Birth risks according to maternal height and weight – an analysis of the German Perinatal Survey
| Autor: | Ursula Wittwer-Backofen, Sebastian Straube, Tanya D Jackson, Mirjam Kunze, Manfred Voigt, HP Hagenah, Dirk Olbertz |
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| Rok vydání: | 2018 |
| Předmět: |
Adult
medicine.medical_specialty Cardiotocography Body height Risk Assessment Body Mass Index 03 medical and health sciences 0302 clinical medicine Fetal heart sounds Pregnancy Germany Surveys and Questionnaires medicine Humans 030212 general & internal medicine 030219 obstetrics & reproductive medicine medicine.diagnostic_test Cesarean Section business.industry Obstetrics Cephalopelvic disproportion Body Weight Infant Newborn Pregnancy Outcome Obstetrics and Gynecology Auscultation medicine.disease Body Height Infant Small for Gestational Age Pediatrics Perinatology and Child Health Premature Birth Female business Body mass index |
| Zdroj: | Journal of Perinatal Medicine. 47:50-60 |
| ISSN: | 1619-3997 0300-5577 |
| DOI: | 10.1515/jpm-2017-0038 |
| Popis: | Objective To investigate the variability in the prevalences of selected birth risks in women of different heights and weights. Methods Data from the German Perinatal Survey of 1998–2000 were analyzed: 503,468 cases contributed to our analysis of the prevalences of selected birth risks specified according to maternal weight groups, 502,562 cases contributed to our analysis according to maternal height groups and 43,928 cases contributed to our analysis of birth risks in women with a body mass index (BMI) of 21–23 kg/m2 but different heights and weights. Data analysis was performed using SPSS version 22. Results Some birth risks varied substantially by maternal height in women with a “normal” BMI of 21–23 kg/m2: the prevalence of post-term birth increased from 8.7% in women with a height of 150 cm to 13.5% in 185 cm tall women, the prevalence of preterm birth decreased from 5.9% (150 cm tall women) to 3.1% (185 cm tall women), a pathologic cardiotocography (CTG) or poor fetal heart sounds on auscultation occurred in 19.4% of the 150 cm tall women but only in 9.2% of 185 cm tall women and cephalopelvic disproportion decreased from 12.3% (150 cm tall women) to 1.2% (185 cm tall women). Analyses of women in different body height and weight groups (without restriction of BMI) likewise showed differences in the prevalences of some birth risks. Conclusion Birth risks may vary by height and weight in women with the same, “normal” BMI. BMI should not be the only way by which the impact of maternal height and weight is assessed with regard to perinatal outcomes such as birth risks. |
| Databáze: | OpenAIRE |
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