Maternal super obesity is increasing and is associated with an increased risk of pregnancy complications-a call for concern

被引:1
|
作者
Khan, Sameer [1 ]
Baranco, Nicholas [2 ]
Wojtowycz, Martha [3 ]
Parker, Pamela [4 ]
Mastrogiannis, Dimitrios S. [5 ]
机构
[1] Good Samaritan Univ Hosp, Dept Obstet & Gynecol, W Lslip, NY USA
[2] SUNY Upstate Med Ctr, Dept Maternal Fetal Med, Syracuse, NY USA
[3] SUNY Upstate Med Ctr, Dept Obstet & Gynecol, Dept Publ Hlth, Syracuse, NY USA
[4] SUNY Upstate Med Ctr, Dept Obstet & Gynecol, Syracuse, NY USA
[5] Montefiore Albert Einstein Coll Med, Bronx, NY 10461 USA
来源
JOURNAL OF MATERNAL-FETAL & NEONATAL MEDICINE | 2024年 / 37卷 / 01期
关键词
Super obesity; pregnancy outcomes; BMI; obesity; pregnancy complications; OVERWEIGHT;
D O I
10.1080/14767058.2024.2396071
中图分类号
R71 [妇产科学];
学科分类号
100211 ;
摘要
Objective: This study aimed to assess the relationship of increased body mass index (BMI) with pregnancy complications. Study Design: We obtained data for a retrospective cohort of singleton live births using an electronic birth certificate database from 2010 to 2022. Institutional review board exemption was obtained. BMI was assessed as a continuous variable and a categorical variable with groups of BMI 18.5-29.9 kg/m(2), 40-49.9 kg/m(2), and >= 50 kg/m(2) compared to patients with BMI 30-39.9 kg/m(2). Primary outcomes were pregnancy and maternal outcomes. Secondary outcomes were neonatal outcomes. ANOVA and chi(2) were used to compare continuous and categorical variables respectively, and logistic regression was used to obtain adjusted odds ratios for primary and secondary outcomes. Results: There were 223,837 patients with singleton live births with mean BMI 27.86 kg/m2. 54,385 (24.3%) had BMI 30-39.9 kg/m2, 13,299 (5.9%) had BMI 40-49.9 kg/m2, and 1,958 (0.87%) had BMI >= 50 kg/m2. Patients with BMI > 50 kg/m2 have a higher likelihood of APGAR scores <7 (aOR 1.38, 95% CI 1.05-1.83), and NICU admission or transfer out of facility (aOR 1.17, 95% CI 1.02-1.34). In the nulliparous subgroup analysis, For patients with BMI >50 kg/m2, there was a higher odds of preterm birth <37 weeks (aOR 1.57, 95% CI 1.23-2.00) and preterm birth <34 weeks (aOR 1.51 95% CI 1.00-2.30. There is also an increased odds of cesarean section in both of these BMI groups (aOR 1.68 95% CI 1.57-1.79 and aOR 2.30 95% CI 1.94-2.72). Conclusion: BMI >= 50 kg/m(2) was significantly associated with increased pregnancy complications.
引用
收藏
页数:6
相关论文
共 50 条
  • [21] Increased risk of maternal complications from repeat pregnancy among adolescent women
    Maravilla, Joemer C.
    Betts, Kim S.
    Alati, Rosa
    INTERNATIONAL JOURNAL OF GYNECOLOGY & OBSTETRICS, 2019, 145 (01) : 54 - 61
  • [22] Maternal Obesity Is Not Associated with Increased Central Arterial Stiffness in the Third Trimester of Pregnancy
    Hor, Kayhee
    Chan, Julian
    Languish, Jeremy
    Denison, Fiona C.
    REPRODUCTIVE SCIENCES, 2011, 18 (03) : 328A - 328A
  • [23] Maternal Obesity Before Pregnancy Is Associated With Increased Steroid Prescriptions In Early Childhood
    MacDonald, K. D.
    Vesco, K. K.
    Funk, K. L.
    Donovan, J.
    Nguyen, T.
    Chen, Z.
    Lapidus, J. A.
    Stevens, V. J.
    McEvoy, C. T.
    AMERICAN JOURNAL OF RESPIRATORY AND CRITICAL CARE MEDICINE, 2015, 191
  • [24] Marfan syndrome is associated with increased risk for gynecologic disorders and maternal complications
    Imbroane, Marisa R.
    Akesson, Cydni
    Kim, Hanna
    Richards, Elliott G.
    JOURNAL OF ASSISTED REPRODUCTION AND GENETICS, 2024, : 3371 - 3377
  • [25] Maternal complications associated with multiple pregnancy
    Devine, PC
    Malone, FD
    CLINICAL OBSTETRICS AND GYNECOLOGY, 2004, 47 (01): : 227 - 236
  • [26] Pregnancy outcome following maternal exposure to pregabalin may call for concern
    Winterfeld, Ursula
    Merlob, Paul
    Baud, David
    Rousson, Valentin
    Panchaud, Alice
    Rothuizen, Laura E.
    Bernard, Nathalie
    Vial, Thierry
    Yates, Laura M.
    Pistelli, Alessandra
    Ellfolk, Maria
    Eleftheriou, Georgios
    de Vries, Loes C.
    Jonville-Bera, Annie-Pierre
    Kadioglu, Mine
    Biollaz, Jerome
    Buclin, Thierry
    NEUROLOGY, 2016, 86 (24) : 2251 - 2257
  • [27] The effects of an increasing gradient of maternal obesity on pregnancy outcomes
    Magann, Everett F.
    Doherty, Dorota A.
    Sandlin, Adam T.
    Chauhan, Suneet P.
    Morrison, John C.
    AUSTRALIAN & NEW ZEALAND JOURNAL OF OBSTETRICS & GYNAECOLOGY, 2013, 53 (03): : 250 - 257
  • [28] Increased fetal DNA in the maternal circulation in early pregnancy is associated with an increased risk of preeclampsia
    Cotter, Amanda M.
    Martin, Cara M.
    O'Leary, John J.
    Daly, Sean F.
    AMERICAN JOURNAL OF OBSTETRICS AND GYNECOLOGY, 2004, 191 (02) : 515 - 520
  • [29] Maternal Obesity and Risk of Postcesarean Wound Complications
    Conner, Shayna N.
    Verticchio, Juliana C.
    Tuuli, Methodius G.
    Odibo, Anthony O.
    Macones, George A.
    Cahill, Alison G.
    AMERICAN JOURNAL OF PERINATOLOGY, 2014, 31 (04) : 299 - 303
  • [30] Adolescent maternal age is associated with increased risk of perinatal complications in diabetic gravidas
    Penfield, Christina A.
    Pilliod, Rachel A.
    Esakoff, Tania A.
    Valent, Amy
    Caughey, Aaron B.
    AMERICAN JOURNAL OF OBSTETRICS AND GYNECOLOGY, 2017, 216 (01) : S353 - S353