scholarly journals Health Care Consumption during Pregnancy in relation to Maternal Body Mass Index: A Swedish Population Based Observational Study

2015 ◽  
Vol 2015 ◽  
pp. 1-7 ◽  
Author(s):  
Elisabeth S. Lindholm ◽  
Daniel Altman ◽  
Margareta Norman ◽  
Marie Blomberg
Keyword(s):  
Health Care ◽  
Body Mass Index ◽  
Observational Study ◽  
Patient Care ◽  
Body Mass ◽  
Normal Weight ◽  
Maternal Body Mass Index ◽  
Obese Women ◽  
Health Care Consumption ◽  
Maternal Body

Objective. To assess whether antenatal health care consumption is associated with maternal body mass index (BMI).Design. A register based observational study.Methods. The Swedish Medical Birth Register, the Maternal Health Care Register, and the Inpatient Register were used to determine antenatal health care consumption according to BMI categories for primiparous women with singleton pregnancies, from 2006 to 2008,n=71,638. Pairwise comparisons among BMI groups are obtained post hoc by Tukey HSD test.Result. Obese women were more often admitted for in-patient care (p<0.001), had longer antenatal hospital stays (p<0.001), and were more often sick-listed by an obstetrician (p<0.001) during their pregnancy, compared to women with normal weight women. Preeclampsia was more than four times as common, hypertension five times as common, and gestational diabetes 11 times as common when comparing in-patient care, obese to normal weight women (p<0.001for all comparisons). Underweight mothers had longer stay in hospitals (p<0.05) and hydronephrosis and hyperemesis gravidarum were more than twice as common (bothp<0.001).Conclusion. Obese and underweight mothers consumed significantly more health care resources and obese women were significantly more often sick-listed during their pregnancy when compared to pregnant women of normal weight.

Exploratory Study of the Relationship Between Maternal Body Mass Index and Spontaneous Fetal Movements

2016 ◽  
Author(s):  
Wei Ning (Will) Jiang
Keyword(s):  
Body Mass Index ◽  
Body Mass ◽  
Interrater Reliability ◽  
Well Being ◽  
Normal Weight ◽  
Maternal Body Mass Index ◽  
Body Movements ◽  
Maternal Body ◽  
Fetal Movements ◽  
Maternal Bmi

Maternal body mass index (BMI) has been reported to be associated with the number of fetal body movements and the duration of fetal breathing movements in hypertensive pregnant women (Brown et al., 2008). However, whether a relationship exists in pregnancies classified as overweight or normal weight but not complicated by hypertension is unknown and the focus of this study. Forty-five maternal-fetal pairs (normotensive, normal weight=15; normotensive, overweight=15; hypertensive=15) who had participated in a study of fetal behavior which included a 20 min real-time ultrasound scan observation of fetal movements were randomly selected from the laboratory archival database. Gestational age at testing ranged from 33-39 weeks [M(SD)= 36.2 (1.4) weeks]. All infants were delivered healthy at term. Video-recordings of the ultrasound scans were scored for the number of fetal body movements (interrater reliability r=.97) and the cumulative duration of breathing (interrater reliability r=.94) movements. The number of fetal body movements differed between groups, F(2,38)=3.19, p=0.05, with fetuses of overweight mothers moving less frequently than those of normal weight mothers (M=9.7 vs 15.5, respectively). Maternal BMI prior to pregnancy, r=-0.43, p<0.01, and at time of observation, r=-0.44, p<0.01, was associated with the number of fetal body movements, but not with duration of breathing movements. As BMI increased, the number of fetal body movements decreased. It was concluded that maternal BMI may affect the number of spontaneous fetal movements. A prospective study is necessary to determine whether BMI should be considered when using body movement counts to assess well-being and/or neurodevelopment.

scholarly journals Maternal Body Mass Index and Breastfeeding Non-Initiation and Cessation: A Quantitative Review of the Literature

Nutrients ◽  
2020 ◽  
Vol 12 (9) ◽  
pp. 2684
Author(s):  
Kyoko Nomura ◽  
Sachiko Minamizono ◽  
Kengo Nagashima ◽  
Mariko Ono ◽  
Naomi Kitano
Keyword(s):  
Body Mass Index ◽  
Body Mass ◽  
Normal Weight ◽  
Maternal Body Mass Index ◽  
Review Of The Literature ◽  
Maternal Body ◽  
Cross Sectional ◽  
Quantitative Review ◽  
Increased Risk ◽  
Meta Analyses

This study aims to investigate which maternal body mass index (BMI) categories are associated with the non-initiation or cessation of breastfeeding (BF) based on a quantitative review of the literature. We searched Ovid MEDLINE and EBSCO CINAHL for peer-reviewed articles published between 1946 (MEDLINE) or 1981 (CINAHL), and 2019. Selected studies were either cross-sectional or cohort studies, of healthy mothers and infants, that reported nutrition method (exclusive/full or any) and period (initiation/duration/cessation) of breastfeeding according to maternal BMI levels. Pairwise meta-analyses of 57 studies demonstrated that the pooled odds risks (OR) of not initiating BF among overweight and obese mothers compared to normal weight mothers were significant across 29 (OR 1.33, 95% confidence interval (CI), 1.15–1.54, I2 = 98%) and 26 studies (OR 1.61, 95% CI, 1.33–1.95, I2 = 99%), respectively; the pooled risks for BF cessation were inconsistent in overweight and obese mothers with substantial heterogeneity. However, we found that overweight mothers (n = 10, hazard ratio (HR) 1.16, 95% CI, 1.07–1.25; I2 = 23%) and obese mothers (n = 7, HR 1.45, 95% CI: 1.27–1.65; I2 = 44%) were both associated with an increased risk of not continuing any BF and exclusive BF, respectively. Overweight and obese mothers may be at increased risk of not initiating or the cessation of breastfeeding.

Factors Associated With Underweight and Stunting Among Children in Rural Terai of Eastern Nepal

2009 ◽  
Vol 21 (2) ◽  
pp. 144-152 ◽  
Author(s):  
G.C. Pramod Singh ◽  
Manju Nair ◽  
Ruth B. Grubesic ◽  
Frederick A. Connell
Keyword(s):  
Health Care ◽  
Body Mass Index ◽  
Body Mass ◽  
Standard Of Living ◽  
Maternal Body Mass Index ◽  
Maternal Body ◽  
Factors Associated ◽  
Mother’S Education ◽  
Standard Deviations ◽  
Mother's Education

Malnutrition continues to affect a large proportion of children in the developing world. The authors undertook this study to identify biologic, socioeconomic, and health care factors associated with underweight and stunting in young children in an the eastern Tarai (plains) district of Nepal. Data were collected via questionnaires from mothers of 443 children aged 6 to 36 months in Sunsari district. Multistage cluster sampling was used to select villages and children. Anthropometric measurements were made on both children and their mothers. Logistic regression was used to measure the independent (adjusted) effect of risk and protective factors on the odds of underweight or stunting. More than half (53.3%) of the children were found to be underweight (<2 standard deviations weight for age below reference median) and more than one third (36.6%) had stunting (<2 standard deviations height for age below reference median). Low maternal body mass index, child's age, higher birth order, and lower standard of living score were strong predictors of underweight, whereas mother's education >5 years and participation in vitamin A and nutritional programs were protective. Infant age, low maternal body mass index, and low standard of living score were significant risk factors for stunting, whereas mother's education >5 years was strongly protective. These results suggest that underweight and stunting are the result of a nexus of biological, socioeconomic, and health care factors.

scholarly journals 373: Effect of maternal body mass index on inpatient postpartum opioid use

2019 ◽  
Vol 220 (1) ◽  
pp. S257
Author(s):  
Shelly Soni ◽  
Matthew J. Blitz ◽  
Lakha Prasannan ◽  
Meir Greenberg ◽  
Michael Qiu ◽  
...  
Keyword(s):  
Body Mass Index ◽  
Body Mass ◽  
Maternal Body Mass Index ◽  
Opioid Use ◽  
Maternal Body

scholarly journals The effect of maternal body mass index on neonatal outcome in women receiving a single course of antenatal corticosteroids

2010 ◽  
Vol 202 (3) ◽  
pp. 263.e1-263.e5 ◽  
Author(s):  
Jason N. Hashima ◽  
Yinglei Lai ◽  
Ronald J. Wapner ◽  
Yoram Sorokin ◽  
Donald J. Dudley ◽  
...  
Keyword(s):  
Body Mass Index ◽  
Body Mass ◽  
Neonatal Outcome ◽  
Maternal Body Mass Index ◽  
Antenatal Corticosteroids ◽  
Maternal Body

scholarly journals Maternal body mass index and oxytocin in augmentation of labour in nulliparous women: a prospective observational study

BMJ Open ◽  
2021 ◽  
Vol 11 (3) ◽  
pp. e044754
Author(s):  
Anna Ramö Isgren ◽  
Preben Kjölhede ◽  
Sara Carlhäll ◽  
Marie Blomberg
Keyword(s):  
Body Mass Index ◽  
Observational Study ◽  
Body Mass ◽  
Infusion Rate ◽  
Maximum Rate ◽  
Prospective Observational Study ◽  
Normal Weight ◽  
Nulliparous Women ◽  
Oxytocin Infusion ◽  
Labour Ward

ObjectiveTo evaluate oxytocin use for augmentation of labour in relation to body mass index (BMI) on admission to the labour ward, focusing on cumulative oxytocin dose and maximum rate of oxytocin infusion during the first stage of labour.DesignProspective observational study.SettingSeven hospitals in Sweden.Participants1097 nulliparous women with singleton cephalic presentation pregnancy, ≥37 weeks of gestation, spontaneous onset of labour and treatment with oxytocin infusion for labour augmentation. The study population was classified into three BMI subgroups on admission to the labour ward: normal weight (18.5–24.9), overweight (25.0–29.9) and obese (≥30.0). The cumulative oxytocin dose was measured from the start of oxytocin infusion until the neonate was born.Primary outcomeCumulative oxytocin dose.Secondary outcomeMaximum rate of oxytocin infusion during the active phase of first stage of labour.ResultsThe mean cumulative oxytocin dose increased in the BMI groups (normal weight 2278 mU, overweight 3108 mU and obese 4082 mU (p<0.0001)). However, when adjusted for the confounders (cervical dilatation when oxytocin infusion was started, fetal birth weight, epidural analgesia), the significant difference was no longer seen. The maximum oxytocin infusion rate during the first stage of labour differed significantly in the BMI groups when adjusted for the confounding factors individually but not when adjusted for all three factors simultaneously. In addition, the maximum oxytocin infusion rate was significantly higher in women with emergency caesarean section compared with women with vaginal delivery.ConclusionsWomen with increasing BMI with augmentation of labour received a higher cumulative oxytocin dose and had a higher maximum oxytocin infusion rate during first stage of labour, however, when adjusted for relevant confounders, the difference was no longer seen. In the future, the guidelines for augmentation of labour with oxytocin infusion might be reconsidered and include modifications related to BMI.

Impact of maternal body mass index on obstetric outcome

2007 ◽  
Vol 33 (5) ◽  
pp. 655-659 ◽  
Author(s):  
Meenakshi T. Sahu ◽  
Anjoo Agarwal ◽  
Vinita Das ◽  
Amita Pandey
Keyword(s):  
Body Mass Index ◽  
Body Mass ◽  
Maternal Body Mass Index ◽  
Obstetric Outcome ◽  
Maternal Body
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