The impact of abnormal maternal body mass index during pregnancy on perinatal outcomes: a registry-based study from Qatar.
Pregnancy
Female
Infant, Newborn
Humans
Pregnancy Outcome
/ epidemiology
Body Mass Index
Pregnancy Complications
/ epidemiology
Gestational Weight Gain
Thinness
/ complications
Qatar
/ epidemiology
Risk Factors
Premature Birth
/ epidemiology
Obesity
/ complications
Diabetes, Gestational
/ epidemiology
adverse perinatal outcomes
gestational weight gain
maternal BMI
obesity
Journal
Journal of perinatal medicine
ISSN: 1619-3997
Titre abrégé: J Perinat Med
Pays: Germany
ID NLM: 0361031
Informations de publication
Date de publication:
27 Nov 2023
27 Nov 2023
Historique:
received:
09
05
2023
accepted:
21
07
2023
medline:
9
11
2023
pubmed:
24
8
2023
entrez:
24
8
2023
Statut:
epublish
Résumé
Abnormal body mass index (BMI) during pregnancy, a growing public health concern, increases maternal and neonatal complications. This study aimed to investigate the impact of abnormal BMI on perinatal outcomes compared to normal BMI. A total of 14,624 women having singleton births were categorized as underweight (BMI<18.5 kg/m Women with increasing BMI had increasingly higher odds of developing specific adverse outcomes, the highest being in the class III obesity group (GDM-aOR 2.71, 95 % CI 2.25-3.27, p<0.001, GHT-aOR 5.32 95 % CI 3.49-8.11, p<0.001, CD-aOR 2.33 95 % CI 1.85-2.94, p<0.001, PPH-aOR 1.77 95 % CI 1.35-2.33, p<0.001). On the other hand, being underweight during pregnancy was associated with increased odds of PTB (aOR 2.09, 95 % CI 1.37-3.20, p=0.001), LBW (OR 1.88, 95 % CI 1.27-2.79, p=0.002) and congenital anomalies (aOR 2.52 95 % CI 1.12-5.64, p=0.025). Majority in the underweight category gained less than expected gestational weight gain during the pregnancy. The findings of this study have important implications for the clinical management of pregnant women with abnormal BMI. Interventions to improve maternal and neonatal outcomes must focus on enhancing pre-pregnancy BMI and maintaining adequate gestational weight gain.
Identifiants
pubmed: 37615070
pii: jpm-2023-0198
doi: 10.1515/jpm-2023-0198
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
1197-1205Informations de copyright
© 2023 the author(s), published by De Gruyter, Berlin/Boston.
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