TY - JOUR
T1 - The interrelationship between ethnicity and obesity on obstetric outcomes
AU - Ramos, Gladys A.
AU - Caughey, Aaron B.
N1 - Funding Information:
A. B. C. is supported by the National Institute of Child Health and Human Development, grant # HD01262 as a Women's Reproductive Health Research Scholar.
PY - 2005/9
Y1 - 2005/9
N2 - Objective: The purpose of this study was to evaluate the interrelationship between ethnicity and obesity on obstetric outcomes. Study design: This was a retrospective study examining the interaction between ethnicity and obesity for obstetric outcomes. Statistical methods included univariate and multivariate regression models. Results: In this study population of 22,658 women, 2150 (9.4%) were obese (body mass index [BMI] >29). Obesity increased the rate of cesarean delivery, gestational diabetes, preeclampsia, and macrosomia in each ethnic group. When compared with obese white women, higher rates of cesarean delivery were noted in obese African American (odds ratio [OR] 1.50, P < .05) and Asian (OR 1.73, P < .05) women. Gestational diabetes was increased twofold in obese Latina (OR 1.94, P < .05) and Asian (OR 2.20, P < .05) women, while preeclampsia was increased only in obese Latina (1.93, P < .05) women. Conclusion: Obesity increases the risk of cesarean delivery, gestational diabetes, preeclampsia, and macrosomia, but this effect varies among different ethnicities. The biometrics of different ethnicities and associated obstetric outcomes needs further exploration.
AB - Objective: The purpose of this study was to evaluate the interrelationship between ethnicity and obesity on obstetric outcomes. Study design: This was a retrospective study examining the interaction between ethnicity and obesity for obstetric outcomes. Statistical methods included univariate and multivariate regression models. Results: In this study population of 22,658 women, 2150 (9.4%) were obese (body mass index [BMI] >29). Obesity increased the rate of cesarean delivery, gestational diabetes, preeclampsia, and macrosomia in each ethnic group. When compared with obese white women, higher rates of cesarean delivery were noted in obese African American (odds ratio [OR] 1.50, P < .05) and Asian (OR 1.73, P < .05) women. Gestational diabetes was increased twofold in obese Latina (OR 1.94, P < .05) and Asian (OR 2.20, P < .05) women, while preeclampsia was increased only in obese Latina (1.93, P < .05) women. Conclusion: Obesity increases the risk of cesarean delivery, gestational diabetes, preeclampsia, and macrosomia, but this effect varies among different ethnicities. The biometrics of different ethnicities and associated obstetric outcomes needs further exploration.
KW - Ethnicity
KW - Mode of delivery
KW - Obesity
KW - Perinatal outcomes
KW - Race
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U2 - 10.1016/j.ajog.2005.06.040
DO - 10.1016/j.ajog.2005.06.040
M3 - Article
C2 - 16157117
AN - SCOPUS:24644524589
SN - 0002-9378
VL - 193
SP - 1089
EP - 1093
JO - American journal of obstetrics and gynecology
JF - American journal of obstetrics and gynecology
IS - 3 SUPPL.
ER -