Changes in Maternal Body Mass Index, Weight Gain and Outcome of Singleton Pregnancies from 2000 to 2015
| Autor: | J Schubert, Nina Timmesfeld, E Reuschel, K Noever, Birgit Arabin |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
Pregnancy
education.field_of_study medicine.medical_specialty 030219 obstetrics & reproductive medicine business.industry Obstetrics Offspring Population Obstetrics and Gynecology Retrospective cohort study Overweight Logistic regression medicine.disease 03 medical and health sciences 0302 clinical medicine Maternity and Midwifery medicine Mass index medicine.symptom education business Weight gain |
| Zdroj: | Geburtshilfe und Frauenheilkunde. 80:508-517 |
| ISSN: | 1438-8804 0016-5751 |
| DOI: | 10.1055/a-1110-0859 |
| Popis: | Introduction Maternal obesity and excessive gestational weight gain (GWG) affect the outcomes of women and their offspring. Our aim was to evaluate population-based data from Germany. Material and Methods Data from 583 633/791 514 mother-child pairs obtained from the perinatal database in Hesse for the period from 2000 to 2015 were used after excluding incomplete or non-plausible datasets. Early-stage pregnancy maternal body mass index (BMI) and GWG were evaluated. Significant outcome changes were calculated using linear or logistic regression models. Results The mean maternal age increased from 29.9 to 31.28 years; GWG increased from 445.1 to 457.2 g/week (p Conclusions In just 15 years, pre-pregnancy BMI and GWG rates of women with singleton pregnancies have increased, and this increase has been accompanied by a significant rise in the rate of cesarean sections and a significant worsening of short-term maternal and neonatal outcomes. It is time to discuss the risks and the short-term and more worrying long-term consequences for mothers and their offspring and the future impact on our healthcare system. |
| Databáze: | OpenAIRE |
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