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Assessment of Child Anthropometry in a Large Epidemiologic Study
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Published on: February 2, 2017

Birth complications, overweight, and physical inactivity.

Nanna Voldner1, Kathrine Frey Frøslie, Lene Anette Hagen Haakstad

  • 1Department of Obstetrics and Gynecology, Rikshospitalet University Hospital, University of Oslo, Oslo, Norway. nanna.voldner@rikshospitalet.no

Acta Obstetricia Et Gynecologica Scandinavica
|March 12, 2009
PubMed
Summary

Maternal physical inactivity and high body mass index (BMI) increase risks for delivery complications like perineal lacerations and hemorrhage. Male infants are also linked to a higher risk of operative vaginal delivery.

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Area of Science:

  • Obstetrics and Gynecology
  • Maternal-Fetal Medicine
  • Public Health

Background:

  • Maternal lifestyle choices significantly influence pregnancy outcomes.
  • Understanding modifiable risk factors is crucial for preventing adverse delivery events.

Purpose of the Study:

  • To investigate the relationship between maternal lifestyle factors and specific delivery complications.
  • To identify predictors for cesarean section, operative vaginal delivery, perineal lacerations, and hemorrhage.

Main Methods:

  • Prospective cohort study of 553 women at a university hospital in Oslo, Norway.
  • Analysis included logistic regression to assess predictors like BMI, physical activity, parity, and maternal age.
  • Complications studied were cesarean section, operative vaginal delivery, severe perineal lacerations, and hemorrhage.

Main Results:

  • High BMI and high birthweight were associated with cesarean sections and hemorrhage.
  • Pre-gestational physical inactivity significantly increased the risk of perineal lacerations.
  • Parity, maternal age, and gestational age were predictors for induction of labor and cesarean section.
  • Male infants were associated with a higher risk of operative vaginal delivery.

Conclusions:

  • Pre-gestational physical inactivity is a risk factor for severe perineal lacerations.
  • Maternal BMI and birthweight are linked to increased rates of cesarean section and hemorrhage.
  • Identifying and addressing modifiable factors like physical activity can potentially reduce delivery complications.