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Related Concept Videos

Teratogenicity01:07

Teratogenicity

The ability of a drug to produce structural deformations and functional abnormalities in the developing embryo or the fetus is called teratogenicity, and the drug producing this effect is known as a teratogen. Teratogenic effects include stillbirth, miscarriage, intrauterine growth restriction, and neurocognitive delay. A teratogen may affect the embryo at different stages of development, which is important in determining the type and extent of the damage. During blastocyst formation, the early...
Obesity01:24

Obesity

The Body Mass Index (BMI) is a numerical value derived from a person's weight and height, used to categorize individuals into weight ranges. It is calculated using the formula: weight in kilograms divided by height in meters squared. Obesity is a health condition characterized by excessive accumulation of adipose tissue that poses health risks, often diagnosed with a BMI ≥ 30. This excess fat storage occurs when surplus dietary calories are converted into triglycerides and stored in adipocytes...
Pathophysiology of Diabetes01:20

Pathophysiology of Diabetes

Diabetes mellitus is a chronic metabolic disorder characterized by hyperglycemia. The four categories of diabetes are type 1 diabetes, type 2 diabetes, other specific types of diabetes, and gestational diabetes.
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Bulimia Nervosa

Bulimia nervosa is a complex and severe eating disorder characterized by a cyclical pattern of binge-and-purge eating pattern. It generally involves an episode of binge eating, followed by compensatory behaviors such as vomiting, excessive exercise, laxative use, or fasting, to prevent weight gain. Despite often maintaining a normal weight, individuals with bulimia are intensely preoccupied with their body image and harbor an overwhelming fear of gaining weight. This can contribute to the...
Diabetes Mellitus: Type 2 and Gestational01:22

Diabetes Mellitus: Type 2 and Gestational

Type 2 diabetes, characterized by insulin resistance, arises when the insulin receptors on cells lose responsiveness to insulin, diminishing the cell's capacity to take up glucose, resulting in elevated blood glucose levels. To receive a diagnosis of Type 2 diabetes, a series of blood glucose tests are necessary to assess whether the blood glucose falls within normal parameters. If the result is out of the normal range, a patient may be diagnosed as prediabetic or diabetic, depending on the...
Development of the Oral Microbiota01:28

Development of the Oral Microbiota

The establishment of the oral microbiome begins before birth, challenging the long-held belief that the fetal oral cavity is sterile. The presence of oral microbes such as Streptococcus and Fusobacterium in amniotic fluid suggests that microbial exposure may occur in utero, potentially through translocation from the maternal oral or gastrointestinal tract. This early colonization primes the neonatal immune system and sets the stage for subsequent microbial succession. Maternal health,...

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Related Experiment Video

Updated: Jul 13, 2026

A Primary Human Trophoblast Model to Study the Effect of Inflammation Associated with Maternal Obesity on Regulation of Autophagy in the Placenta
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A Primary Human Trophoblast Model to Study the Effect of Inflammation Associated with Maternal Obesity on Regulation of Autophagy in the Placenta

Published on: September 27, 2017

Prepregnancy obesity as a risk factor for structural birth defects.

D Kim Waller1, Gary M Shaw, Sonja A Rasmussen

  • 1School of Public Health, The University of Texas at Houston, Houston, TX 77030, USA. kim.waller@uth.tmc.edu

Archives of Pediatrics & Adolescent Medicine
|August 8, 2007
PubMed
Summary

Maternal obesity is linked to an increased risk of several birth defects, including spina bifida and heart defects. However, obesity was associated with a lower risk of gastroschisis in newborns.

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Area of Science:

  • Reproductive Health
  • Pediatrics
  • Genetics

Background:

  • Maternal pre-pregnancy weight status is a critical factor in fetal development.
  • Obesity rates have been rising globally, necessitating research into its impact on birth outcomes.
  • Understanding the relationship between maternal body mass index (BMI) and structural birth defects is crucial for public health.

Purpose of the Study:

  • To investigate the association between maternal obesity, overweight, and underweight status and 16 categories of structural birth defects.
  • To quantify the risk of specific birth defects in relation to maternal pre-pregnancy BMI.

Main Methods:

  • A multisite, case-control study involving mothers enrolled in the National Birth Defects Prevention Study (1997-2002).
  • Exclusion criteria included single-gene disorders, chromosomal abnormalities, and pre-existing diabetes in mothers.
  • Maternal pre-pregnancy BMI was determined using self-reported height and weight.

Main Results:

  • Maternal obesity was significantly associated with an increased risk of spina bifida, heart defects, anorectal atresia, hypospadias, limb reduction defects, diaphragmatic hernia, and omphalocele (ORs 1.33-2.10).
  • A significant inverse association was observed between maternal obesity and gastroschisis (OR < 1).

Conclusions:

  • This population-based study provides evidence for a weak to moderate positive association between maternal pre-pregnancy obesity and seven categories of structural birth defects.
  • A strong inverse association was found between maternal obesity and gastroschisis.
  • The underlying mechanisms remain unclear but may involve factors like undiagnosed diabetes.