scholarly journals Relationship between Maternal Body Mass Index and Obstetric and Perinatal Complications

2020 ◽  
Vol 9 (3) ◽  
pp. 707 ◽  
Author(s):  
Ana Ballesta-Castillejos ◽  
Juan Gómez-Salgado ◽  
Julián Rodríguez-Almagro ◽  
Inmaculada Ortiz-Esquinas ◽  
Antonio Hernández-Martínez
Keyword(s):  
Body Mass Index ◽  
Body Mass ◽  
Overweight And Obesity ◽  
Reproductive Age ◽  
Maternal Body Mass Index ◽  
Perinatal Complications ◽  
Odds Ratios ◽  
Maternal Body ◽  
Type Iii ◽  
Increased Risk

Over the past few decades, overweight and obesity have become a growing health problem of particular concern for women of reproductive age as obesity in pregnancy has been associated with increased risk of obstetric and neonatal complications. The objective of this study is to describe the incidence of obstetric and perinatal complications in relation to maternal body mass index (BMI) at the time prior to delivery within the Spanish Health System. For this purpose, a cross-sectional observational study was conducted aimed at women who have been mothers between 2013 and 2018 in Spain. Data were collected through an online survey of 42 items that was distributed through lactation associations and postpartum support groups. A total of 5871 women answered the survey, with a mean age of 33.9 years (SD = 4.26 years). In the data analysis, crude odds ratios (OR) and adjusted odds ratios (AOR) were calculated through a multivariate analysis. A linear relationship was observed between the highest BMI figures and the highest risk of cephalopelvic disproportion (AOR of 1.79 for obesity type III (95% CI: 1.06–3.02)), preeclampsia (AOR of 6.86 for obesity type III (3.01–15.40)), labor induction (AOR of 1.78 for obesity type III (95% CI: 1.16–2.74)), emergency C-section (AOR of 2.92 for obesity type III (95% CI: 1.68–5.08)), morbidity composite in childbirth (AOR of 3.64 for obesity type III (95% CI: 2.13–6.24)), and macrosomia (AOR of 6.06 for obesity type III (95% CI: 3.17–11.60)), as compared with women with normoweight. Women with a higher BMI are more likely to develop complications during childbirth and macrosomia.

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.

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 Effects of pre-pregnancy maternal body mass index on gestational diabetes mellitus

2018 ◽  
Vol 7 (1.9) ◽  
pp. 279 ◽  
Author(s):  
Priya Shirley Muller ◽  
M Nirmala
Keyword(s):  
Diabetes Mellitus ◽  
Body Mass Index ◽  
Gestational Diabetes ◽  
Gestational Diabetes Mellitus ◽  
Body Mass ◽  
Overweight And Obesity ◽  
Maternal Body Mass Index ◽  
Maternal Body ◽  
Good Glycaemic Control ◽  
Fetal Complications

The prevalence of both obesity and Gestational Diabetes Mellitus (GDM) is increasing worldwide. Overweight and obesity are abnormal or excessive fat accumulation that presents a risk to health. The presence of obesity has, in particular, a significant impact on both maternal and fetal complications associated with GDM. These complications can be addressed, at least in part, by good glycaemic control during pregnancy. The objective of the study is to classify GDM and non-GDM patients based on pre-pregnancy maternal Body Mass Index (BMI) and to assess and quantify the risk for GDM according to BMI.

scholarly journals Maternal body mass index, neonatal lung function and respiratory symptoms in childhood

2015 ◽  
Vol 46 (5) ◽  
pp. 1342-1349 ◽  
Author(s):  
Jacobien B. Eising ◽  
Cuno S.P.M. Uiterwaal ◽  
Cornelis K. van der Ent
Keyword(s):  
Body Mass Index ◽  
Lung Function ◽  
Body Mass ◽  
Maternal Obesity ◽  
First Year ◽  
Maternal Body Mass Index ◽  
Maternal Body ◽  
Increased Risk ◽  
Neonatal Lung ◽  
First Year Of Life

Recent studies have shown that maternal obesity is associated with increased risk of wheezing in the offspring. We assessed whether impaired neonatal lung function could explain this association.We measured neonatal lung function in 2606 children of our prospective birth cohort. Information about daily symptoms of wheezing was obtained using questionnaires. Consultations and prescriptions for wheezing illnesses were derived from general practitioner patient files.Higher maternal body mass index (BMI) was associated with increased risk of wheezing in the first year of life and more consultations and prescriptions for wheezing illnesses until the age of 5 years. Lung function could partially explain the association with wheezing in the first year of life. Adding respiratory resistance to the model decreased the incidence rate ratio from 1.023 (95% CI 1.008–1.039) to 1.015 (95% CI 0.998–1.032). Anthropometrics of the 5-year-olds largely explained the association with consultations. Intermediates or confounders could not explain the association with prescriptions.There is an association between higher maternal BMI and increased risk of wheezing illnesses. In the first year of life, it is largely explained by an impaired lung function in early life, especially in children of nonatopic mothers. At the age of 5 years, infant lung function is of minor influence in this association.

scholarly journals Changes in Maternal Body Mass Index, Weight Gain and Outcome of Singleton Pregnancies from 2000 to 2015

2020 ◽  
Vol 80 (05) ◽  
pp. 508-517
Author(s):  
Kathrin Noever ◽  
Julia Schubert ◽  
Edith Reuschel ◽  
Nina Timmesfeld ◽  
Birgit Arabin
Keyword(s):  
Body Mass Index ◽  
Weight Gain ◽  
Body Mass ◽  
Maternal Obesity ◽  
Early Stage ◽  
Overweight And Obesity ◽  
Maternal Body Mass Index ◽  
Short Term ◽  
Maternal Body ◽  
Singleton Pregnancies

Abstract Introduction Maternal obesity and excessive gestational weight gain (GWG) affect the outcomes of women and their offspring. Our aim was to evaluate population-based data from Germany. Material and Methods Data from 583 633/791 514 mother-child pairs obtained from the perinatal database in Hesse for the period from 2000 to 2015 were used after excluding incomplete or non-plausible datasets. Early-stage pregnancy maternal body mass index (BMI) and GWG were evaluated. Significant outcome changes were calculated using linear or logistic regression models. Results The mean maternal age increased from 29.9 to 31.28 years; GWG increased from 445.1 to 457.2 g/week (p < 0.01). Similarly, rates for both overweight and obesity rose from 31.5 to 37.5% (p < 0.001). Cesarean section rates rose from 22.8 to 33.2% (p < 0.001) and rates of postpartum hemorrhage increased from 0.6 to 1% (p < 0.001). There was no significant change in the rates for stillbirth or perinatal mortality (p = 0.92 and p = 0.53 respectively), but there was an increase in the rates of admissions to neonatal intensive care units from 7.8 to 9.5% (p < 0.0001). The percentage of newborns with an Apgar score of < 7 at 5 minutes increased from 1 to 1.1% (p < 0.01) and the rate of neonates with an umbilical artery pH of < 7.1 rose from 1.7 to 2.4% (p < 0.01). Conclusions In just 15 years, pre-pregnancy BMI and GWG rates of women with singleton pregnancies have increased, and this increase has been accompanied by a significant rise in the rate of cesarean sections and a significant worsening of short-term maternal and neonatal outcomes. It is time to discuss the risks and the short-term and more worrying long-term consequences for mothers and their offspring and the future impact on our healthcare system.

scholarly journals Trends in maternal body mass index in Northern Ireland: a cross-sectional and longitudinal study

2021 ◽  
Vol 9 (4) ◽  
pp. e001310
Author(s):  
Lisa Kent ◽  
Christopher Cardwell ◽  
Ian Young ◽  
Kelly-Ann Eastwood
Keyword(s):  
Body Mass Index ◽  
Northern Ireland ◽  
Body Mass ◽  
Maternal Obesity ◽  
Unplanned Pregnancy ◽  
Overweight And Obesity ◽  
Maternal Body Mass Index ◽  
Class Iii ◽  
Maternal Body ◽  
Maternal Overweight

ObjectivesExplore (1) associations between maternal body mass index (BMI), demographic and clinical characteristics, (2) longitudinal trends in BMI, (3) geographical distributions in prevalence of maternal overweight and obesity.DesignRetrospective population-based study.SettingLinked, anonymised, routinely collected healthcare data and official statistics from Northern Ireland.ParticipantsAll pregnancies in Northern Ireland (2011–2017) with BMI measured at ≤16 weeks gestation.MethodsAnalysis of variance and χ2 tests were used to explore associations. Multiple linear regression was used to explore longitudinal trends and spatial visualisation illustrated geographical distribution. Main outcomes are prevalence of overweight (BMI ≥25 kg/m2) and obesity (BMI ≥30 kg/m2).Results152 961 singleton and 2362 multiple pregnancies were included. A high prevalence of maternal overweight and obesity in Northern Ireland is apparent (singleton: 52.4%; multiple: 48.3%) and is increasing. Obesity was positively associated with older age, larger numbers of previous pregnancies and unplanned pregnancy (p<0.001). BMI category was also positively associated with unemployment (35% in obese class III vs 22% in normal BMI category) (p<0.001). Higher BMI categories were associated with increased rate of comorbidities, including hypertension (normal BMI: 1.8% vs obese III: 12.4%), diabetes mellitus (normal BMI: 0.04% vs obese III: 1.29%) and mental ill-health (normal BMI: 5.0% vs obese III: 11.8%) (p<0.001). Prevalence of maternal obesity varied with deprivation (most deprived: 22.8% vs least deprived: 15.7%) (p<0.001). Low BMI was associated with age <20 years, nulliparity, unemployment and mental ill-health (p<0.001).ConclusionsThe prevalence of maternal BMI >25 kg/m2 is increasing over time in Northern Ireland. Women are entering pregnancy with additional comorbidities likely to impact their life course beyond pregnancy. This highlights the need for prioritisation of preconception and inter-pregnancy support for management of weight and chronic conditions.

Higher Maternal Body Mass Index Is Associated with an Increased Risk for Later Type 2 Diabetes in Offspring

2013 ◽  
Vol 162 (5) ◽  
pp. 918-923.e1 ◽  
Author(s):  
Markus Juonala ◽  
Paula Jääskeläinen ◽  
Matthew A. Sabin ◽  
Jorma S.A. Viikari ◽  
Mika Kähönen ◽  
...  
Keyword(s):  
Type 2 Diabetes ◽  
Body Mass Index ◽  
Body Mass ◽  
Maternal Body Mass Index ◽  
Maternal Body ◽  
Increased Risk

scholarly journals Factors Associated with Overweight and Obesity among Women Aged 15-49 Years in Zimbabwe: Evidence from the 2005/6, 2010/11 and 2015 Zimbabwe Demographic and Health Survey

2021 ◽  
Author(s):  
Kudzaishe Mangombe ◽  
Naomi Wekwete ◽  
Amos Milanzi ◽  
Ronald Musizvingoza ◽  
Charles Lwanga
Keyword(s):  
Body Mass Index ◽  
Body Mass ◽  
Urban Areas ◽  
Overweight And Obesity ◽  
Reproductive Age ◽  
Health Concern ◽  
Demographic And Health Surveys ◽  
Logistic Regression Models ◽  
Increased Risk ◽  
Household Assets

Overweight and obesity have increasingly become a health concern globally and, in particular, developing countries such as Zimbabwe. Obesity is associated with an increased risk of non-communicable diseases such as diabetes and cardiovascular diseases. Previous studies in the country have controlled for other factors, but none have examined the relationship between household assets ownership and body mass index. This study examines the association between demographic, socioeconomic factors and household assets ownership and obesity among Zimbabwean women of reproductive age over the 10-year period from 2005 to 2015 based on three Demographic and Health Surveys. The analytical sample consisted of non-pregnant women aged 15–49 years who were dejure household residents. Logistic regression models were used to examine the association between background variables and Body Mass Index. Women in urban areas, with higher education, working and from richer households are more likely to be at risk of overweight and obesity. However, possession of household assets such as television, radio and telephone were not associated with overweight/obesity, except for the television in 2010/11. Thus, there is need for constant awareness programmes on healthy eating food, and physical activity especially among older women and those working.

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