2018
DOI: 10.1097/01.ogx.0000532197.91246.54
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Abstract: (Abstracted from JAMA 2017;318(18):1777–1786) Several studies have shown that overweight and obesity are associated with adverse neonatal outcomes including preterm birth, severe congenital anomalies, and infant death. While some studies show an association between maternal obesity and pregnancy complications such as preeclampsia, thromboembolism, and cesarean delivery, less is known about the association between body mass index (BMI) and life-threatening maternal morbidity.

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Cited by 43 publications
(68 citation statements)
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“…Given the differences in the trends in these comorbidities, as well as their known contribution to severe maternal morbidity from previous studies, they were included as confounders in our adjusted models. [10][11][12][13][14][15] Table 3 shows the adjusted OR and 95% CI of SMM excluding transfusions by country and risk factor. For all countries, advanced maternal age, hypertension, diabetes, and substance abuse were strongly associated with SMM.…”
Section: Resultsmentioning
confidence: 99%
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“…Given the differences in the trends in these comorbidities, as well as their known contribution to severe maternal morbidity from previous studies, they were included as confounders in our adjusted models. [10][11][12][13][14][15] Table 3 shows the adjusted OR and 95% CI of SMM excluding transfusions by country and risk factor. For all countries, advanced maternal age, hypertension, diabetes, and substance abuse were strongly associated with SMM.…”
Section: Resultsmentioning
confidence: 99%
“…Multiple logistic regression was used to estimate odds ratios (OR) and respective 95% confidence intervals (CI) of severe maternal morbidity for each country while adjusting for age, obesity, hypertension, diabetes, drug and alcohol use, and year. [10][11][12][13][14][15] We examined variables that existed within the data set that were known to be strongly associated with severe maternal morbidity. Models were created in a stepwise fashion.…”
Section: Discussionmentioning
confidence: 99%
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“…The risk of pregnancy-associated disorders increases with increasing severity of obesity (Table 1) (7)(8)(9)(10)(11)(12). A 10% difference in pre-pregnancy BMI is associated with an at least 10% change in relative risk of preeclampsia and gestational diabetes, respectively (10).…”
Section: Maternal Risks Over the Course Of Pregnancymentioning
confidence: 99%
“…4 Pre-pregnancy obesity, another increasingly prevalent maternal characteristic, is associated with higher rates of thromboembolism, pulmonary embolism, cerebrovascular morbidity, sepsis, acute renal failure, eclampsia, and maternal intensive care unit (ICU) admission. 5,6 Population rates of SMM also reflect the quality of medical and obstetric care. Better identification, clinical monitoring, and management of high-risk women result in improved maternal outcomes.…”
Section: Introductionmentioning
confidence: 99%