Interpregnancy weight change: associations with severe maternal morbidity and neonatal outcomes

被引:5
|
作者
Abrams, Barbara F. [1 ]
Leonard, Stephanie A. [2 ]
Kan, Peiyi [3 ]
Lyell, Deirdre J. [2 ]
Carmichael, Suzan L. [2 ,3 ]
机构
[1] Univ Calif Berkeley, Sch Publ Hlth, Div Epidemiol, Berkeley, CA 94720 USA
[2] Stanford Univ, Sch Med, Dept Obstet & Gynecol, Div Maternal Fetal Med, Stanford, CA 94305 USA
[3] Stanford Univ, Sch Med, Dept Pediat, Div Neonatol & Dev Med, Stanford, CA 94305 USA
基金
美国国家卫生研究院;
关键词
body mass index; California; epidemiology; interpregnancy weight change; maternal health; obesity; perinatal complications; postpar-tum; pregnancy complications; pregnancy outcome; risk factors; severe maternal morbidity; stillbirth; weight gain; weight loss; BODY-MASS INDEX; ADVERSE PREGNANCY OUTCOMES; INFANT-MORTALITY; RISK; GAIN; STILLBIRTH;
D O I
10.1016/j.ajogmf.2022.100596
中图分类号
R71 [妇产科学];
学科分类号
100211 ;
摘要
BACKGROUND: Prepregnancy body mass index and gestational weight gain have been linked with severe maternal morbidity, suggesting that weight change between pregnancies may also play a role, as it does for neonatal outcomes. OBJECTIVE: This study assessed the association of changes in pre pregnancy body mass index between 2 consecutive singleton pregnancies with the outcomes of severe maternal morbidity, stillbirth, and small-and large-for-gestational-age infants in the subsequent pregnancy. STUDY DESIGN: This observational study was based on birth records from 1,111,032 consecutive pregnancies linked to hospital discharge records in California (2007-2017). Interpregnancy body mass index change between the beginning of an index pregnancy and the beginning of the subsequent pregnancy was calculated from self-reported weight and height. Severe maternal morbidity was defined based on the Centers for Disease Control and Prevention index, including and excluding transfusion-only cases. We used multivariable log-binomial regression models to estimate adjusted risks, overall and stratified by prepregnancy body mass index at index birth. RESULTS: Substantial interpregnancy body mass index gain (>4 kg/m(2)) was associated with severe maternal morbidity in crude but not adjusted analyses. Substantial interpregnancy body mass index loss (>2 kg/m(2)) was associated with increased risk of severe maternal morbidity (adjusted relative risk, 1.13; 95% confidence interval (1.07-1.19), and both substantial loss (adjusted relative risk, 1.11 [1.02-1.19]) and gain (>4 kg/m(2); adjusted relative risk, 1.09 [1.02-1.17]) were associated with nontransfusion severe maternal morbidity. Substantial loss (adjusted relative risk, 1.17 [1.05-1.31]) and gain (1.26 [1.14-1.40]) were associated with stillbirth. Body mass index gain was positively associated with large-for-gestational-age infants and inversely associated with small-for gestational-age infants. CONCLUSION: Substantial interpregnancy body mass index changes were associated with modestly increased risk of severe maternal morbidity, stillbirth, and small-and large-for-gestational-age infants.
引用
收藏
页数:9
相关论文
共 50 条
  • [1] Interpregnancy interval and severe maternal morbidity
    Garg, Bharti
    Pilliod, Rachel A.
    Caughey, Aaron B.
    AMERICAN JOURNAL OF OBSTETRICS AND GYNECOLOGY, 2021, 224 (02) : S83 - S84
  • [2] Interpregnancy weight change and adverse maternal outcomes: a retrospective cohort study
    Lynes, Chelsea
    McLain, Alexander C.
    Yeung, Edwina H.
    Albert, Paul
    Liu, Jihong
    Boghossian, Nansi S.
    ANNALS OF EPIDEMIOLOGY, 2017, 27 (10) : 632 - 637
  • [3] Interpregnancy interval and maternal and neonatal morbidity: a nationwide cohort study
    Hanna Mühlrad
    Evelina Björkegren
    Philip Haraldson
    Nina Bohm-Starke
    Helena Kopp Kallner
    Sophia Brismar Wendel
    Scientific Reports, 12
  • [4] Interpregnancy interval and maternal and neonatal morbidity: a nationwide cohort study
    Muhlrad, Hanna
    Bjorkegren, Evelina
    Haraldson, Philip
    Bohm-Starke, Nina
    Kallner, Helena Kopp
    Wendel, Sophia Brismar
    SCIENTIFIC REPORTS, 2022, 12 (01)
  • [5] Interpregnancy Interval and Severe Maternal Morbidity in Iowa, 2009 to 2014
    Bergo, Cara Jane
    Handler, Arden
    Geller, Stacie
    Grobman, William A.
    Awadalla, Saria
    Rankin, Kristin
    WOMENS HEALTH ISSUES, 2021, 31 (05) : 503 - 509
  • [6] Long and short interpregnancy intervals increase severe maternal morbidity
    Garg, Bharti
    Darney, Blair
    Pilliod, Rachel A.
    Caughey, Aaron B.
    AMERICAN JOURNAL OF OBSTETRICS AND GYNECOLOGY, 2021, 225 (03)
  • [7] Recurrent short interpregnancy interval: Maternal and neonatal outcomes
    Weiss, Ari
    Sela, Hen Y.
    Rotem, Reut
    Grisaru-Granovsky, Sorina
    Rottenstreich, Misgav
    EUROPEAN JOURNAL OF OBSTETRICS & GYNECOLOGY AND REPRODUCTIVE BIOLOGY, 2021, 264 : 299 - 305
  • [8] Interpregnancy weight change and neonatal and infant outcomes: A systematic review and meta-analysis
    Martinez-Hortelano, Jose Alberto
    Gonzalez, Patricia Blazquez
    Rodriguez-Rojo, Inmaculada Concepcion
    Garrido-Miguel, Miriam
    Arenas-Arroyo, Sergio Nunez de
    Sequi-Dominguez, Irene
    Martinez-Vizcaino, Vicente
    Berlanga-Macias, Carlos
    ANNALS OF EPIDEMIOLOGY, 2024, 97 : 1 - 10
  • [9] Examining adverse fetal/neonatal outcomes associated with severe maternal morbidity
    Lawton, Beverley
    Filoche, Sara
    MacDonald, Evelyn Jane
    Stanley, James
    Meeks, Maggie
    Stone, Peter
    Storey, Francesca
    Geller, Stacie E.
    AUSTRALIAN & NEW ZEALAND JOURNAL OF OBSTETRICS & GYNAECOLOGY, 2020, 60 (06): : 865 - 870
  • [10] Influence of interpregnancy interval on neonatal morbidity
    DeFranco, Emily A.
    Seske, Laura M.
    Greenberg, James M.
    Muglia, Louis J.
    AMERICAN JOURNAL OF OBSTETRICS AND GYNECOLOGY, 2015, 212 (03) : 386.e1 - 386.e9