Prepregnancy body mass index and adverse pregnancy outcomes

Driul, Lorenza; Cacciaguerra, Giovanna; Citossi, A.; Martina, Monica Della; Peressini, L.; Marchesoni, D.

doi:10.1007/s00404-007-0524-0

Cited by 68 publications

(46 citation statements)

References 16 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…By contrast, maternal diabetes, obesity, multipara, excessive gestational weight gain, and post-term pregnancy were associated with LGA [3,6,9,[11][12][13].…”

Section: Brief Communication (Original)mentioning

confidence: 83%

See 1 more Smart Citation

Prevalence and risk factors for inappropriate birth weight for gestational age

Boriboonhirunsarn

2015

Asian Biomedicine

View full text Add to dashboard Cite

Background:Infants with an inappropriate birth weight for their gestational age are more likely to develop complications during pregnancy and postpartum, and have increased long-term health risks. Objectives: To determine the prevalence and risk factors for infants with inappropriate birth weight for their gestational age. Methods: We enrolled 820 women with uncomplicated, singleton pregnancies who gave birth to a live born infant at term. Prepregnancy baseline and obstetric information were extracted from medical records, including body mass index (BMI), gestational weight gain, and infant birth weight. Prevalence of small-for-gestational age (SGA) and large-for-gestational age (LGA) infants was determined. We compared variables between groups to identify associated factors. Results: Prevalence of SGA was 2.6% and LGA was 10.5%. Prepregnancy BMI and gestational weight gain were significantly higher in the LGA than in the SGA group (P = 0.041 and < 0.001, respectively). The birth weight and gestational weight gain, but not the prepregnancy BMI, were significantly different (P < 0.001). Logistic regression analysis determined that inadequate gestational weight gain significantly increased the risk of SGA (adjusted OR 3.20, 95%CI 1.06 to 9.64, P = 0.039), and significantly reduced the risk of LGA (adjusted OR 0.43, 95% CI 0.20 to 0.91, P = 0.028). Excessive gestational weight gain significantly increased the risk of LGA (adjusted OR 2.00, 95% CI 1.21 to 3.30, P = 0.006). There was no significant association with prepregnancy BMI. Conclusions: Controlling gestational weight gain may improve maternal and neonatal outcomes.

show abstract

“…By contrast, maternal diabetes, obesity, multipara, excessive gestational weight gain, and post-term pregnancy were associated with LGA [3,6,9,[11][12][13].…”

Section: Brief Communication (Original)mentioning

confidence: 83%

“…Prepregnancy BMI and gestational weight gain have been shown associated with infant birth weight and other obstetric outcomes [6,12]. Previous reports have demonstrated that underweight pregnant women and those with inadequate gestational weight gain according to IOM guidelines, are at increased risk for SGA [9,10,13,17,19].…”

Section: Discussionmentioning

confidence: 99%

Prevalence and risk factors for inappropriate birth weight for gestational age

Boriboonhirunsarn

2015

Asian Biomedicine

View full text Add to dashboard Cite

show abstract

“…Thus far, published studies focused on the associations of maternal anthropometrics with the risk of preterm delivery seem to be inconsistent. Some studies found no association between maternal obesity and preterm delivery, whereas other studies suggested that the risk of preterm birth is higher among obese women (16,(28)(29)(30). A study among 76,682 adolescent women reported that the risk of preterm delivery was lower among women who gained excessively, independently of prepregnancy BMI (31).…”

Section: Obesitymentioning

confidence: 99%

Risk factors and outcomes of maternal obesity and excessive weight gain during pregnancy

Gaillard

Durmuş

Hofman

et al. 2013

Obesity

412

359

View full text Add to dashboard Cite

Objective: The prevalence of overweight and obesity among women of reproductive age is increasing. We aimed to determine risk factors and maternal, fetal and childhood consequences of maternal obesity and excessive gestational weight gain. Design and Methods: The study was embedded in a population-based prospective cohort study among 6959 mothers and their children. The study was based in Rotterdam, The Netherlands (2001-2005. Results: Maternal lower educational level, lower household income, multiparity, and FTO risk allel were associated with an increased risk of maternal obesity, whereas maternal European ethnicity, nulliparity, higher total energy intake, and smoking during pregnancy were associated with an increased risk of excessive gestational weight gain (all p-values <0.05). As compared to normal weight, maternal obesity was associated with increased risks of gestational hypertension (OR 6.31 (95% CI 4.30, 9.26)), preeclampsia (OR (3.61, (95% CI 2.04, 6.39)), gestational diabetes (OR 6.28 (95%CI 3.01, 13.06)), caesarean delivery (OR 1.91 (95% CI 1.46, 2.50)), delivering large size for gestational age infants (OR 2.97 (95% CI 2.16, 4.08)), and childhood obesity (OR 5.02 (95% CI:2.97, 8.45)). Weaker associations of excessive gestational weight gain with maternal, fetal and childhood outcomes were observed, with the strongest effects for first trimester weight gain. Conclusions: Our study shows that maternal obesity and excessive weight gain during pregnancy are associated with socio-demographic, lifestyle, and genetic factors and with increased risks of adverse maternal, fetal and childhood outcomes. As compared to prepregnancy overweight and obesity, excessive gestational weight gain has a limited influence on adverse pregnancy outcomes.

show abstract

“…A prevalência da obesidade em nosso meio vem aumentando independentemente da idade, raça ou fatores educacionais 29,32,33 . Isso reflete nos elevados índices de sobrepeso e obesidade maternos encontrados em nosso estudo, compatíveis com os encontrados em estudos internacionais, com índices de obesidade variando entre 5,5 a 38,3%, conforme a população estudada 29,33,34 .…”

Section: Discussionunclassified

“…Isso reflete nos elevados índices de sobrepeso e obesidade maternos encontrados em nosso estudo, compatíveis com os encontrados em estudos internacionais, com índices de obesidade variando entre 5,5 a 38,3%, conforme a população estudada 29,33,34 . Durante o crítico período da gestação, o IMC pré-gestacional aumentado e, principalmente, o excessivo ganho de peso podem resultar em importantes problemas para a mãe e seu recém-nascido.…”

Section: Discussionunclassified

Fatores de risco para macrossomia em recém-nascidos de uma maternidade-escola no nordeste do Brasil

Amorim¹,

Leite²,

Gadelha³

et al. 2009

Rev. Bras. Ginecol. Obstet.

View full text Add to dashboard Cite

OBJETIVO: determinar a frequência de macrossomia nos recém-nascidos vivos em um serviço obstétrico de referência e sua associação com fatores de risco maternos. MÉTODOS: foi realizado um estudo descritivo, transversal, incluindo 551 puérperas internadas no Instituto de Saúde Elpídio de Almeida, em Campina Grande (PB), entre agosto e outubro de 2007. Foram incluídas no estudo as mulheres cujos partos foram assistidos na instituição, com recém-nascidos vivos de uma gestação única, abordadas no primeiro dia do período pós-parto. Foram analisadas as características sociodemográficas e nutricionais maternas, determinando-se a frequência de macrossomia (peso ao nascer ≥4.000 g) e sua associação com as variáveis maternas. A macrossomia foi classificada como assimétrica ou simétrica de acordo com o índice de Rohrer. A análise estatística foi realizada por meio do programa Epi-Info 3.5, calculando-se a razão de prevalência (RP) e o intervalo de confiança a 95% (IC 95%). O protocolo de pesquisa foi aprovado pelo Comitê de Ética em Pesquisa local e todas as participantes do estudo assinaram o termo de consentimento livre e esclarecido. RESULTADOS: a média da idade materna encontrada foi de 24,7 anos e a idade gestacional média foi de 38,6 semanas. Ganho de peso gestacional excessivo foi observado em 21,3% das gestantes, sendo que 2,1% das participantes tinham o diagnóstico de diabetes mellitus (gestacional ou clínico). Encontrou-se uma frequência de 5,4% de recém-nascidos macrossômicos, dos quais 60% eram assimétricos. Não houve associação significativa entre macrossomia, idade materna e paridade. Verificou-se uma associação entre macrossomia e sobrepeso/obesidade pré-gestacional (RP=2,9; IC 95%=1,0-7,8) e na última consulta (RP=4,9; IC 95%=1,9-12,5), ganho ponderal excessivo (RP=6,9; IC 95%=2,8-16,9), diabetes clínico ou gestacional (RP=8,9; IC 95%=4,1-19,4) e hipertensão (RP=2,9; IC 95%=1,1-7,9). Na análise multivariada, os únicos fatores que persistiram significativamente em associação à macrossomia foram o ganho de peso materno excessivo durante a gestação (RR=6,9, IC 95%=2,9-16,9) e a presença de diabetes mellitus (RR=8,9; IC 95%=4,1-19,4). CONCLUSÕES: considerando que ganho de peso gestacional excessivo e diabetes mellitus foram os fatores mais fortemente associados à macrossomia, é importante que medidas para detecção precoce e acompanhamento adequado dessas condições sejam tomadas, visando à prevenção de eventos perinatais desfavoráveis.Abstract OBJECTIVE: to determine the frequency of macrosomia in babies born alive at a reference obstetric service, and its association with maternal risk factors. METHODS: a transversal descriptive study, including 551 women at puerperium, hospitalized at Instituto de Saúde Elpídio de Almeida, in Campina Grande (PB), Brazil, from August to October, 2007. Women, whose deliveries had been assisted at the institution, with babies born alive from one single gestation and approached in the first postpartum day, were included in the study. The nutritional and sociodemographic maternal ch...

show abstract

Prepregnancy body mass index and adverse pregnancy outcomes

Abstract: Maternal prepregnancy obesity is significantly associated with increased risk of Caesarean section, preterm delivery, pre-eclampsia and macrosomia.

Cited by 68 publications

References 16 publications

Prevalence and risk factors for inappropriate birth weight for gestational age

Prevalence and risk factors for inappropriate birth weight for gestational age

Risk factors and outcomes of maternal obesity and excessive weight gain during pregnancy

Fatores de risco para macrossomia em recém-nascidos de uma maternidade-escola no nordeste do Brasil

Contact Info

Product

Resources

About