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Maternal Obesity-Associated Neonatal Morbidities in Early Newborn Period
Azima Kureshi1, Rubia Khalak1, Jamie Gifford1
1Department of Pediatrics, Albany Medical College, Albany, NY, United States.
Maternal obesity increases risks for newborns, including respiratory issues and hypoglycemia. Infants born to obese mothers face higher rates of cesarean delivery and specific neonatal complications.
Area of Science:
- Obstetrics and Gynecology
- Neonatology
- Public Health
Background:
- Maternal obesity is a growing concern linked to adverse pregnancy outcomes.
- Existing research highlights associations between maternal obesity and neonatal complications.
Purpose of the Study:
- To investigate early neonatal morbidities in infants born to obese mothers.
- To analyze data from a large Regional Perinatal Center in NY.
Main Methods:
- Retrospective chart review of 22,198 mother-infant dyads (2009-2019).
- Maternal obesity defined as pre-pregnancy BMI ≥ 30 Kg/m².
- Data collected on maternal factors and neonatal outcomes including respiratory support, TTN, RDS, NH, and HIE.
Main Results:
- Obese mothers had higher rates of gestational diabetes, gestational hypertension, and cesarean deliveries.
- Infants of obese mothers showed significantly higher incidence of transient tachypnea of the newborn (TTN), respiratory distress syndrome (RDS), and neonatal hypoglycemia (NH).
- Hypoxic-ischemic encephalopathy (HIE) incidence was similar between groups.
Conclusions:
- Infants born to obese mothers face increased risks for cesarean delivery and specific neonatal morbidities like TTN, RDS, and NH.
- Maternal obesity is a significant risk factor for adverse neonatal outcomes in the early neonatal period.
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