Table 2.

Aggregate Data Comparing Macrosomia Within IOM Guidelines

IOM GuidelinesMacrosomic nNormal Weight nTotal n
BMI = body mass index; IOM = Institute of Medicine.
P<.001.
a Sensitivity=75%, specificity=100%, positive predictive value=100%, negative predictive value=98%.
b Sensitivity=70%, specificity = 97%, positive predictive value = 78%, negative predictive value = 96%.
c Sensitivity=100%, specificity = 84%, positive predictive value = 68%, negative predictive value = 100%.
Weight gain less than IOM recommendationsa
    Change in BMI ≥25%303
    Change in BMI <25%14849
    Total44852
Weight gain within IOM recommendationsb
    Change in BMI ≥25%729
    Change in BMI <25%36467
    Total106676
Weight gain greater than IOM recommendationsc
    Change in BMI ≥25%15722
    Change in BMI <25%03636
    Total154258