Angela M Kerrigan1, Carol Kingdon. 1. Midwifery Research Department, Room 54, Antenatal Clinic, Liverpool Women's NHS Foundation Trust, Crown Street, Liverpool L8 7SS, UK. angela.kerrigan@lwh.nhs.uk
Abstract
OBJECTIVES: to establish the incidence of obesity in the pregnant population in a large city in the North West of England, identify links between obesity and social deprivation, and compare outcomes of pregnancy in obese and non-obese women. DESIGN: retrospective cohort study using maternal records. SETTING: largest maternity hospital in Europe. PARTICIPANTS: 8176 women who gave birth at the study hospital in 2006. FINDINGS: data showed that 17.7% of women were clinically obese. Obesity rates increased with advancing age. The incidence of pre-eclampsia, gestational diabetes, induction of labour, caesarean section and fetal macrosomia was significantly higher amongst the obese population. No relationship was found between obesity and social deprivation. CONCLUSIONS: this study ascertained the exact incidence of maternal obesity in the local area and showed the increased risks associated with obesity and pregnancy. IMPLICATIONS FOR PRACTICE: this study supports the need for a shared-care approach to antenatal care and that obese women should give birth in consultant-led units. The support of a named midwife should be available to these women throughout the childbearing experience, and preconception care advocated. Copyright 2008 Elsevier Ltd. All rights reserved.
OBJECTIVES: to establish the incidence of obesity in the pregnant population in a large city in the North West of England, identify links between obesity and social deprivation, and compare outcomes of pregnancy in obese and non-obesewomen. DESIGN: retrospective cohort study using maternal records. SETTING: largest maternity hospital in Europe. PARTICIPANTS: 8176 women who gave birth at the study hospital in 2006. FINDINGS: data showed that 17.7% of women were clinically obese. Obesity rates increased with advancing age. The incidence of pre-eclampsia, gestational diabetes, induction of labour, caesarean section and fetal macrosomia was significantly higher amongst the obese population. No relationship was found between obesity and social deprivation. CONCLUSIONS: this study ascertained the exact incidence of maternal obesity in the local area and showed the increased risks associated with obesity and pregnancy. IMPLICATIONS FOR PRACTICE: this study supports the need for a shared-care approach to antenatal care and that obesewomen should give birth in consultant-led units. The support of a named midwife should be available to these women throughout the childbearing experience, and preconception care advocated. Copyright 2008 Elsevier Ltd. All rights reserved.
Authors: Annick F L Bogaerts; Roland Devlieger; Erik Nuyts; Ingrid Witters; Wilfried Gyselaers; Isabelle Guelinckx; Bea R H Van den Bergh Journal: Obes Facts Date: 2013-04-12 Impact factor: 3.942