Effects of Gestational Weight Gain on Delivery Outcomes in an Obese, Low-Income Population.

Autor:	Sellner AA; From the Department of Obstetrics and Gynecology, Baylor College of Medicine, and Texas Children's Health Plan, Houston, Texas., Garbarino AH; From the Department of Obstetrics and Gynecology, Baylor College of Medicine, and Texas Children's Health Plan, Houston, Texas., Miao D; From the Department of Obstetrics and Gynecology, Baylor College of Medicine, and Texas Children's Health Plan, Houston, Texas., Hollier LM; From the Department of Obstetrics and Gynecology, Baylor College of Medicine, and Texas Children's Health Plan, Houston, Texas., Ratan BM; From the Department of Obstetrics and Gynecology, Baylor College of Medicine, and Texas Children's Health Plan, Houston, Texas.
Jazyk:	angličtina
Zdroj:	Southern medical journal [South Med J] 2021 Nov; Vol. 114 (11), pp. 686-691.
DOI:	10.14423/SMJ.0000000000001320
Abstrakt:	Objective: To examine the effects of weight gain/loss on delivery outcomes stratified by class of obesity in an obese, low-income, predominantly minority population. Methods: A retrospective review of a cohort of 1428 women receiving care at a large Medicaid clinic from 2013 to 2016 with pregravid body mass index ≥30 was conducted. Multinomial logistic regression analysis was used to compare differences in gestational weight change to the primary outcomes of birth-weight percentile and delivery type and secondary outcomes of preterm delivery, preterm labor, gestational diabetes mellitus, and gestational hypertension. Results: Obesity class 1 patients who lost weight were more likely to have a small-for-gestational-age (SGA) infant compared with those who had recommended weight gain. Obesity classes 2 and 3 patients had no statistically significant increase in SGA infants with weight loss or weight gain below current recommendations. Obesity classes 1 and 2 patients with weight loss had a statistically significant increase in both preterm delivery and preterm labor; however, class 3 patients did not. Obesity class 3 patients who lost weight were significantly more likely to have gestational diabetes mellitus. Conclusions: Obesity class 3 women may benefit from less weight gain than current recommendations without increasing their risk of SGA infants or preterm birth, especially if gestational diabetes mellitus is present.
Databáze:	MEDLINE
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