We included fetuses of 24 weeks’ gestation, weighing 500 g, or both (n = 324) and therapeutic abortions due to congenital malformations or chromosomal abnormalities (n = 4). We defined perinatal mortality as fetal losses from 24 weeks of gestation, 500 g, or both, together with all postnatal deaths up to seven days after birth. We grouped birth weight by centiles according to the official Dutch growth charts, published in 1970,18 and according to a growth chart based on the 1998 Dutch perinatal database (including 181 000 deliveries).19 We defined macrosomia as birth weight above the 90th centile corrected for gestational age, sex, and parity.
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