Postpartum hemorrhage is associated with neonatal body weight, pre-pregnancy body mass index, and maternal weight gain

Autor: S. Yamamura, K. Yamaguchi, I. Hayashi, N. Nagai, N. Sakane, A. Ikeda, M. Takakura, I. Emoto, M. Ujita, K. Kawasaki, K. Abiko, Y. Takao, K. Takakura, I. Konishi
Jazyk: angličtina
Rok vydání: 2020
Předmět:
Zdroj: Clinical and Experimental Obstetrics & Gynecology, Vol 47, Iss 6, Pp 920-925 (2020)
Druh dokumentu: article
ISSN: 0390-6663
DOI: 10.31083/j.ceog.2020.06.5365
Popis: Purpose of Investigation: The purpose is to identify factors related to postpartum hemorrhage (PPH) that are evaluated during regular prenatal check-ups. Materials and Methods: Obstetric and neonatal data were collected retrospectively for 1,922 women with singleton pregnancies who delivered vaginally. Results: Overweight women exhibited more severe PPH cases compared to normal PPH (p = 0.04). Of pre-pregnancy body mass index (BMI), gestational weight gain (GWG), gestational week of delivery, and neonatal body weight, neonatal body weight showed a significantly elevated risk for severe PPH (adjusted OR = 1.156, p < 0.001). Infant body weight was correlated positively with pre-pregnancy BMI, GWG, and gestational week of delivery (r = 0.194, r = 0.189 and r = 0.364, respectively). Pre-pregnancy BMI, GWG, and gestational week of delivery were associated with neonatal body weight (adjusted B = 0.169, 1.206 and 1.181, respectively; p < 0.001). Conclusion: Management of maternal body weight induces a safe delivery through controlling neonatal body weight. Content: Severe postpartum hemorrhage is associated with neonatal body weight which is influenced by maternal body mass index and weight gain.
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