Review Article

Maternal Obesity and Occurrence of Fetal Macrosomia: A Systematic Review and Meta-Analysis

Table 1

Quality assessment criteria.

Quality assessment (QA) variableQuality assessment criteria
LowModerateHigh

Representativeness of exposed cohortSelected group of users (e.g., nurses, volunteers)Somewhat representative of the average obese pregnant woman in the communityTruly representative of the average obese pregnant woman in the community

Source of nonexposed cohortDrawn from a different source than exposed cohortN/ADrawn from the same source as the exposed cohort

Ascertainment of exposure (obesity)Self-report height and weightSelf-report height or weightMeasured height and weight

Comparability of cohortsComparable for less than 3 of the variables assessedComparable for 3 or 4 of the variables assessedComparable for at least 5 of the variables assessed

Adequacy of follow-upLoss to follow-up rate >5% or no description of those lostSubjects lost to follow-up unlikely to introduce bias (<5% loss to follow-up and description of those lost)All subjects accounted for

Overall ratingMajority of QA variables rated as high, including ascertainment of exposureSome QA variables rated as high, obesity self-reportedFew QA variables rated as high, obesity self-reported