Increasing Pre-pregnancy Body Mass Index and Pregnancy Outcomes in the United States.
| Autor: | Akinyemi OA; Department of Health Policy and Management, University of Maryland School of Public Health, College Park, USA.; Department of Surgery, Howard University, Washington DC, USA., Tanna R; Department of Obstetrics and Gynecology, Spartan Health Sciences University, Vieux Fort, LCA., Adetokunbo S; Department of Internal Medicine, The Einstein Medical Center, Philadelphia, USA., Omokhodion O; Department of Obstetrics and Gynecology, University College Hospital, Ibadan, NGA., Fasokun M; Department of Epidemiology and Public Health, University of Alabama at Birmingham, Birmingham, USA., Akingbule AS; Department of General Practice, Primary Care, and Public Health, Ozark Valley Medical Clinic, Branson, USA., Martins C; Department of Obstetrics and Gynecology, Howard University College of Medicine, Washington DC, USA., Fakorede M; Department of Addiction Medicine, Johns Hopkins University School of Medicine, Baltimore, USA., Ogundipe T; Department of Community and Family Medicine, Howard University Hospital, Washington DC, USA., Filani O; Department of Community and Family Medicine, Howard University Hospital, Washington DC, USA. |
|---|---|
| Jazyk: | angličtina |
| Zdroj: | Cureus [Cureus] 2022 Sep 02; Vol. 14 (9), pp. e28695. Date of Electronic Publication: 2022 Sep 02 (Print Publication: 2022). |
| DOI: | 10.7759/cureus.28695 |
| Abstrakt: | Introduction: As many Americans are becoming overweight or obese, increased body mass index (BMI) is fast becoming normalized. There is a need for more research that highlights the association between pre-pregnancy obesity and adverse pregnancy outcomes. Aim: To determine the association between increasing pre-pregnancy BMI and adverse pregnancy outcomes. Methods: We utilized the United States Vital Statistics records to collate data on all childbirths in the United States between 2015 and 2019. We determined the association between increasing pre-pregnancy BMI and adverse pregnancy outcomes using multivariate analysis. Neonatal outcomes measures include the five-minute Apgar score, neonatal unit admission, neonates receiving assisted ventilation > six hours, neonatal antibiotics use, and neonatal seizures. Maternal outcomes include cesarean section rate, mothers requiring blood transfusion, unplanned hysterectomy, and intensive care unit admission. In addition, we controlled for maternal parameters such as race/ethnicity, age, insurance type, and pre-existing conditions such as chronic hypertension and prediabetes. Other covariates include paternal race, age and education level, gestational diabetes mellitus, induction of labor, weight gain during pregnancy, gestational age at delivery, and delivery weight. Results: We studied 15,627,572 deliveries in the US Vital Statistics records between 2015 and 2019. Among these women, 3.36% were underweight, 43.19% were with a normal BMI, 26.34% were overweight, 14.73% were in the obese class I, 7.23% were in the obese class II, and 5.14% were in the obese class III. Increasing pre-pregnancy BMI was associated with significant adverse outcomes across all measures of maternal and neonatal outcomes. Conclusion: A strong association exists between increasing pre-pregnancy BMI and adverse maternal and neonatal outcomes. The higher risk of adverse pregnancy outcomes among overweight and obese women remained even after controlling for other traditional risk factors of adverse maternal and neonatal outcomes. Competing Interests: The authors have declared that no competing interests exist. (Copyright © 2022, Akinyemi et al.) |
| Databáze: | MEDLINE |
| Externí odkaz: |
|