Document Detail

Pregnancy, obesity, gestational weight gain, and parity as predictors of peripartum complications.
MedLine Citation:
PMID:  21072526     Owner:  NLM     Status:  In-Data-Review    
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.
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    
Departments of Obstetrics and Gynecology, University of Arkansas for the Medical Sciences, 4301 W. Markham St. Slot # 518, Little Rock, AR, 72205, USA,
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms

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.