Document Detail


Obstetrical and neonatal outcomes in obese parturients.
MedLine Citation:
PMID:  19895351     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: Obstetrical risk is increased with maternal obesity. This prospective study was designed to simultaneously evaluate the outcomes in obese parturients and their newborns. METHODS: Patients with a body mass index (BMI) > or =35 were prospectively identified and compared to an equal number of normal weight parturients. Maternal and neonatal outcome measures were compared for the peripartum and neonatal period. RESULTS: We identified 580 obese parturients over a 6 month period and compared them to an equal number of normal weight parturients. The incidence of obesity in this population was 23%. Obesity was associated with increased rates of hypertension, diabetes, and cesarean section. Obese patients were more likely to develop postpartum complications. Neonatal outcomes were compared for infants > or =37 weeks gestation excluding multiple births (496 neonates in the obese group and 520 in the control group). The neonates of obese parturients were more likely to be macrosomic, have 1-minute Apgar scores of < or =7.0 and require admission to a special care unit. Sub-group analysis showed that negative outcomes for parturients and their neonates correlated with increasing BMI. Neonates born to obese diabetic parturients had the highest risk of poor outcomes. CONCLUSIONS: Maternal obesity confers increased risks for both the parturient and their newborn.
Authors:
Cynthia M Baron; Linda G Girling; Angela L Mathieson; Savas M Menticoglou; Mary M Seshia; Mary S Cheang; W Alan C Mutch
Publication Detail:
Type:  Journal Article    
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:  23     ISSN:  1476-4954     ISO Abbreviation:  J. Matern. Fetal. Neonatal. Med.     Publication Date:  2010 Aug 
Date Detail:
Created Date:  2010-07-16     Completed Date:  2010-11-04     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101136916     Medline TA:  J Matern Fetal Neonatal Med     Country:  England    
Other Details:
Languages:  eng     Pagination:  906-13     Citation Subset:  IM    
Affiliation:
Department of Anesthesia, Health Science Centre, Winnipeg, Manitoba, Canada. cbaron@exchange.hsc.mb.ca
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MeSH Terms
Descriptor/Qualifier:
Apgar Score
Birth Weight*
Body Mass Index
Female
Humans
Infant, Newborn*
Manitoba / epidemiology
Obesity / epidemiology*
Pregnancy
Pregnancy Complications / epidemiology*
Pregnancy in Diabetics / epidemiology
Prospective Studies

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


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