التفاصيل البيبلوغرافية
| العنوان: |
The effects of maternal obesity on perinatal outcomes among those born small for gestational age. |
| المؤلفون: |
Yao, Ruofan, Park, Bo Y., Caughey, Aaron B. |
| المصدر: |
Journal of Maternal-Fetal & Neonatal Medicine; Jun2017, Vol. 30 Issue 12, p1417-1422, 6p |
| مصطلحات موضوعية: |
OBESITY, BODY weight, METABOLIC disorders, NUTRITION disorders, COMPULSIVE eating, OBESITY complications, APGAR score, BIRTH size, DATABASES, GESTATIONAL age, NEONATAL intensive care, PERINATAL death, PREGNANCY complications, QUESTIONNAIRES, BODY mass index, NEONATAL intensive care units, RETROSPECTIVE studies, CASE-control method |
| مستخلص: |
Background: Maternal obesity has been associated with higher birth weight. Small for gestational age (SGA) neonates born to obese women may be associated with pathological growth with increased neonatal complications.Methods: This was a retrospective cohort study of all non-anomalous singleton neonates born in Texas from 2006-2011. Analyses were limited to births between 34 and 42 weeks gestation with birth weight ≤10th percentile. Results were stratified by maternal pre-pregnancy BMI class. The risk for stillbirth, neonatal death, neonatal intensive care unit (NICU) admission and five minute Apgar scores <7 were estimated for each obesity class and compared to the normal weight group. Multivariable logistic regression analyses were performed to control for potential confounding variables.Results: The rate of stillbirth was 1.4/1000 births for normal weight women, and 2.9/1000 among obese women (p < 0.001, aOR: 1.83 [1.43, 2.34]). The rate of neonatal deaths among normal weight women was 4.3/1000 births, whereas among obese women it was 4.7/1000 (p = 0.94, aOR: 1.10 [0.92, 1.30]). A dose-dependent relationship between maternal obesity and stillbirths was seen, but not for other neonatal outcomes.Conclusion: Among SGA neonates, maternal pre-pregnancy obesity was associated with increased risks for stillbirth, NICU admission and low Apgar scores but not neonatal death. [ABSTRACT FROM AUTHOR] |
|
Copyright of Journal of Maternal-Fetal & Neonatal Medicine is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.) |
| قاعدة البيانات: |
Complementary Index |
