Pre-pregnancy body mass index and pregnancy outcomes

Dorota Doherty, Pat Magann, J. Francis, J.C. Morrison, John Newnham

    Research output: Contribution to journalArticle

    193 Citations (Scopus)

    Abstract

    ObjectiveTo determine the effect of maternal pre-pregnancy BMI on pregnancy outcomes.MethodsPregnancy cohort recruited pregnancies between 16 and 18 weeks. BMI evaluated underweight, BMI <18.5, normal, BMI 18.5–25, overweight BMI 25–30, and obese BMI > 30 women.ResultsPre-pregnancy BMI classified 331 women as underweight (11.7%), 1982 normal (69.9%), 326 overweight (11.5%), and 188 as obese (6.6%). Obese women were more likely to develop gestational diabetes (p <0.001), hypertension (p <0.001), preeclampsia (p <0.001), need labor induction (p <0.001), cesarean delivery for fetal distress (p <0.001), postpartum hemorrhage (p = 0.003), need neonatal resuscitation (p = 0.001) and deliver hypoglycemic infants (p = 0.007). Being underweight is correlated with fetal growth restriction (p = 0.001).ConclusionPre-pregnancy obesity is a risk factor for gestational diabetes, preeclampsia, labor induction, cesarean for fetal distress, postpartum hemorrhage and neonatal hypoglycemic and need for resuscitation. Being underweight is risk factor for fetal growth restriction.
    Original languageEnglish
    Pages (from-to)242-247
    JournalInternational Journal of Gynecology and Obstetrics
    Volume95
    Issue number3
    DOIs
    Publication statusPublished - 2006

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