| Pregnancy, obesity, gestational weight gain, and parity as predictors of peripartum complications. | |
| | |
MedLine Citation:
|
PMID: 21072526 Owner: NLM Status: In-Data-Review |
Abstract/OtherAbstract:
|
PURPOSE: To determine if the best predictor of pregnancy complications is pre-pregnancy body mass index (BMI) alone or in combination with other factors. METHODS: BMI and peripartum outcomes of singleton pregnancies were evaluated. Recursive partitioning and logistic regression modeling was used. RESULTS: Of the 4,286 cohorts, 26% were obese (BMI >30 kg/m(2)) and, compared to cohorts with normal weight, at risk for wound infections (P < 0.001), and shoulder dystocia (P < 0.001). High-risk patients (15%; BMI >32.5, parity, pregnancy weight gain of 28 lb by 28 weeks) were at increased risk for wound infection (P < 0.001), endometritis (P < 0.001), shoulder dystocia (P = 0.001) and 5 min Apgar score <4 (P < 0.041) and at lower risk for pre-term delivery (P = 0.007). CONCLUSIONS: Since BMI, parity, and weight gain until 28 weeks together provide better prediction of peripartum complications than BMI alone, these characteristics can be used to triage and refer patients. |
| | |
Authors:
|
Everett F Magann; Dorota A Doherty; Suneet P Chauhan; Jennifer M Klimpel; Shannon D Huff; John C Morrison |
Related Documents
:
|
15793376 - Wasting during pregnancy increases the risk of mother-to-child hiv-1 transmission. 18338426 - Orally disintegrating olanzapine and potential differences in treatment-emergent weight... 19618246 - Pregnancy outcome in patients following different types of bariatric surgeries. 20881366 - Comparison of different sonographic methods to determine fetal abdominal circumference. 11573586 - The lumbar epidural space in pregnancy: visualization by ultrasonography. 15636856 - Anesthesia and blood loss in preterm cesarean section: comparison between general and r... |
Publication Detail:
|
Type: Journal Article Date: 2010-11-12 |
Journal Detail:
|
Title: Archives of gynecology and obstetrics Volume: 284 ISSN: 1432-0711 ISO Abbreviation: Arch. Gynecol. Obstet. Publication Date: 2011 Oct |
Date Detail:
|
Created Date: 2011-09-13 Completed Date: - Revised Date: - |
Medline Journal Info:
|
Nlm Unique ID: 8710213 Medline TA: Arch Gynecol Obstet Country: Germany |
Other Details:
|
Languages: eng Pagination: 827-36 Citation Subset: IM |
Affiliation:
|
Departments of Obstetrics and Gynecology, University of Arkansas for the Medical Sciences, 4301 W. Markham St. Slot # 518, Little Rock, AR, 72205, USA, efmagann@uams.edu. |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
|
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: The association between inherited thrombophilias and pregnancy-related hypertension recurrence.
Next Document: Nifedipine for the treatment of preterm labor in twin and singleton pregnancies.