D Bowers1, W R Cohen. 1. Department of OB/GYN, Sinai Hospital of Baltimore, Baltimore, MD 21215, USA.
Abstract
OBJECTIVE: The study was designed to determine the prevalence of obesity and related pregnancy complications in an inner-city prenatal clinic. STUDY DESIGN: A retrospective review was conducted of the medical records of 281 women with no chronic diseases and who delivered singleton term babies during a 1-year period. The frequencies of various pregnancy complications, including pregnancy-induced hypertension, preeclampsia, gestational diabetes, shoulder dystocia, postpartum hemorrhage, fourth degree laceration, intrauterine growth restriction, and macrosomia, were compared among groups of patients stratified by body mass index (BMI). RESULTS: Thirty-four percent of patients had a reported prepregnancy BMI of > 26 kg/m2. Fifty-two percent of patients were obese (BMI > 26 kg/m2) when they registered for prenatal care, and 82% of patients had a BMI > 26 kg/m2 at the time of delivery. The incidence of birth weights of > 4 kg was significantly higher in women with a registration BMI > 26 kg/m2 (p = 0.026). Most of these macrosomic babies had mothers with a BMI > 29 kg/m2. Patients who required cesarean delivery had significantly higher BMI than those who were delivered vaginally (p < 0.001). CONCLUSION: Obesity was more common in our inner-city population than has previously been reported and was associated with an increased risk of fetal macrosomia and operative delivery.
OBJECTIVE: The study was designed to determine the prevalence of obesity and related pregnancy complications in an inner-city prenatal clinic. STUDY DESIGN: A retrospective review was conducted of the medical records of 281 women with no chronic diseases and who delivered singleton term babies during a 1-year period. The frequencies of various pregnancy complications, including pregnancy-induced hypertension, preeclampsia, gestational diabetes, shoulder dystocia, postpartum hemorrhage, fourth degree laceration, intrauterine growth restriction, and macrosomia, were compared among groups of patients stratified by body mass index (BMI). RESULTS: Thirty-four percent of patients had a reported prepregnancy BMI of > 26 kg/m2. Fifty-two percent of patients were obese (BMI > 26 kg/m2) when they registered for prenatal care, and 82% of patients had a BMI > 26 kg/m2 at the time of delivery. The incidence of birth weights of > 4 kg was significantly higher in women with a registration BMI > 26 kg/m2 (p = 0.026). Most of these macrosomic babies had mothers with a BMI > 29 kg/m2. Patients who required cesarean delivery had significantly higher BMI than those who were delivered vaginally (p < 0.001). CONCLUSION:Obesity was more common in our inner-city population than has previously been reported and was associated with an increased risk of fetal macrosomia and operative delivery.
Authors: Debbie M Smith; Melissa Whitworth; Colin Sibley; Wendy Taylor; Jane Gething; Catherine Chmiel; Tina Lavender Journal: BMC Public Health Date: 2010-05-27 Impact factor: 3.295