Obesity in Pregnancy as a Risk Factor in Maternal and Child Health-A Retrospective Cohort Study
Miriam Orós1,2, Marta Lorenzo1,3, María Catalina Serna3,4
1Family Medicine Department, University of Lleida, 25003 Lleida, Spain.
Insights
Maternal overweight and obesity increase pregnancy complication risks, including cesarean delivery and preeclampsia. This study highlights the need for weight management in pregnant women for better maternal and newborn outcomes.
Area of Science:
- Obstetrics and Gynecology
- Public Health
- Perinatal Medicine
Background:
- Rising prevalence of overweight and obesity globally.
- Increased incidence of maternal overweight and obesity.
- Association of maternal overweight/obesity with adverse pregnancy outcomes.
Purpose of the Study:
- Determine the prevalence of overweight and obesity in pregnant women.
- Investigate the association between maternal overweight/obesity and pregnancy complications.
Main Methods:
- Retrospective cohort study.
- Data collected from pregnant women delivering between January 1, 2012, and December 31, 2018.
- Analysis of Body Mass Index (BMI) and associated risks.
Main Results:
- Higher obesity prevalence observed in women aged 35 and older.
- Overweight women (BMI > 25) showed increased risk of cesarean section (aOR 1.49), preeclampsia (aOR 1.64), high-risk pregnancy (aOR 2.34), low Apgar score (aOR 1.53), and macrosomia (aOR 2.08).
Conclusions:
- Maternal overweight and obesity are significant risk factors for adverse pregnancy and newborn outcomes.
- Effective weight management strategies are crucial for mitigating pregnancy complications.
- Further research into interventions for managing maternal weight is warranted.
Abstract:
The prevalence of overweight and obesity has risen dramatically in the last few years. This has led to an increase in both conditions in pregnant women. Obesity and overweight are associated with complications for both the mother and the newborn. The aim of this study is to determine the prevalence of obesity and its association with the risk of complications during pregnancy. Materials and Methods: We conducted a retrospective cohort study of pregnant women who delivered from 1 January 2012 to 31 December 2018. Results: A higher prevalence of obesity is observed in the group of women aged 35 or older. Women with a BMI > 25 present a higher risk of cesarean section (aOR 1.49, 95% CI: 1.37-1.61), preeclampsia (aOR 1.64, 95% CI: 1.19-2.26), high-risk pregnancy (aOR 2.34, 95% CI: 1.68-2.6), Apgar < 7 at one minute (aOR 1.53, 95% CI: 1.25-1.89) and macrosomia (aOR 2.08, 95% CI: 1.83-2.37). Maternal overweight and obesity are important determinants of the risk of complications for both the mother and the newborn.
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