Abstract
We evaluated pregnancy outcomes in obese women with excessive weight gain during pregnancy. A retrospective study was performed on all obese women. Outcomes included rates of preeclampsia (PEC), gestational diabetes, cesarean delivery (CD), preterm delivery, low birth weight, very low birth weight, macrosomia, 5-minute Apgar score of 2), class II (36 to 39.9 kg/m2), and class III (40 kg/m2). Gestational weight change was abstracted from the mother's medical chart and was divided into four categories: weight loss, weight gain of up to 14.9 pounds, weight gain of 15 to 24.9 pounds, and weight gain of more than 25 pounds. A total 20,823 obese women were eligible for the study. Univariate analysis revealed higher rates of preeclampsia, gestational diabetes, Cesarean deliveries, preterm deliveries, low birth weight, macrosomia, and NICU admission in class II and class III obese women when compared with class I women. When different patterns of weight gain were used as in the logistic regression model, rates of PEC and CD were increased. Excessive weight gain among obese women is associated with adverse outcomes with a higher risk as BMI increases.
| Original language | English (US) |
|---|---|
| Pages (from-to) | 333-338 |
| Number of pages | 6 |
| Journal | American Journal of Perinatology |
| Volume | 27 |
| Issue number | 4 |
| DOIs | |
| State | Published - 2010 |
| Externally published | Yes |
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Keywords
- Obesity
- Pregnancy outcomes
- Weight gain during pregnancy
ASJC Scopus subject areas
- Obstetrics and Gynecology
- Pediatrics, Perinatology, and Child Health
Cite this
Excessive weight gain among obese women and pregnancy outcomes. / Flick, Amy A.; Brookfield, Kathleen; De La Torre, Lesley; Tudela, Carmen Maria; Duthely, Lunthita; González-Quintero, Víctor Hugo.
In: American Journal of Perinatology, Vol. 27, No. 4, 2010, p. 333-338.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Excessive weight gain among obese women and pregnancy outcomes
AU - Flick, Amy A.
AU - Brookfield, Kathleen
AU - De La Torre, Lesley
AU - Tudela, Carmen Maria
AU - Duthely, Lunthita
AU - González-Quintero, Víctor Hugo
PY - 2010
Y1 - 2010
N2 - We evaluated pregnancy outcomes in obese women with excessive weight gain during pregnancy. A retrospective study was performed on all obese women. Outcomes included rates of preeclampsia (PEC), gestational diabetes, cesarean delivery (CD), preterm delivery, low birth weight, very low birth weight, macrosomia, 5-minute Apgar score of 2), class II (36 to 39.9 kg/m2), and class III (40 kg/m2). Gestational weight change was abstracted from the mother's medical chart and was divided into four categories: weight loss, weight gain of up to 14.9 pounds, weight gain of 15 to 24.9 pounds, and weight gain of more than 25 pounds. A total 20,823 obese women were eligible for the study. Univariate analysis revealed higher rates of preeclampsia, gestational diabetes, Cesarean deliveries, preterm deliveries, low birth weight, macrosomia, and NICU admission in class II and class III obese women when compared with class I women. When different patterns of weight gain were used as in the logistic regression model, rates of PEC and CD were increased. Excessive weight gain among obese women is associated with adverse outcomes with a higher risk as BMI increases.
AB - We evaluated pregnancy outcomes in obese women with excessive weight gain during pregnancy. A retrospective study was performed on all obese women. Outcomes included rates of preeclampsia (PEC), gestational diabetes, cesarean delivery (CD), preterm delivery, low birth weight, very low birth weight, macrosomia, 5-minute Apgar score of 2), class II (36 to 39.9 kg/m2), and class III (40 kg/m2). Gestational weight change was abstracted from the mother's medical chart and was divided into four categories: weight loss, weight gain of up to 14.9 pounds, weight gain of 15 to 24.9 pounds, and weight gain of more than 25 pounds. A total 20,823 obese women were eligible for the study. Univariate analysis revealed higher rates of preeclampsia, gestational diabetes, Cesarean deliveries, preterm deliveries, low birth weight, macrosomia, and NICU admission in class II and class III obese women when compared with class I women. When different patterns of weight gain were used as in the logistic regression model, rates of PEC and CD were increased. Excessive weight gain among obese women is associated with adverse outcomes with a higher risk as BMI increases.
KW - Obesity
KW - Pregnancy outcomes
KW - Weight gain during pregnancy
UR - http://www.scopus.com/inward/record.url?scp=77949707809&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=77949707809&partnerID=8YFLogxK
U2 - 10.1055/s-0029-1243304
DO - 10.1055/s-0029-1243304
M3 - Article
C2 - 20013581
AN - SCOPUS:77949707809
VL - 27
SP - 333
EP - 338
JO - American Journal of Perinatology
JF - American Journal of Perinatology
SN - 0735-1631
IS - 4
ER -