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Maternal morbid obesity and the risk of adverse pregnancy outcome
Linköpings universitet, Hälsouniversitetet. Linköpings universitet, Institutionen för klinisk och experimentell medicin, Obstetrik och gynekologi. Östergötlands Läns Landsting, Barn- och kvinnocentrum, Kvinnokliniken i Linköping.
2004 (Engelska)Ingår i: Obstetrics and Gynecology, ISSN 0029-7844, E-ISSN 1873-233X, Vol. 103, nr 2, s. 219-224Artikel i tidskrift (Refereegranskat) Published
Abstract [en]

OBJECTIVE: To evaluate whether morbidly obese women have an increased risk of pregnancy complications and adverse perinatal outcomes. METHODS: In a prospective population-based cohort study, 3,480 women with morbid obesity, defined as a body mass index (BMI) more than 40, and 12,698 women with a BMI between 35.1 and 40 were compared with normal-weight women (BMI 19.8-26). The perinatal outcome of singletons born to women without insulin-dependent diabetes mellitus was evaluated after suitable adjustments. RESULTS: In the group of morbidly obese mothers (BMI greater than. 40) as compared with the normal-weight mothers, there was an increased risk of the following outcomes (adjusted odds ratio, 95% confidence interval): preeclampsia (4.82, 4.04, 5.74), antepartum stillbirth (2.79, 1.94,4.02), cesarean delivery (2.69, 2.49,2.90), instrumental delivery (1.34, 1.16, 1.56), shoulder dystocia (3.14, 1.86, 5.31), meconium aspiration (2.85, 1.60, 5.07), fetal distress (2.52, 2.12,2.99), early neonatal death (3.41, 2.07,5.63), and large-for-gestational age (3.82, 3.50, 4.16). The associations were similar for women with BMIs between 35.1 and 40 but to a lesser degree. CONCLUSION: Maternal morbid obesity in early pregnancy is strongly associated with a number of pregnancy complications and perinatal conditions. tricians and Gynecologists.

Ort, förlag, år, upplaga, sidor
2004. Vol. 103, nr 2, s. 219-224
Nationell ämneskategori
Medicin och hälsovetenskap
Identifikatorer
URN: urn:nbn:se:liu:diva-46157DOI: 10.1097/01.AOG.0000107291.46159.00OAI: oai:DiVA.org:liu-46157DiVA, id: diva2:267053
Tillgänglig från: 2009-10-11 Skapad: 2009-10-11 Senast uppdaterad: 2017-12-13

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