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Cited by 11Gestational Diabetes Research and ManagementMaternal and Perinatal Health InterventionsObesity, Physical Activity, Diet

The DOI matches its Crossref record.

Evaluation of maternal and perinatal outcomes in pregnancy with high BMI

Bracken, Orla, Langhe, Ream·2021·Irish Journal of Medical Science (1971 -)
DOI 10.1007/s11845-020-02456-4
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Abstract

Background Maternal obesity is a significant risk factor for unfavourable outcomes during pregnancy. However, the extent of this relationship is poorly defined in Irish mothers. Aims This study was to compare maternal and perinatal outcomes between obese and non-obese mothers in an Irish population. Methods A retrospective comparative study was conducted in a secondary level maternity unit for births recorded between January 2018 and January 2019 and 2,793 women were included. BMI calculated at booking visit was used to compare obese (BMI ≥ 30 kg/m 2) and non-obese mothers (BMI < 30 kg/m 2). Results Of 2,793 women included in this study, 2111 had a BMI < 30 kg/m 2 and 682 had a BMI ≥ 30 kg/m 2. Obese women were less likely to experience spontaneous onset of labour (33.4% vs. 48.1%, p < 0.001) and more likely to be induced (37.2% vs. 31.0%, p = 0.002). Obesity was associated with a statistically significant increase in stillbirth, fetal macrosomia and emergency caesarean birth rates, whereas operative vaginal deliveries were significantly decreased. Miscarriage, shoulder dystocia, post-partum haemorrhage and spontaneous vaginal deliveries were reduced while elective caesarean birth and low birth weight incidence were increased in obese mothers; however, these results were not statistically significant. Conclusions This study highlights the magnitude of obstetric risks that are associated with maternal obesity within Irish population. Implementation of effective intervention strategies to reduce the number of obese women in pregnancy may have beneficial effects on pregnancy outcomes in Ireland.

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Metadata

Authors
Bracken, O., & Langhe, R.
Affiliations
Royal College of Surgeons in Ireland (IE)
Corresponding author
Langhe, Ream
ORCID
Langhe, Ream
Venue
Irish Journal of Medical Science (1971 -)
Publisher
Springer Science and Business Media LLC
Published
2021-01-11
Volume
190
Issue
4
Pages
1439-1444
ISSN
  • 0021-1265 (ISSN-L)
  • 1863-4362
DOI
10.1007/s11845-020-02456-4
OpenAlex
W3118245845
Cited by
11
References
0
Citations by year
2026: 1 · 2025: 3 · 2024: 1 · 2023: 2 · 2022: 4
FWCI
1.59
Type
journal article
Language
en
Open access
closed
Licence
Locations
  • Irish Journal of Medical Science (1971 -) (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Health Sciences › Medicine › Obstetrics and Gynecology › Gestational Diabetes Research and Management
  • Health Sciences › Medicine › Obstetrics and Gynecology › Maternal and Perinatal Health Interventions
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Obesity, Physical Activity, Diet
Keywords
maternal obesity, high body mass index, perinatal outcomes, pregnancy outcomes, labor induction, stillbirth, macrosomia, emergency cesarean section, shoulder dystocia, postpartum hemorrhage, miscarriage, low birth weight, elective cesarean section
MeSH terms
Cesarean Section, Female, Humans, Pregnancy, Pregnancy Complications, Pregnancy Outcome, Retrospective Studies, Body Mass Index

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Bracken, O., & Langhe, R. (2021). Evaluation of maternal and perinatal outcomes in pregnancy with high BMI. Irish Journal of Medical Science (1971 -). https://doi.org/10.1007/s11845-020-02456-4