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Maternal "isolated" obesity and obstetric complications.
MedLine Citation:
PMID:  22873440     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
Abstract OBJECTIVE: To investigate pregnancy outcomes, particularly cesarean delivery(CD), among women with "isolated" obesity (i.e. without additional co-morbidities). STUDY DESIGN: We conducted a retrospective population-based study between the years 1988-2010. The pregnancy outcomes of obese (pre-pregnancy BMI≥30 kg/m2) and non-obese patients were compared. Patients with chronic hypertension, pre-gestational diabetes mellitus, other preexisting chronic morbidities, multiple gestations, age above 40 years, grand-multiparity (above 5 deliveries), lack of prenatal care, and following fertility treatments were excluded from the analysis. Stratified analyses, using multiple logistic regression models, were performed to control for confounders. RESULTS: During the study period, a total of 173,628 deliveries met the inclusion criteria; 1605 (0.9%) occurred in patients with "isolated" obesity. Higher rates of CD were found among patients with "isolated" obesity (30.7% vs. 12.3%; OR = 3.2; P<0.001). When controlling for possible confounders, using a multivariable model with CD as the outcome variable, the association between "isolated" obesity and CD remained significant (adjusted OR=2.6; P<0.001). No significant differences were found in the risks of perinatal complications including perinatal mortality, shoulder dystocia, congenital malformations, and low 5-minute Apgar score. CONCLUSION: "Isolated" obesity, although not a risk factor for adverse perinatal outcomes, is an independent risk factor for CD.
Authors:
Rami Gilead; Shimrit Yaniv Salem; Ruslan Sergienko; Eyal Sheiner
Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2012-8-9
Journal Detail:
Title:  The journal of maternal-fetal & neonatal medicine : the official journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians     Volume:  -     ISSN:  1476-4954     ISO Abbreviation:  J. Matern. Fetal. Neonatal. Med.     Publication Date:  2012 Aug 
Date Detail:
Created Date:  2012-8-9     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101136916     Medline TA:  J Matern Fetal Neonatal Med     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Affiliation:
Department of Obstetrics and Gynecology, Soroka University Medical Center, Ben-Gurion University of the Negev, Faculty of Health Sciences, Beer-Sheva, Israel.
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