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Maternal “isolated” obesity and obstetric complications
| Content Provider | Scilit |
|---|---|
| Author | Gilead, Rami Salem, Shimrit Yaniv Sergienko, Ruslan Sheiner, Eyal |
| Copyright Year | 2012 |
| Description | Journal: The Journal of Maternal-Fetal & Neonatal Medicine To investigate pregnancy outcomes, particularly cesarean delivery (CD), among women with "isolated" obesity (i.e. without additional comorbidities). We conducted a retrospective population-based study between the years 1988-2010. The pregnancy outcomes of obese (prepregnancy BMI ≥30 kg/m(2)) and nonobese patients were compared. Patients with chronic hypertension, pregestational diabetes mellitus, other preexisting chronic morbidities, multiple gestations, age above 40 years, grand multiparity (above 5 deliveries), lack of prenatal care, and following fertility treatments were excluded from the analysis. Stratified analyses, using multiple logistic regression models, were performed to control for confounders. During the study period, a total of 173,628 deliveries met the inclusion criteria; 1605 (0.9%) occurred in patients with "isolated" obesity. Higher rates of CD were found among patients with "isolated" obesity (30.7% vs. 12.3%; odds ration [OR] = 3.2; p < 0.001). When controlling for possible confounders, using a multivariable model with CD as the outcome variable, the association between "isolated" obesity and CD remained significant (adjusted OR = 2.6; p < 0.001). No significant differences were found in the risks of perinatal complications including perinatal mortality, shoulder dystocia, congenital malformations, and low 5-min Apgar score. "Isolated" obesity, although not a risk factor for adverse perinatal outcomes, is an independent risk factor for CD. |
| Related Links | http://www.tandfonline.com/doi/pdf/10.3109/14767058.2012.716464 |
| Ending Page | 2582 |
| Page Count | 4 |
| Starting Page | 2579 |
| ISSN | 14767058 |
| e-ISSN | 14764954 |
| DOI | 10.3109/14767058.2012.716464 |
| Journal | The Journal of Maternal-Fetal & Neonatal Medicine |
| Issue Number | 12 |
| Volume Number | 25 |
| Language | English |
| Publisher | Informa UK Limited |
| Publisher Date | 2012-08-22 |
| Access Restriction | Open |
| Subject Keyword | Journal: The Journal of Maternal-Fetal & Neonatal Medicine Obstetrics and Gynecology Cesarean Delivery Obstetric Complications Pregnancy Outcome |
| Content Type | Text |
| Subject | Pediatrics, Perinatology and Child Health Obstetrics and Gynecology |
