Obesity, obstetric complications and cesarean delivery rate–a population-based screening study

This study was undertaken to determine whether obesity is associated with obstetric complications and cesarean delivery. A large prospective multicenter database was studied. Subjects were divided into 3 groups: body mass index (BMI) less than 30 (control), 30 to 34.9 (obese), and 35 or greater (mor...

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Published in	American journal of obstetrics and gynecology Vol. 190; no. 4; pp. 1091 - 1097
Main Authors	Weiss, Joshua L, Malone, Fergal D, Emig, Danielle, Ball, Robert H, Nyberg, David A, Comstock, Christine H, Saade, George, Eddleman, Keith, Carter, Suzanne M, Craigo, Sabrina D, Carr, Stephen R, D'Alton, Mary E
Format	Journal Article Conference Proceeding
Language	English
Published	Philadelphia, PA Mosby, Inc 01.04.2004 Elsevier
Subjects	Adult Biological and medical sciences Body Mass Index Case-Control Studies Cesarean delivery Cesarean Section - statistics & numerical data Delivery. Postpartum. Lactation Diabetes, Gestational - epidemiology Female Gynecology. Andrology. Obstetrics Humans Hypertension - epidemiology Medical Records Medical sciences Metabolic diseases Morbid obesity Obesity Obesity - complications Obesity, Morbid - complications Pre-Eclampsia - epidemiology Pregnancy Pregnancy complications Pregnancy Complications - epidemiology Risk Factors United States - epidemiology United States Cesarean delivery Obesity Morbid obesity Pregnancy complications Gynecology Nutrition disorder Medical screening Obstetrics Obesity Morbid obesity l'regnancy complications Cesarean deflivery Pregnancy Obstetrical technique Treatment Surgery Complication Delivery Cesarean section Nutritional status Public health
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Abstract	This study was undertaken to determine whether obesity is associated with obstetric complications and cesarean delivery. A large prospective multicenter database was studied. Subjects were divided into 3 groups: body mass index (BMI) less than 30 (control), 30 to 34.9 (obese), and 35 or greater (morbidly obese). Groups were compared by using univariate and multivariable logistic regression analyses. The study included 16,102 patients: 3,752 control, 1,473 obese, and 877 morbidly obese patients. Obesity and morbid obesity had a statistically significant association with gestational hypertension (odds ratios [ORs] 2.5 and 3.2), preeclampsia (ORs 1.6 and 3.3), gestational diabetes (ORs 2.6 and 4.0), and fetal birth weight greater than 4000 g (ORs 1.7 and 1.9) and greater than 4500 g (ORs 2.0 and 2.4). For nulliparous patients, the cesarean delivery rate was 20.7% for the control group, 33.8% for obese, and 47.4% for morbidly obese patients. Obesity is an independent risk factor for adverse obstetric outcome and is significantly associated with an increased cesarean delivery rate.
AbstractList	This study was undertaken to determine whether obesity is associated with obstetric complications and cesarean delivery. A large prospective multicenter database was studied. Subjects were divided into 3 groups: body mass index (BMI) less than 30 (control), 30 to 34.9 (obese), and 35 or greater (morbidly obese). Groups were compared by using univariate and multivariable logistic regression analyses. The study included 16,102 patients: 3,752 control, 1,473 obese, and 877 morbidly obese patients. Obesity and morbid obesity had a statistically significant association with gestational hypertension (odds ratios [ORs] 2.5 and 3.2), preeclampsia (ORs 1.6 and 3.3), gestational diabetes (ORs 2.6 and 4.0), and fetal birth weight greater than 4000 g (ORs 1.7 and 1.9) and greater than 4500 g (ORs 2.0 and 2.4). For nulliparous patients, the cesarean delivery rate was 20.7% for the control group, 33.8% for obese, and 47.4% for morbidly obese patients. Obesity is an independent risk factor for adverse obstetric outcome and is significantly associated with an increased cesarean delivery rate. This study was undertaken to determine whether obesity is associated with obstetric complications and cesarean delivery.OBJECTIVEThis study was undertaken to determine whether obesity is associated with obstetric complications and cesarean delivery.A large prospective multicenter database was studied. Subjects were divided into 3 groups: body mass index (BMI) less than 30 (control), 30 to 34.9 (obese), and 35 or greater (morbidly obese). Groups were compared by using univariate and multivariable logistic regression analyses.METHODSA large prospective multicenter database was studied. Subjects were divided into 3 groups: body mass index (BMI) less than 30 (control), 30 to 34.9 (obese), and 35 or greater (morbidly obese). Groups were compared by using univariate and multivariable logistic regression analyses.The study included 16,102 patients: 3,752 control, 1,473 obese, and 877 morbidly obese patients. Obesity and morbid obesity had a statistically significant association with gestational hypertension (odds ratios [ORs] 2.5 and 3.2), preeclampsia (ORs 1.6 and 3.3), gestational diabetes (ORs 2.6 and 4.0), and fetal birth weight greater than 4000 g (ORs 1.7 and 1.9) and greater than 4500 g (ORs 2.0 and 2.4). For nulliparous patients, the cesarean delivery rate was 20.7% for the control group, 33.8% for obese, and 47.4% for morbidly obese patients.RESULTSThe study included 16,102 patients: 3,752 control, 1,473 obese, and 877 morbidly obese patients. Obesity and morbid obesity had a statistically significant association with gestational hypertension (odds ratios [ORs] 2.5 and 3.2), preeclampsia (ORs 1.6 and 3.3), gestational diabetes (ORs 2.6 and 4.0), and fetal birth weight greater than 4000 g (ORs 1.7 and 1.9) and greater than 4500 g (ORs 2.0 and 2.4). For nulliparous patients, the cesarean delivery rate was 20.7% for the control group, 33.8% for obese, and 47.4% for morbidly obese patients.Obesity is an independent risk factor for adverse obstetric outcome and is significantly associated with an increased cesarean delivery rate.CONCLUSIONObesity is an independent risk factor for adverse obstetric outcome and is significantly associated with an increased cesarean delivery rate.
Author	Eddleman, Keith Comstock, Christine H Emig, Danielle Nyberg, David A Craigo, Sabrina D Carr, Stephen R Carter, Suzanne M Ball, Robert H D'Alton, Mary E Saade, George Weiss, Joshua L Malone, Fergal D
Author_xml	– sequence: 1 givenname: Joshua L surname: Weiss fullname: Weiss, Joshua L email: jw791@columbia.edu – sequence: 2 givenname: Fergal D surname: Malone fullname: Malone, Fergal D – sequence: 3 givenname: Danielle surname: Emig fullname: Emig, Danielle – sequence: 4 givenname: Robert H surname: Ball fullname: Ball, Robert H – sequence: 5 givenname: David A surname: Nyberg fullname: Nyberg, David A – sequence: 6 givenname: Christine H surname: Comstock fullname: Comstock, Christine H – sequence: 7 givenname: George surname: Saade fullname: Saade, George – sequence: 8 givenname: Keith surname: Eddleman fullname: Eddleman, Keith – sequence: 9 givenname: Suzanne M surname: Carter fullname: Carter, Suzanne M – sequence: 10 givenname: Sabrina D surname: Craigo fullname: Craigo, Sabrina D – sequence: 11 givenname: Stephen R surname: Carr fullname: Carr, Stephen R – sequence: 12 givenname: Mary E surname: D'Alton fullname: D'Alton, Mary E
BackLink	http://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=15725878$$DView record in Pascal Francis https://www.ncbi.nlm.nih.gov/pubmed/15118648$$D View this record in MEDLINE/PubMed
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Cites_doi	10.1097/00001648-200107000-00014 10.1067/mob.2000.105400 10.1016/S0029-7844(96)00449-8 10.1016/S0002-9378(85)80029-6 10.1046/j.1365-3016.2000.00228.x 10.1038/sj.jp.7200143 10.1016/S0002-9378(94)70227-6 10.1038/sj.ijo.0801670 10.1016/0029-7844(95)00446-7 10.1017/S019594170006495X 10.1016/S0002-9378(12)80019-6 10.1016/0029-7844(95)00096-A 10.1067/mob.2001.116729 10.2105/AJPH.91.3.436 10.1067/mob.2001.109591 10.1067/mob.2001.117351 10.1111/j.1479-828X.1994.tb01256.x 10.1053/sper.2002.29838 10.1055/s-2007-994295 10.1016/S0020-7292(00)00391-X 10.1016/S0029-7844(97)00578-4 10.1001/jama.1996.03530380031027 10.1056/NEJM199801153380302
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Keywords	Cesarean delivery Obesity Morbid obesity Pregnancy complications Gynecology Nutrition disorder Medical screening Obstetrics Obesity Morbid obesity l'regnancy complications Cesarean deflivery Pregnancy Obstetrical technique Treatment Surgery Complication Delivery Cesarean section Nutritional status Public health
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article-title: The effect of maternal obesity on the accuracy of fetal weight estimation publication-title: Obstet Gynecol doi: 10.1016/0029-7844(95)00096-A – volume: 185 start-page: 349 year: 2001 ident: 10.1016/j.ajog.2003.09.058_BIB32 article-title: Mode of delivery for the morbidly obese with prior cesarean delivery: vaginal versus repeat cesarean section publication-title: Am J Obstet Gynecol doi: 10.1067/mob.2001.116729 – volume: 91 start-page: 436 year: 2001 ident: 10.1016/j.ajog.2003.09.058_BIB9 article-title: Pregnancy complications and outcomes among overweight and obese nulliparous women publication-title: Am J Public Health doi: 10.2105/AJPH.91.3.436 – volume: 184 start-page: 463 year: 2001 ident: 10.1016/j.ajog.2003.09.058_BIB19 article-title: Maternal weight, pregnancy weight gain, and the risk of antepartum stillbirth publication-title: Am J Obstet Gynecol doi: 10.1067/mob.2001.109591 – year: 2000 ident: 10.1016/j.ajog.2003.09.058_BIB31 – volume: 185 start-page: 845 year: 2001 ident: 10.1016/j.ajog.2003.09.058_BIB5 article-title: The effect of the increasing prevalence of maternal obesity on perinatal morbidity publication-title: Am J Obstet Gynecol doi: 10.1067/mob.2001.117351 – volume: 34 start-page: 398 year: 1994 ident: 10.1016/j.ajog.2003.09.058_BIB33 article-title: Risk factors for wound infection following caesarean section publication-title: Aust NZ J Obstet Gynaecol doi: 10.1111/j.1479-828X.1994.tb01256.x – volume: 26 start-page: 42 year: 2002 ident: 10.1016/j.ajog.2003.09.058_BIB24 article-title: Maternal medical disease: risk of antepartum fetal death publication-title: Sem Perinatol doi: 10.1053/sper.2002.29838 – volume: 13 start-page: 73 year: 1996 ident: 10.1016/j.ajog.2003.09.058_BIB14 article-title: Effects of obesity on pregnant women: maternal hemodynamic change publication-title: Am J Perinatol doi: 10.1055/s-2007-994295 – volume: 73 start-page: 101 year: 2001 ident: 10.1016/j.ajog.2003.09.058_BIB12 article-title: Pregnancy outcome in women with morbid obesity publication-title: Int J Gynecol Obstet doi: 10.1016/S0020-7292(00)00391-X – volume: 91 start-page: 97 year: 1998 ident: 10.1016/j.ajog.2003.09.058_BIB13 article-title: Pregnancy outcome and weight gain recommendations for the morbidly obese woman publication-title: Obstet Gynecol doi: 10.1016/S0029-7844(97)00578-4 – volume: 275 start-page: 1089 year: 1996 ident: 10.1016/j.ajog.2003.09.058_BIB20 article-title: Prepregnant weight in relation to risk of neural tube defects publication-title: JAMA doi: 10.1001/jama.1996.03530380031027 – volume: 338 start-page: 147 year: 1998 ident: 10.1016/j.ajog.2003.09.058_BIB30 article-title: Prepregnancy weight and the risk of adverse pregnancy outcomes publication-title: N Engl J Med doi: 10.1056/NEJM199801153380302
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Snippet	This study was undertaken to determine whether obesity is associated with obstetric complications and cesarean delivery. A large prospective multicenter... This study was undertaken to determine whether obesity is associated with obstetric complications and cesarean delivery.OBJECTIVEThis study was undertaken to...
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SubjectTerms	Adult Biological and medical sciences Body Mass Index Case-Control Studies Cesarean delivery Cesarean Section - statistics & numerical data Delivery. Postpartum. Lactation Diabetes, Gestational - epidemiology Female Gynecology. Andrology. Obstetrics Humans Hypertension - epidemiology Medical Records Medical sciences Metabolic diseases Morbid obesity Obesity Obesity - complications Obesity, Morbid - complications Pre-Eclampsia - epidemiology Pregnancy Pregnancy complications Pregnancy Complications - epidemiology Risk Factors United States - epidemiology
Title	Obesity, obstetric complications and cesarean delivery rate–a population-based screening study
URI	https://www.clinicalkey.com/#!/content/1-s2.0-S0002937803019240 https://dx.doi.org/10.1016/j.ajog.2003.09.058 https://www.ncbi.nlm.nih.gov/pubmed/15118648 https://www.proquest.com/docview/71885710
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