Till startsida
Sitemap
To content Read more about how we use cookies on gu.se

Maternal obesity and obstetric outcomes in a tertiary referral center

Journal article
Authors G. Ramoniene
L. Maleckiene
R. J. Nadisauskiene
E. Bartuseviciene
D. R. Railaite
R. Maciuleviciene
Almantas Maleckas
Published in Medicina-Lithuania
Volume 53
Issue 2
Pages 109-113
ISSN 1010-660X
Publication year 2017
Published at Institute of Clinical Sciences, Section for Surgery and Gastrosurgical Research and Education, Department of Gastrosurgical Research and Education
Pages 109-113
Language English
Links dx.doi.org/10.1016/j.medici.2017.03...
Keywords Obesity, Pregnancy, Large-for-gestational-age newborn, Gestational diabetes, Cesarean delivery, BODY-MASS INDEX, CESAREAN DELIVERY, PREGNANCY OUTCOMES, BARIATRIC, SURGERY, NULLIPAROUS WOMEN, RISK, METAANALYSIS, FETAL, INTERVENTIONS, COMPLICATIONS
Subject categories Obstetrics, Gynecology and Reproductive Medicine, Surgery

Abstract

Background and aim: Obese women are at an increased risk of various adverse pregnancy outcomes. The aim of our study was to evaluate the impact of obesity on maternal and neonatal outcomes in a tertiary referral center and to compare obstetric outcomes by the level of maternal obesity. Materials and methods: A cohort study included 3247 women with singleton gestations who gave birth at the Department of Obstetrics and Gynecology, Lithuanian University of Health Sciences, in 2010. Pregnancy complications and neonatal outcomes were identified using the hospital Birth Registry database in normal weight (body mass index [BMI] 18.5-24.9 kg/m(2), n = 3107) and prepregnancy obese (BMI >= 30 kg/m(2), n = 140) women. Pregnancy outcomes were compared according to the level of obesity (BMI 30-34.9 kg/m(2), n = 94 and BMI kg/m(2), n = 46). Results: Obese women were significantly more likely to have gestational hypertension (OR = 8.59; 95% CI, 5.23-14.14; P < 0.0001), preeclampsia (OR = 2.06; 95% CI, 1.14-3.73; P < 0.0001), gestational diabetes (OR = 5.56; 95% CI, 3.66-8.49; P < 0.0001), dystocia (OR = 2.14; 95% CI, 1.36-3.38; P < 0.0001), induced labor (OR = 2.64; 95% CI, 1.83-3.80; P < 0.0001), failed induction of labor (OR = 18.06; 95% CI, 8.85-36.84; P < 0.0001), cesarean delivery (OR = 1.76; 95% CI, 1.25-2.49; P = 0.001), large-for-gestational-age newborns (OR = 3.68; 95% CI, 2.51-5.39; P < 0.0001). Significantly increased risk of gestational diabetes, preeclampsia, dystocia and newborns with Apgar score <= 7 after 5 min was only observed in women with BMI >= 35 kg/m(2). Conclusions: Maternal obesity is significantly associated with an increased risk of gestational hypertension, preeclampsia, gestational diabetes, dystocia, labor induction, failed induction of labor, large-for-gestational-age newborns and cesarean delivery. (C) 2017 The Lithuanian University of Health Sciences.

Page Manager: Webmaster|Last update: 9/11/2012
Share:

The University of Gothenburg uses cookies to provide you with the best possible user experience. By continuing on this website, you approve of our use of cookies.  What are cookies?