Comparison of adverse pregnancy outcomes based on the new IADPSG 2010 gestational diabetes criteria and maternal body mass index

2017 ◽  
Vol 57 (5) ◽  
pp. 533-539 ◽  
Author(s):  
Shan Jiang ◽  
David Chipps ◽  
Wah N. Cheung ◽  
Max Mongelli
Keyword(s):  
Body Mass Index ◽  
Gestational Diabetes ◽  
Body Mass ◽  
Pregnancy Outcomes ◽  
Adverse Pregnancy Outcomes ◽  
Maternal Body Mass Index ◽  
Maternal Body ◽  
Adverse Pregnancy

scholarly journals Maternal body mass index and adverse pregnancy outcomes: A ghanaian cohort study

Obesity ◽  
2015 ◽  
Vol 24 (1) ◽  
pp. 215-222 ◽  
Author(s):  
Eva L. Van Der Linden ◽  
Joyce L. Browne ◽  
Karin M. Vissers ◽  
Edward Antwi ◽  
Irene A. Agyepong ◽  
...  
Keyword(s):  
Body Mass Index ◽  
Cohort Study ◽  
Body Mass ◽  
Pregnancy Outcomes ◽  
Adverse Pregnancy Outcomes ◽  
Maternal Body Mass Index ◽  
Maternal Body ◽  
Adverse Pregnancy

scholarly journals Assessing the relationship between pregravid body mass index and risk of adverse maternal pregnancy and neonatal outcomes: prospective data in Southwest China

2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Yue Chen ◽  
Ke Wan ◽  
Yunhui Gong ◽  
Xiao Zhang ◽  
Yi Liang ◽  
...  
Keyword(s):  
Body Mass Index ◽  
Cesarean Delivery ◽  
Body Mass ◽  
Gestational Age ◽  
Pregnancy Outcomes ◽  
Maternal Age ◽  
Southwest China ◽  
Adverse Pregnancy Outcomes ◽  
Relative Importance ◽  
Adverse Pregnancy

AbstractThe relevance of pregestational body mass index (BMI) on adverse pregnancy outcomes remained unclear in Southwest China. This study aimed to investigate the overall and age-category specific association between pre-gestational BMI and gestational diabetes mellitus (GDM), preeclampsia, cesarean delivery, preterm delivery, stillbirth, macrosomia, and small-for-gestational age (SGA) or large-for-gestational age (LGA) neonates in Southwest China. Furthermore, it explores the relative importance of influence of pregravid BMI and maternal age on pregnancy outcomes. 51,125 Chinese singleton pregnant women were recruited as study subjects. Multiple logistic regression models were used to examine the influence of pre-pregnancy BMI on adverse pregnancy outcomes. Gradient boosting machine was used to evaluate the relative importance of influence of pregravid BMI and maternal age on pregnancy outcomes. It is found that women who were overweight or obese before pregnancy are at higher risk of adverse pregnancy outcomes except for SGA neonates, while pre-pregnancy underweight is a protective factor for GDM, preeclampsia, cesarean delivery, macrosomia and LGA, but not SGA. Younger mothers are more susceptible to GDM and macrosomia neonates, while older mothers are more prone to preeclampsia. Pre-pregnancy BMI has more influence on various pregnancy outcomes than maternal age. To improve pregnancy outcomes, normal BMI weight as well as relatively young maternal ages are recommended for women in child-bearing age.

scholarly journals Interpregnancy Body Mass Index Changes: Distribution and Impact on Adverse Pregnancy Outcomes in the Subsequent Pregnancy

2018 ◽  
Vol 36 (05) ◽  
pp. 517-521 ◽  
Author(s):  
Whitney Bender ◽  
Adi Hirshberg ◽  
Lisa Levine
Keyword(s):  
Body Mass Index ◽  
Preterm Birth ◽  
Body Mass ◽  
Pregnancy Outcomes ◽  
Subsequent Pregnancy ◽  
Adverse Pregnancy Outcomes ◽  
Increased Risk ◽  
History Of ◽  
Index Changes ◽  
Adverse Pregnancy

Objective To examine the change in body mass index (BMI) categories between pregnancies and its effect on adverse pregnancy outcomes. Study Design We performed a retrospective cohort study of women with two consecutive deliveries from 2005 to 2010. Analysis was limited to women with BMI recorded at <24 weeks for both pregnancies. Standard BMI categories were used. Adverse pregnancy outcomes included preterm birth at <37 weeks, intrauterine growth restriction (IUGR), pregnancy-related hypertension, and gestational diabetes mellitus (GDM). Women with increased BMI category between pregnancies were compared with those who remained in the same BMI category. Results In total, 537 women were included, of whom 125 (23%) increased BMI category. There was no association between increase in BMI category and risk of preterm birth, IUGR, or pregnancy-related hypertension. Women who increased BMI category had an increased odds of GDM compared with women who remained in the same BMI category (6.4 vs. 2.2%; p = 0.018). The increased risk remained after controlling for age, history of GDM, and starting BMI (adjusted odds ratio: 8.2; 95% confidence interval: 2.1–32.7; p = 0.003). Conclusion Almost one-quarter of women increased BMI categories between pregnancies. This modifiable risk factor has a significant impact on the risk of GDM.

scholarly journals Does Maternal Body Mass Index Influence Treatment Effect in Women with Mild Gestational Diabetes?

2014 ◽  
Vol 32 (01) ◽  
pp. 093-100
Author(s):  
Lisa Mele ◽  
Mark Landon ◽  
Catherine Spong ◽  
Susan Ramin ◽  
Ronald Wapner ◽  
...  
Keyword(s):  
Body Mass Index ◽  
Gestational Diabetes ◽  
Body Mass ◽  
Treatment Effect ◽  
Maternal Body Mass Index ◽  
Maternal Body

scholarly journals Maternal super-obesity (body mass index ≥ 50) and adverse pregnancy outcomes

2010 ◽  
Vol 89 (7) ◽  
pp. 924-930 ◽  
Author(s):  
Mark Christopher Alanis ◽  
William H. Goodnight ◽  
Elizabeth G. Hill ◽  
Christopher J. Robinson ◽  
Margaret S. Villers ◽  
...  
Keyword(s):  
Body Mass Index ◽  
Body Mass ◽  
Pregnancy Outcomes ◽  
Adverse Pregnancy Outcomes ◽  
Super Obesity ◽  
Adverse Pregnancy

Pre-gestational maternal body mass index predicts an increased risk of congenital malformations in infants of mothers with gestational diabetes

2005 ◽  
Vol 22 (6) ◽  
pp. 775-781 ◽  
Author(s):  
M. L. Martinez-Frias ◽  
J. P. Frias ◽  
E. Bermejo ◽  
E. Rodriguez-Pinilla ◽  
L. Prieto ◽  
...  
Keyword(s):  
Body Mass Index ◽  
Gestational Diabetes ◽  
Body Mass ◽  
Congenital Malformations ◽  
Maternal Body Mass Index ◽  
Maternal Body ◽  
Increased Risk

scholarly journals The impact of high maternal body mass index on obstetric and perinatal outcomes

2021 ◽  
Vol 10 (3) ◽  
pp. 1031
Author(s):  
Natasha Sharma ◽  
Manasi Patnaik
Keyword(s):  
Body Mass Index ◽  
Body Mass ◽  
Pregnancy Outcomes ◽  
Maternal Obesity ◽  
Gestational Hypertension ◽  
First Trimester ◽  
Maternal Body Mass Index ◽  
Obese Women ◽  
Adverse Pregnancy ◽  
The Impact

Background: The incidence of obesity has increased to pandemic proportions over the last 20 years. Maternal obesity is associated with a wide array of adverse maternal pregnancy outcomes and increased risks in the offspring. The aim of the study was to find the effect of obesity on maternal and perinatal outcome in obese women in comparison to those of normal weight women.Methods: The study was designed as a case-control study. Antenatal women with first trimester body mass index (BMI) of more than 30 kg/m2 constituted the cases and those with BMI between 18 and 24.9 kg/m2 formed the controls.Results: There was increased incidence of antepartum complications in obese women. Obese women had a significant history of prior treatment for infertility (p<0.00001). The incidence of gestational diabetes (OR 4.76, 95%CI 1.267-17.72 p=0.014), gestational hypertension (OR 3.05, 95%CI 1.01-9.20 p=0.04), induction of labor (OR 2.5, 95%CI 1.0-6.28 p=0.04), preeclampsia (OR 2.38, 95%CI 1.0-5.64 p=0.04, Caesarean section (OR 1.98, 95%CI 1.24-3.14 p=0.003), postpartum haemorrhage (OR 8.57, 95%CI 1.07-76.15 p=0.04) and wound infection (OR 8.57, 95%CI 1.07-76.15 p=0.04) and adverse neonatal outcomes such as higher mean birth weight (p<0.0001) and requirement of NICU (OR 2.79, 95%CI 1.33 -5.84 p=0.006) was higher in obese women.Conclusions: Obesity is an independent risk factor for adverse pregnancy outcomes and hence, interventions directed towards weight loss and prevention of excessive weight gain must begin in the preconception period. 

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