Document Detail


The impact of maternal BMI status on pregnancy outcomes with immediate short-term obstetric resource implications: a meta-analysis.
MedLine Citation:
PMID:  18673307     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Obesity is rising in the obstetric population, yet there is an absence of services and guidance for the management of maternal obesity. This systematic review aimed to investigate relationships between obesity and impact on obstetric care. Literature was systematically searched for cohort studies of pregnant women with anthropometric measurements recorded within 16-weeks gestation, followed up for the term of the pregnancy, with at least one obese and one comparison group. Two researchers independently data-extracted and quality-assessed each included study. Outcome measures were those that directly or indirectly impacted on maternity resources. Primary outcomes included instrumental delivery, caesarean delivery, duration of hospital stay, neonatal intensive care, neonatal trauma, haemorrhage, infection and 3rd/4th degree tears. Meta-analysis shows a significant relationship between obesity and increased odds of caesarean and instrumental deliveries, haemorrhage, infection, longer duration of hospital stay and increased neonatal intensive care requirement. Maternal obesity significantly contributes to a poorer prognosis for mother and baby during delivery and in the immediate post-partum period. National clinical guidelines for management of obese pregnant women, and public health interventions to help safeguard the health of mothers and their babies are urgently required.
Authors:
N Heslehurst; H Simpson; L J Ells; J Rankin; J Wilkinson; R Lang; T J Brown; C D Summerbell
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Publication Detail:
Type:  Journal Article; Meta-Analysis; Research Support, Non-U.S. Gov't     Date:  2008-07-29
Journal Detail:
Title:  Obesity reviews : an official journal of the International Association for the Study of Obesity     Volume:  9     ISSN:  1467-789X     ISO Abbreviation:  Obes Rev     Publication Date:  2008 Nov 
Date Detail:
Created Date:  2008-12-16     Completed Date:  2009-02-17     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  100897395     Medline TA:  Obes Rev     Country:  England    
Other Details:
Languages:  eng     Pagination:  635-83     Citation Subset:  IM    
Affiliation:
The Centre for Food, Physical Activity, and Obesity Research, School of Health and Social Care, University of Teesside, Middlesbrough, UK. n.heslehurst@tees.ac.uk
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MeSH Terms
Descriptor/Qualifier:
Birth Weight
Body Mass Index
Cohort Studies
Delivery, Obstetric / economics,  statistics & numerical data*
Female
Humans
Infant, Newborn
Length of Stay
Obesity / complications*
Obstetric Labor Complications / epidemiology,  etiology*
Pregnancy
Pregnancy Outcome*
Grant Support
ID/Acronym/Agency:
//Department of Health

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


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