Pre-pregnancy maternal obesity, macrosomia, and risk of stillbirth: A population-based study

Author(s):  
Chioma A. Ikedionwu ◽  
Deepa Dongarwar ◽  
Korede K. Yusuf ◽  
Sahra Ibrahimi ◽  
Abraham A. Salinas-Miranda ◽  
...  
2018 ◽  
Vol 187 (7) ◽  
pp. 1362-1369 ◽  
Author(s):  
Ai Kubo ◽  
Julianna Deardorff ◽  
Cecile A Laurent ◽  
Assiamira Ferrara ◽  
Louise C Greenspan ◽  
...  

2015 ◽  
Vol 44 (suppl_1) ◽  
pp. i192-i192
Author(s):  
M. S. Felisbino-Mendes ◽  
A. D. Moreira ◽  
G. Velasquez-Melendez

Obesity Facts ◽  
2020 ◽  
Vol 13 (4) ◽  
pp. 333-348
Author(s):  
Roland Devlieger ◽  
Lieveke Ameye ◽  
Tinne Nuyts ◽  
Régine Goemaes ◽  
Annick Bogaerts

<b><i>Background and Objective:</i></b> Maternal obesity is an epidemic health problem that is aggravated by excessive gestational weight gain (GWG) and postpartum weight retention. Current US Institute of Medicine (now US National Academy of Medicine) guidelines (2009) for GWG need to be evaluated against the current rise in obesity in the general and pregnant population. We wanted to study the relation between GWG and pregnancy and birth outcomes and to relate this to the current recommendations for GWG. <b><i>Methods:</i></b> Population-based study. We performed an epidemiological analysis in a cohort of Belgian pregnant women with singleton live births at term (≥37 weeks) between 2009 and 2014 (<i>n</i> = 337,590). Logistic regression was used to determine the optimal GWG in relation to relevant pregnancy and birth outcomes. <b><i>Results:</i></b> The prevalence of maternal obesity significantly increased from 10.3% in 2009 to 11.4% in 2014. The mean (SD) body mass index at the start of the pregnancy significantly increased from 23.9 (4.5) in 2009 to 24.2 (4.6) in 2014. Excessive GWG was frequent, especially in overweight (56.8%) and obese (52.9%) pregnant women. In the logistic regression model, the amount of GWG associated with the lowest incidence of both large-for-gestational-age and small-for-gestational-age infants was 21 kg in underweight women, 14 kg in normal weight, 8 kg in overweight, 0 kg in obese class I, –4 kg in obese class II and –5 kg in obese class III. <b><i>Conclusion:</i></b> The prevalence of maternal obesity has risen in Belgium between 2009 and 2014. Current GWG guidelines, based on historic observational data, are probably too liberal for class II and III obese women in which better outcomes are being predicted for lower weight gain than recommended.


2021 ◽  
Vol 10 (24) ◽  
pp. 5828
Author(s):  
Dana Anaïs Muin ◽  
Hanns Helmer ◽  
Hermann Leitner ◽  
Sabrina Neururer

(1) Background: Across Europe, the incidence of antepartum stillbirth varies greatly, partly because of heterogeneous definitions regarding gestational weeks and differences in legislation. With this study, we sought to provide a comprehensive overview on the demographics of antepartum stillbirth in Austria, defined as non-iatrogenic fetal demise ≥22+0 gestational weeks (/40). (2) Methods: We conducted a population-based study on epidemiological characteristics of singleton antepartum stillbirth in Austria between January 2008 and December 2020. Data were derived from the validated Austrian Birth Registry. (3) Results: From January 2008 through December 2020, the antepartum stillbirth rate ≥20+0/40 was 3.10, ≥22+0/40 3.14, and ≥24+0/40 2.83 per 1000 births in Austria. The highest incidence was recorded in the federal states of Vienna, Styria, and Lower and Upper Austria, contributing to 71.9% of all stillbirths in the country. In the last decade, significant fluctuations in incidence were noted: from 2011 to 2012, the rate significantly declined from 3.40 to 3.07‰, whilst it significantly increased from 2.76 to 3.49‰ between 2019 and 2020. The median gestational age of antepartum stillbirth in Austria was 33+0 (27+2–37+4) weeks. Stillbirth rates ≤26/40 ranged from 164.98 to 334.18‰, whilst the lowest rates of 0.58–8.4‰ were observed ≥36/40. The main demographic risk factors were maternal obesity and low parity. (4) Conclusions: In Austria, the antepartum stillbirth rate has remained relatively stable at 2.83–3.10 per 1000 births for the last decade, despite a significant decline in 2012 and an increase in 2020.


2018 ◽  
Vol 33 (1) ◽  
pp. 7-16 ◽  
Author(s):  
Ayesha Siddiqui ◽  
Elie Azria ◽  
Elizabeth A. Howell ◽  
Catherine Deneux‐Tharaux ◽  
Bruno Langer ◽  
...  

2010 ◽  
Vol 91 (6) ◽  
pp. 1543-1549 ◽  
Author(s):  
James L Mills ◽  
James Troendle ◽  
Mary R Conley ◽  
Tonia Carter ◽  
Charlotte M Druschel

2001 ◽  
Vol 120 (5) ◽  
pp. A628-A628
Author(s):  
E LOFTUSJR ◽  
C CROWSON ◽  
W SANDBORN ◽  
W TREAMINE ◽  
W OFALLON ◽  
...  

2005 ◽  
Vol 173 (4S) ◽  
pp. 73-73 ◽  
Author(s):  
Daniel A. Barocas ◽  
Farhang Rabbani ◽  
Douglas S. Scherr ◽  
E. Darracott Vaughan

2005 ◽  
Vol 173 (4S) ◽  
pp. 401-401
Author(s):  
Javier Hernandez ◽  
Jacques Baillargeon ◽  
Brad Pollock ◽  
Alan R. Kristal ◽  
Patrick Bradshaw ◽  
...  

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