Abstract
Objective: To evaluate the association between pre-pregnancy body mass index (BMI) and adverse pregnancy outcomes using a large administrative database. Methods: Retrospective cohort study of California women delivering singletons in 2007. The association between pre-pregnancy BMI category and adverse outcomes were evaluated using multivariate logistic regression. Results: Among 436,414 women, increasing BMI was associated with increasing odds of adverse outcomes. Obese women (BMI3039.9) were nearly 3x more likely to have gestational diabetes (OR2.83, 95% CI2.742.92) and gestational hypertension/preeclampsia (2.68, 2.592.77) and nearly twice as likely to undergo cesarean (1.82, 1.781.87), when compared to normal BMI women (BMI18.524.9). Morbidly obese women (BMI ≥ 40) were 4x more likely to have gestational diabetes (4.72, 4.464.99) and gestational hypertension/preeclampsia (4.22, 3.974.49) and nearly 3x as likely to undergo cesarean (2.60, 2.462.74). Conclusion: There is a strong association between increasing maternal BMI and adverse pregnancy outcomes. This information is important for counseling women regarding the risks of obesity in pregnancy.
Original language | English (US) |
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Pages (from-to) | 1635-1639 |
Number of pages | 5 |
Journal | Journal of Maternal-Fetal and Neonatal Medicine |
Volume | 25 |
Issue number | 9 |
DOIs | |
State | Published - Sep 2012 |
Keywords
- BMI
- Cesarean delivery
- Gestational diabetes
- Gestational hypertension
- Macrosomia
- Preeclampsia
ASJC Scopus subject areas
- Pediatrics, Perinatology, and Child Health
- Obstetrics and Gynecology