Correction: Maternal Obesity in Early Pregnancy and Risk of Adverse Outcomes

Bautista-Castaño, Inmaculada; Henríquez-Sánchez, Patricia; Alemán-Perez, Nestor; Garcia-Salvador, Jose J.; Gonzalez-Quesada, A.; García-Hernández, José Ángel; Serra-Majem, Luís

doi:10.1371/annotation/f8605b0a-d01c-41aa-ac9b-b605d7903a28

Cited by 8 publications

(5 citation statements)

References 18 publications

(20 reference statements)

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“…Studies on the impact of maternal weight on the Apgar score in twins show conflicting results. Findings of Bautista-Castaño et al [ 39 ] showed no association between maternal obesity of any severity and low Apgar scores after five minutes. On the other hand, other studies have shown significantly higher rates of low Apgar scores with increasing pre-pregnancy BMI in both singleton and twin pregnancies [ 1 , 43 , 44 ].…”

Section: Discussionmentioning

confidence: 95%

The association between maternal obesity and fetomaternal outcomes in twin pregnancies

Nagler,

Eißmann,

Wasenitz

et al. 2024

PLoS ONE

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The prevalence of overweight and obese people worldwide has dramatically increased in the last decades and is yet to peak. At the same time and partly due to obesity and associated assisted reproduction, twinning rates showed a clear rise in the last years. Adverse fetomaternal outcomes are known to occur in singleton and twin pregnancies in overweight and obese women. However, the impact of the obesity levels as defined by the World Health Organization on the outcomes of twin pregnancies has not been thoroughly studied. Therefore, the purpose of this study is to examine how maternal overweight, and the level of obesity affect fetomaternal outcomes in twin pregnancies, hypothesizing a higher likelihood for adverse outcomes with overweight and each obesity level. This is a retrospective cohort study with 2,349 twin pregnancies that delivered at the Buergerhospital Frankfurt, Germany between 2005 and 2020. The mothers were divided into exposure groups depending on their pre-gestational body mass index; these were normal weight (reference group), overweight and obesity levels I, II, and III. A multivariate logistic regression analysis was performed to assess the influence of overweight and obesity on gestational diabetes mellitus, preeclampsia, postpartum hemorrhage, intrauterine fetal death, and a five-minutes Apgar score below seven. The adjusted odds ratio for gestational diabetes compared to normal weight mothers were 1.47, 2.79, 4.05, and 6.40 for overweight and obesity levels I, II and III respectively (p = 0.015 for overweight and p < 0.001 for each obesity level). Maternal BMI had a significant association with the risk of preeclampsia (OR 1.04, p = 0.028). Overweight and obesity did not affect the odds of postpartum hemorrhage, fetal demise, or a low Apgar score. While maternal overweight and obesity did not influence the fetal outcomes in twin pregnancies, they significantly increased the risk of gestational diabetes and preeclampsia, and that risk is incremental with increasing level of obesity.

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Section: Discussionmentioning

confidence: 95%

The association between maternal obesity and fetomaternal outcomes in twin pregnancies

Nagler,

Eißmann,

Wasenitz

et al. 2024

PLoS ONE

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“…Además, hemos objetivado en nuestra muestra unas tasas de obesidad elevadas, con un incremento significativo en el segundo periodo. La prevalencia en Canarias de gestación y obesidad fue estimada en un 17,1% en 2011 16 . En una revisión sistemática y metaanálisis en el que se incluyeron 40 estudios sobre el efecto del sobrepeso y la obesidad materna en el parto prematuro se concluye que las mujeres obesas y con sobrepeso tienen un mayor riesgo de parto prematuro por indicación médica antes de las 37 semanas 20 .…”

Section: Discussionunclassified

“…Actualmente se desconoce la incidencia de parto prematuro iatrogénico en nuestro medio, las causas, el tipo de parto y el coste asociado. Tampoco se conoce si existe relación con las características sociodemográficas de nuestra población, debiendo tener en cuenta el elevado porcentaje de obesidad que la afecta 16 .…”

Section: Introductionunclassified

Evolución y costes de la prematuridad por indicación médica en un hospital de tercer nivel

Coloma

Arozena

Goya³

et al. 2021

Rev. chil. obstet. ginecol.

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Introducción y objetivo: Analizar la evolución y los costes de los partos prematuros iatrogénicos en un hospital universitario de tercer nivel. Métodos: Estudio de cohortes retrospectivo de los partos con edad gestacional comprendida entre 24 y 36 +6 semanas en dos periodos temporales: 2001-2005 y 2011-2016. Se identificaron los partos prematuros por indicación médica o iatrogénicos (PPI). Se analizaron variables demográficas y de resultado. Los costes se calcularon mediante el grupo relacionado con el diagnóstico (GRD) de cada ingreso. Resultados: Se obtuvo una muestra de 620 partos prematuros iatrogénicos. La tasa de prematuridad global se mantuvo estable en 9%. La tasa de prematuridad iatrogénica experimentó un incremento relativo del 9,7%. Entre las pacientes con un PPI se apreció un incremento en la edad materna de 27,7 a 32,9 años, de la obesidad (32,2% a 55,5%) y del uso de técnicas de reproducción asistida (6% a 11,1%). Preeclampsia y retraso del crecimiento (CIR) fueron las principales causas de PPI, en los que se incrementó la tasa de cesáreas de 66,9% a 78%, la estancia media de 7,8 días a 9,6 y el coste por paciente de 3.068,6 a 7.331,9 euros. Conclusiones: Se observa un aumento de PPI en el segundo periodo, manteniéndose la prematuridad global. Los cambios demográficos podrían explicar este incremento. Estos cambios están implicados en la fisiopatología de la preeclampsia y el CIR y en el aumento de su incidencia. La prevención primaria y secundaria de esas complicaciones podría reducir la incidencia y los costes de la prematuridad iatrogénica.Palabras claves: prematuridad, parto pretérmino espontáneo, parto pretérmino iatrogénico, estancia media, costes.

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“…It was 29.7% in 1997 and rose to 36.8% by 2016 [3]. Obesity is more frequently observed among women of reproductive age, and it is associated with obstetric risks [4,5] Generally, obesity is calculated at the booking visit during pregnancy and categorized as obese, when BMI is more than 30 [6]. Maternal obesity is associated with severe maternal and perinatal mortalities and morbidities, which include gestational diabetes mellitus (GDM), gestational hypertension, preeclampsia, and stroke [7][8][9].…”

Section: Introductionmentioning

confidence: 99%

“…It was 29.7% in 1997 and rose to 36.8% by 2016 [ 3 ]. Obesity is more frequently observed among women of reproductive age, and it is associated with obstetric risks [ 4 , 5 ]…”

Section: Introductionmentioning

confidence: 99%

Maternal Obesity: An Obstetric Risk

Sunder¹,

Varghese²,

Darwish³

et al. 2022

Cureus

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Objective: To analyze the obstetric risks and to evaluate the effects of maternal obesity during pregnancy and postpartum period.Method: This is a retrospective study of pregnant women with a BMI of more the 30 conducted at Bahrain Defence Force Hospital, West Riffa, Bahrain, from September 2019 to August 2020. Data includes demographic characteristics, and course of pregnancy from gestational age 24 weeks, through intrapartum to the postpartum period. Adverse maternal effects and delivery complications were the primary study outcomes. The BMI was calculated at the time of the booking visit. Comparative analysis was done to calculate the odds of each outcome taking a non-obese group (BMI less than 30) as a reference.Results: The total number of pregnant women studied was 2972, out of which 1657 had BMI ≥30. In our study, women with high BMI were older (p<0.0001). High BMI was associated with high parity and higher miscarriage history. High BMI increased the risk of developing hypertension (OR 2.5;). This analysis also found that high BMI was associated with increased risk of antepartum hemorrhage (OR 2.4; 95%CI 1-5.4), postpartum complications (OR1.6; 95%CI 1.1-2.2), and a hospital stay of more than five days (OR 1.6; 95%CI 1.3-2). High BMI patients were less likely to have Intrauterine growth restriction (OR 0.6; 95%CI 0.3-0.9). High BMI patients did not have an increased risk of gestational diabetes mellitus, induction of labor, or caesarean birth. Conclusion: Higher BMI pregnant women are associated with higher incidences of hypertension. The high BMI group also had a significant relationship with antepartum hemorrhage and postpartum length of stay.

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Correction: Maternal Obesity in Early Pregnancy and Risk of Adverse Outcomes

Cited by 8 publications

References 18 publications

The association between maternal obesity and fetomaternal outcomes in twin pregnancies

The association between maternal obesity and fetomaternal outcomes in twin pregnancies

Evolución y costes de la prematuridad por indicación médica en un hospital de tercer nivel

Maternal Obesity: An Obstetric Risk

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