauma. Time at first feeding was 95 minutes (mean), with a high percentage of formula/mixed feeding (68%).
  
  
  CONCLUSIONS
  Macrosomia itself attracts the risk of birth by cesarean section (54% of study group), birth trauma and a low rate of exclusive breast milk feeding (32% of study group) at discharge.
authors.affiliation: Department of Pediatrics, Iuliu Hatieganu University of Medicine and Pharmacy, Cluj-Napoca, Romania.
authors.forename: Daniel
authors.initials: D
authors.lastname: Sabau
authors.affiliation: Mother and Child Care Department, Gr. T. Popa University of Medicine and Pharmacy, Iasi, Romania.
authors.forename: Maria
authors.initials: M
authors.lastname: Stamatin
authors.affiliation: Neonatology, Department 13 - Obstetrics and Gynecology, Carol Davila University of Medicine and Pharmacy, Bucharest, Romania.
authors.forename: Silvia
authors.initials: S
authors.lastname: Stoicescu
authors.affiliation: Neonatology, College of Medicine and Pharmacy, University of Oradea, Romania.
authors.forename: Valeria
authors.initials: V
authors.lastname: Filip
authors.affiliation: Department M4 - Medical Specialties, University of Medicine and Pharmacy, Targu-Mures, Romania.
authors.forename: Manuela
authors.initials: M
authors.lastname: Cucerea
authors.affiliation: Neonatology, Emergency County Hospital, Sibiu, Romania.
authors.forename: Livia
authors.initials: L
authors.lastname: Ognean
authors.affiliation: Neonatology, Mother and Child Department, Iuliu Hatieganu University of Medicine and Pharmacy, Cluj-Napoca, Romania.
authors.forename: Ligia
authors.initials: L
authors.lastname: Blaga
authors.affiliation: Neonatology, Mother and Child care Department, Gr. T. Popa University of Medicine and Pharmacy, Iasi, Romania.
authors.forename: Andreea
authors.initials: A
authors.lastname: Avasiloaiei
authors.affiliation: Pediatrics, Mother and Child Department, Iuliu Hatieganu University of Medicine and Pharmacy, Cluj-Napoca, Romania.
authors.forename: Bianca
authors.initials: B
authors.lastname: Simionescu
authors.affiliation: Pediatrics, Mother and Child Department, Iuliu Hatieganu University of Medicine and Pharmacy, Cluj-Napoca, Romania.
authors.forename: Nicolae
authors.initials: N
authors.lastname: Miu
keywords: feeding; infant; macrosome; newborn; obesity