Document Detail


Association between pre-pregnancy body mass index and socioeconomic status and impact on pregnancy outcomes in Korea.
MedLine Citation:
PMID:  21159038     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
AIM: To compare socioeconomic status and pregnancy outcomes in relation to different pre-pregnancy body mass index (BMI) levels, and to determine whether gestational weight gain is related to socioeconomic status and pregnancy outcomes.
METHODS: This was a retrospective cohort study of 3554 singleton pregnancies. Gravidas were grouped into three BMI categories and in three gestational weight gain categories. We performed multivariate analyses for the associations between pre-pregnancy BMI, gestational weight gain, socioeconomic status, and pregnancy outcomes.
RESULTS: Overweight gravidas had shorter gestational weeks, decreased birthweight, and increased frequency of preterm birth (P < 0.05). There were higher percentages of low levels of education and low economic status in the overweight gravidas and their husbands (P < 0.05). There were also higher percentages of low levels of education in gravidas with a low weight gain during pregnancy and their husbands, and gravidas with low weight gain had increased frequency of preterm deliveries (P < 0.05). Overweight gravidas had a higher risk for preeclampsia (adjusted OR, 2.4) and gestational diabetes (adjusted OR, 2.0). Overweight gravidas and women with excessive weight gain during pregnancy had higher risks for cesarean section (unadjusted OR, 1.6), macrosomia (unadjusted OR, 2.7) and large for gestational age (LGA) (adjusted OR, 2.4). A higher risk for small gestational age (SGA) fetuses existed in normoweight gravidas and gravidas with low weight gain during pregnancy (unadjusted OR, 2.8).
CONCLUSION: Overweight gravidas were associated with low education status, low economic status, and adverse pregnancy, whereas low weight gain during pregnancy was associated with low education status of the gravida and her husband, preterm delivery, and SGA.
Authors:
Jung H Park; Bo Eun Lee; Hye S Park; Eun H Ha; Seung W Lee; Young J Kim
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't     Date:  2010-12-16
Journal Detail:
Title:  The journal of obstetrics and gynaecology research     Volume:  37     ISSN:  1447-0756     ISO Abbreviation:  J. Obstet. Gynaecol. Res.     Publication Date:  2011 Feb 
Date Detail:
Created Date:  2011-01-31     Completed Date:  2011-08-01     Revised Date:  2012-01-19    
Medline Journal Info:
Nlm Unique ID:  9612761     Medline TA:  J Obstet Gynaecol Res     Country:  Australia    
Other Details:
Languages:  eng     Pagination:  138-45     Citation Subset:  IM    
Copyright Information:
© 2010 The Authors. Journal of Obstetrics and Gynaecology Research © 2010 Japan Society of Obstetrics and Gynecology.
Affiliation:
Department of Obstetrics and Gynecology, Ewha Womans University, School of Medicine, Seoul, Korea.
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MeSH Terms
Descriptor/Qualifier:
Adult
Body Mass Index*
Body Weights and Measures
Cohort Studies
Female
Hospitals, University
Humans
Multivariate Analysis
Obesity / complications,  epidemiology
Odds Ratio
Pregnancy / physiology,  statistics & numerical data*
Pregnancy Complications / epidemiology
Pregnancy Outcome / epidemiology*
Questionnaires
Republic of Korea / epidemiology
Retrospective Studies
Risk Factors
Social Class*
Socioeconomic Factors
Weight Gain
Women's Health Services

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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