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High pre-delivery body mass index also caused adverse pregnancy outcomes

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DOI: 10.4236/ojog.2013.34076    2,358 Downloads   3,633 Views  

ABSTRACT

Background/Aims: It is known that high pre-preg-nancybody mass index (BMI) and high gestational weight gain both can cause many adverse pregnancy outcomes. High pre-delivery BMI (PD-BMI), though theoretically could do similar effects, is rarely been studied. The objectives of this study were to show the distribution of PD-BMI of the delivery women and to identify its correlation with adverse pregnancy outcomes. Methods: This study was a cross sectional study. Data were collected retrospectively from hospital electronic database of Lampang Regional Hospital (LPH) along with manual retrieval from medical charts and labor records. Data of all pregnant women who delivered at labor room were collected from 1st February 2011 to 31st August 2012. After preterm and multifetal pregnancies were excluded, 4999 cases were into the analysis. Descriptive and inferential data analyses were used with both univariate and multivariate methods. Results: In this group of women, 93.9% were in the PD-BMI range of 20.0 -34.9 kg/m2. After multivariate analysis was used, higher PD-BMI was shown to be correlated with higher cesarean section, neonates weighing ≥3500 gmand long neonatal length with relative risk (RR) and 95% confidence interval (95% CI) of 1.11 (1.09 - 1.13), 1.15 (1.12 - 1.17) and 1.07 (1.05 - 1.09), respectively. Conclusions: High PD-BMI was correlated with multiple adverse pregnancy outcomes. Interestingly, their effect sizes were much smaller comparing to high pre-pregnancy BMI and high gestational weight gain. It confirmed the current recommendations to monitor pre-pregnancy BMI and gestational weight gain to avoid unwanted morbidities.

Conflicts of Interest

The authors declare no conflicts of interest.

Cite this paper

Arora, R. , Arora, D. and Patumanond, J. (2013) High pre-delivery body mass index also caused adverse pregnancy outcomes. Open Journal of Obstetrics and Gynecology, 3, 416-421. doi: 10.4236/ojog.2013.34076.

References

[1] Worlds Health Organization. ECOSOC High-Level Segment (2009) Discussion paper: Noncommunicable diseases, poverty and the development agenda. http://www.who.int/nmh/ publications/discussion_ paper_ncd_en.pdf
[2] Alexandra, P., Vassilios, B., Alexandra, V., George, K., Vassiliki, L. and Chryssa, B. (2011) Population-based trends of pregnancy outcome in obese mothers: What has changed over 15 years. Obesity, 19, 1861-1865. doi:10.1038/oby.2010.317
[3] Kim, S.Y., Dietz, P.M., England, L., Morrow, B. and Callaghan, W.M. (2007) Trends in pre-pregnancy obesity in nine states, 1993-2003. Obesity, 15, 986-993. doi:10.1038/oby.2007.621
[4] Wolfe, H. (1998) High prepregnancy body-mass index— A maternal-fetal risk factor. The New England Journal of Medicine, 338, 191-192. doi:10.1056/NEJM199801153380310
[5] Cnattingius, S., Bergstrom, R., Lipworth, L. and Kramer, M.S. (1998) Prepregnancy weight and the risk of adverse pregnancy outcomes. The New England Journal of Medicine, 338, 147-152. doi:10.1056/NEJM199801153380302
[6] Djelantik, A.A., Kunst, A.E., van der Wal, M.F., Smit, H.A. and Vrijkotte, T.G. (2012) Contribution of overweight and obesity to the occurrence of adverse pregnancy outcomes in a multi-ethnic cohort, population attributive fractions for Amsterdam. British Journal of Obstetrics & Gynaecology, 119, 283-290. doi:10.1111/j.1471-0528.2011.03205.x
[7] Park, J.H., Lee, B.E., Park, H.S., Ha, E.H., Lee, S.W. and Kim, Y.J. (2011) Association between pre-pregnancy body mass index and socioeconomic status and impact on pregnancy outcomes in Korea. Journal of Obstetrics and Gynaecology Research, 37, 138-145. doi:10.1111/j.1447-07 56.2010.01332.x
[8] Ovesen, P., Rasmussen, S. and Kesmodel, U. (2011) Effect of prepregnancy maternal overweight and obesity on pregnancy outcome. Obstetrics and Gynaecology, 118, 305-312. doi:10.1097/AOG.0b01 3e3182245d49
[9] Liu, X., Du, J., Wang, G., Chen, Z., Wang, W. and Xi, Q. (2011) Effect of pre-pregnancy body mass index on adverse pregnancy outcome in north of China. Archives of Gynecology and Obstetrics, 283, 65-70. doi:10.1007/s00404-009-1288-5
[10] Biering, K., Nohr, E.A., Olsen, J., Andersen, A.M., Hjollund, N.H. and Juhl, M. (2011) Pregnancy-related pelvic pain is more frequent in women with increased body mass index. Acta Obstetricia et Gynecologica Scandinavica, 90, 1132-1139. doi:10.1111/j.1600-0412.2011.01141.x
[11] Aviram, A., Hod, M. and Yogev, Y. (2011) Maternal obesity, implications for pregnancy outcome and longterm risks—A link to maternal nutrition. International Journal of Gynecology & Obstetrics, 115, S6-S10. doi:10.1016/S0020-7292(11)60004-0
[12] Owens, L.A., O’Sullivan, E.P., Kirwan, B., Avalos, G., Gaffney, G., Dunne, F., et al. (2010) ATLANTIC DIP, the impact of obesity on pregnancy outcome in glucosetolerant women. Diabetes Care, 33, 577-579. doi:10.2337/dc09-0911
[13] Narchi, H. and Skinner, A. (2010) Overweight and obesity in pregnancy do not adversely affect neonatal outcomes, new evidence. Journal of Obstetrics and Gynaecology, 30, 679-686. doi:10.3109/01443615.2010.509824
[14] Aydin, C., Baloglu, A., Yavuzcan, A. and Inci, A. (2010) The effect of body mass index value during labor on pregnancy outcomes in Turkish population (obesity and pregnancy outcomes). Archives of Gynecology and Obstetrics, 281, 49-54. doi:10.1007/s00404-009-1060-x
[15] Athukorala, C., Rumbold, A.R., Willson, K.J. and Crowther, C.A. (2010) The risk of adverse pregnancy outcomes in women who are overweight or obese. BMC Pregnancy Childbirth, 10, 56. doi:10.1186/1471-2393-10-56
[16] Yogev, Y. and Catalano, P.M. (2009) Pregnancy and obesity. Obstetrics & Gynecology Clinics of North America, 36, 285-300. doi:10.1016/j.ogc.2009.03.003
[17] Smith, G.C., Shah, I., Pell, J.P., Crossley, J.A. and Dobbie, R. (2007) Maternal obesity in early pregnancy and risk of spontaneous and elective preterm deliveries: A retrospective cohort study. American Journal of Public Health, 97, 157-162. doi:10.2105/AJPH.2005.074294
[18] Bhattacharya, S., Campbell, D.M. and Liston, W.A. (2007) Effect of Body Mass Index on pregnancy outcomes in nulliparous women delivering singleton babies. BMC Public Health, 7, 168. doi:10.1186/1471-2458-7-168
[19] Yu, C.K., Teoh, T.G. and Robinson, S. (2006) Obesity in pregnancy. British Journal of Obstetrics & Gynaecology, 113, 1117-1125. doi:10.1111/j.1471-0528.2006.00991.x
[20] Raatikainen, K., Heiskanen, N. and Heinonen, S. (2006) Transition from overweight to obesity worsens pregnancy outcome in a BMI-dependent manner. Obesity, 14, 165-171. doi:10.1038/ob y.2006.20
[21] Doherty, D.A., Magann, E.F., Francis, J., Morrison, J.C. and Newnham, J.P. (2006) Pre-pregnancy body mass index and pregnancy outcomes. International Journal of Gynecology & Obstetrics, 95, 242-247. doi:10.1016/j.ijgo.2006.06.021
[22] Bracero, L.A. and Byrne, D.W. (1998) Optimal maternal weight gain during singleton pregnancy. Gynecologic and Obstetric Investigation, 46, 9-16.
[23] Carmichael, S., Abrams, B. and Selvin, S. (1997) The pattern of maternal weight gain in women with good pregnancy outcomes. American Journal of Public Health, 87, 1984-1988.
[24] Muktabhant, B., Lumbiganon, P., Ngamjarus, C. and Dowswell, T. (2012) Interventions for preventing excessive weight gain during pregnancy. Cochrane Database of Systematic Reviews, 4, CD007145. doi:10.1002/14651858.CD007145.pub2
[25] Park, J.H., Lee, B.E., Park, H.S., Ha, E.H., Lee, S.W. and Kim, Y.J. (2011) Association between pre-pregnancy body mass index and socioeconomic status and impact on pregnancy outcomes in Korea. Journal of Obstetrics and Gynaecology Research, 37, 138-145. doi:10.1111/j.1447-075 6.2010.01332.x
[26] Nohr, E.A., Vaeth, M., Baker, J.L., Sorensen, T.Ia., Olsen, J. and Rasmussen, K.M. (2008) Combined associations of prepregnancy body mass index and gestational weight gain with the outcome of pregnancy. The American Journal of Clinical Nutrition, 87, 1750-1759.
[27] Rudra, C.B., Frederick, I.O. and Williams, M.A. (2008) Pre-pregnancy body mass index and weight gain during pregnancy in relation to preterm delivery subtypes. Acta Obstetricia et Gynecologica Scandinavica, 87, 510-517.
[28] Carnero, A.M., Mejiia, C.R. and Garciia, P.J. (2012) Rate of gestational weight gain, pre-pregnancy body mass index and preterm birth subtypes: A retrospective cohort study from Peru. British Journal of Obstetrics & Gynaecology, 119, 924-935. doi:10.1080/00016340801996838
[29] Laitinen, J., Jaaskelainen, A., Hartikainen, A.L., Sovio, U., Vaarasmaki, M., Pouta, A., et al. (2012) Maternal weight gain during the first half of pregnancy and offspring obesity at 16 years: A prospective cohort study. British Journal of Obstetrics & Gynaecology, 119, 716-723. doi:10.1111/j.1471-0528.2012.03319.x
[30] Ogunyemi, D., Hullett, S., Leeper, J. and Risk, A. (1998) Prepregnancy body mass index, weight gain during pregnancy, and perinatal outcome in a rural black population. Journal of Maternal-Fetal and Neonatal Medicine, 7, 190-193.
[31] Roman, H., Goffinet, F., Hulsey, T.F., Newman, R., Robillard, P.Y. and Hulsey, T.C. (2008) Maternal body mass index at delivery and risk of caesarean due to dystocia in low risk pregnancies. Acta Obstetricia et Gynecologica Scandinavica, 87, 163-170. doi:10.1080/00016340701762975
[32] Kominiarek, M.A., Vanveldhuisen, P., Hibbard, J., Landy, H., Haberman, S., Learman, L., et al. (2010) The maternal body mass index: A strong association with delivery route. American Journal of Obstetrics & Gynecology, 203, e1-e7. doi:10.1016/j.ajog.2010.06.024
[33] Kominiarek, M.A., Zhang, J., Vanveldhuisen, P., Troendle, J., Beaver, J. and Hibbard, J.U. (2011) Contemporary labor patterns: The impact of maternal body mass index. American Journal of Obstetrics & Gynecology, 205, e1-e8. doi:10.1016/j.ajog.2011.06.014

  
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