The Effect of Excess Weight Gain in Teenage Pregnancies
| Autor: | Sina Haeri, Stephanie Saddlemire, Kim A. Boggess, Arthur M. Baker, Shahryar Masouem |
|---|---|
| Rok vydání: | 2009 |
| Předmět: |
medicine.medical_specialty
Pediatrics Adolescent Population Overweight Weight Gain Body Mass Index Pregnancy medicine Humans Child education Retrospective Studies education.field_of_study Obstetrics business.industry Pregnancy Outcome Obstetrics and Gynecology Odds ratio medicine.disease Pregnancy Complications Pregnancy in Adolescence Pediatrics Perinatology and Child Health Female Underweight medicine.symptom business Body mass index Weight gain Cohort study |
| Zdroj: | American Journal of Perinatology. 27:015-018 |
| ISSN: | 1098-8785 0735-1631 |
| Popis: | Excess weight gain in pregnancy, as defined by the Institute of Medicine (IOM), has been linked to adverse obstetrical outcomes. However, this relationship has not been examined in the younger maternal population. Our aim was to study excess weight gain in our inner-city teenage population. In this retrospective cohort study, we reviewed all nulliparous teenage deliveries between 2000 and 2004. The groups were divided by IOM criteria into "underweight" (body mass index [BMI]20 kg/m(2); n = 58), "normal" (BMI, 20 to 26.0 kg/m(2); n = 255), "overweight" (BMI, 26.1 to 29.0 kg/m(2); n = 54), and "obese" (BMI29.0 kg/m(2); n = 89). The groups were then compared according to normal (control, n = 257) and excess weight gain (n = 199). Frequencies and odds ratios (ORs) for adverse outcomes were calculated. Excess weight gain was associated with an increased risk for cesarean delivery (OR 1.96, 95% confidence interval [CI], 1.28 to 3.01) and postpartum fever (OR, 2.46; 95% CI, 1.13 to 5.35). Significant neonatal findings included higher birthweight (3199 g versus 2864 g; p0.0001) and increased risk of macrosomia (OR, 8.18; 95% CI, 2.02 to 32.99) in the excess weight gain group. We concluded that excess weight gain places teen mothers at increased risk for cesarean delivery, postpartum febrile morbidity, and macrosomia. Interventions aimed at optimal weight gain in teen pregnancies are warranted. |
| Databáze: | OpenAIRE |
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