Maternal obesity and obstetric outcomes in a tertiary referral center
Abstract
:1. Introduction
2. Materials and methods
2.1. Statistical analysis
2.2. Ethics
3. Results
4. Discussion
5. Conclusions
Conflict of Interest
R E F E R E N C E S
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Characteristics | Obese women N = 140 | Normal weight women N = 3107 | P |
---|---|---|---|
Nulliparous | 50 (35.7) | 1126 (36.2) | 0.929 |
Multiparous | 90 (64.3) | 1981 (63.8) | |
Living place | |||
Urban | 78 (55.7) | 2411 (77.6) | <0.0001 |
Rural | 62 (44.3) | 696 (22.4) | |
Education level | |||
Primary–secondary | 103 (73.6) | 1839 (59.2) | 0.0006 |
Higher education | 37 (26.4) | 1268 (40.8) | |
Maternal age, mean ± SD, years Weight gain during pregnancy, mean ± SD, kg Prepregnancy body mass index, mean ± SD, kg/m2 | 30.7 ± 5.9 11.6 ± 6.5 36.1 ± 3.4 | 28.7 ± 5.2 14.3 ± 4.7 22.8 ± 0.9 | <0.0001 <0.0001 <0.0001 |
Values are number (percentage) unless otherwise stated. |
Outcome | Obese women N (%) (n = 140) | Normal weight women N (%) (n = 3107) | OR (95% CI) | P |
---|---|---|---|---|
Gestational diabetes | 33 (23.6) | 160 (5.1) | 5.56 (3.66–8.49) | <0.0001 |
Gestational hypertension | 24 (17.1) | 73 (2.3) | 8.59 (5.23–14.14) | <0.0001 |
Preeclampsia | 13 (9.3) | 147 (4.7) | 2.06 (1.14–3.73) | 0.017 |
Dystocia | 24 (17.1) | 274 (8.8) | 2.14 (1.36–3.38) | 0.001 |
Induced labor | 46 (32.8) | 486 (15.6) | 2.64 (1.83–3.80) | <0.0001 |
Failed induction of labor | 14 (10) | 19 (0.6) | 18.06 (8.85–36.84) | <0.0001 |
Augmentation of labor | 51 (36.4) | 987 (31.7) | 1.23 (0.87–1.75) | 0.248 |
Cesarean delivery | 60 (42.8) | 927 (29.8) | 1.76 (1.25–2.49) | 0.001 |
Outcome | Maternal BMI ≥30 kg/m2 n (%) | Maternal BMI 18.5–24.9 kg/m2 n (%) | OR (95% CI) | P |
---|---|---|---|---|
Apgar score ≤7 after 5 min | 4 (2.8) | 51 (1.6) | 1.76 (0.63–4.9) | 0.282 |
Preterm birth | 15 (10.7) | 387 (12.4) | 0.84 (0.49–1.46) | 0.541 |
Stillbirth | 3 (2.1) | 34 (1.1) | 1.98 (0.6–6.52) | 0.262 |
Small-for-gestational-age newborn | 4 (2.8) | 121 (3.9) | 0.73 (0.26–1.99) | 0.534 |
Large-for-gestational-age newborn | 41 (29.3) | 314 (10.1) | 3.68 (2.51–5.39) | <0.0001 |
BMI, body mass index. |
Outcome | Normal BMI versus BMI 30–34.9 kg/m2 (n = 94) | Normal BMI versus BMI ≥35 kg/m2 (n = 46) | |||
---|---|---|---|---|---|
OR (95% CI) | P | OR (95% CI) | P | ||
Gestational diabetes | 1.95 (0.96 –3.95) | 0.0634 | 20.09 (11.03–6.61) | <0.0001 | |
Gestational hypertension | 7.27 (3.94–13.43) | <0.0001 | 11.55 (5.52–24.15) | <0.0001 | |
Preeclampsia | 0.89 (0.32–2.47) | 0.83 | 4.89 (2.32–10.34) | <0.0001 | |
Dystocia | 1.37 (0.72–2.6) | 0.335 | 5.84 (2.93–11.67) | <0.0001 | |
Induced labor | 2.79 (1.79–4.31) | <0.0001 | 2.36 (1.25–4.45) | 0.008 | |
Failed induction of labor | 17.21 (7.57–39.15) | <0.0001 | 19.82 (7.06–55.64) | <0.0001 | |
Cesarean delivery | 1.74 (1.15–2.64) | 0.009 | 1.81 (1.01–3.26) | 0.048 | |
Apgar score ≤7 after 5 min | 0.65 (0.09–4.74) | 0.2924 | 3.97 (1.20–13.19) | 0.0243 | |
Preterm birth | 0.94 (0.50–1.77) | 0.85 | 0.70 (0.25–1.95) | 0.70 | |
Stillbirth | 1.94 (0.46–8.21) | 0.37 | 1.99 (0.27–14.82) | 0.50 | |
Small for gestational age infant | 0.82 (0.26–2.62) | 0.74 | 0.56 (0.08–4.08) | 0.57 | |
Large-for-gestational-age newborn | 3.05 (1.89–4.92) | <0.0001 | 5.21 (2.83–9.59) | <0.0001 | |
BMI, body mass index. |
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Ramonienė, G.; Maleckienė, L.; Nadišauskienė, R.J.; Bartusevičienė, E.; Railaitė, D.R.; Mačiulevičienė, R.; Maleckas, A. Maternal obesity and obstetric outcomes in a tertiary referral center. Medicina 2017, 53, 109-113. https://doi.org/10.1016/j.medici.2017.03.003
Ramonienė G, Maleckienė L, Nadišauskienė RJ, Bartusevičienė E, Railaitė DR, Mačiulevičienė R, Maleckas A. Maternal obesity and obstetric outcomes in a tertiary referral center. Medicina. 2017; 53(2):109-113. https://doi.org/10.1016/j.medici.2017.03.003
Chicago/Turabian StyleRamonienė, Gitana, Laima Maleckienė, Rūta Jolanta Nadišauskienė, Eglė Bartusevičienė, Dalia Regina Railaitė, Regina Mačiulevičienė, and Almantas Maleckas. 2017. "Maternal obesity and obstetric outcomes in a tertiary referral center" Medicina 53, no. 2: 109-113. https://doi.org/10.1016/j.medici.2017.03.003