Literature DB >> 20022589

The effect of maternal body mass index on neonatal outcome in women receiving a single course of antenatal corticosteroids.

Jason N Hashima1, Yinglei Lai, Ronald J Wapner, Yoram Sorokin, Donald J Dudley, Alan Peaceman, Catherine Y Spong, Jay D Iams, Kenneth J Leveno, Margaret Harper, Steve N Caritis, Michael Varner, Menachem Miodovnik, Brian M Mercer, John M Thorp, Mary J O'Sullivan, Susan M Ramin, Marshall Carpenter, Dwight J Rouse, Baha Sibai.   

Abstract

OBJECTIVE: The aim of this study was to determine the effect of maternal body mass index on the incidence of neonatal prematurity morbidities in those who receive corticosteroids. STUDY
DESIGN: This was a secondary analysis of a trial of corticosteroids in women at risk for preterm birth. Women receiving a single course of corticosteroids were classified by their prepregnancy body mass index (<25 and > or = 25) and compared on a composite outcome comprised of several neonatal morbidities and on each individual outcome.
RESULTS: Of 183 eligible women, 96 (52.5%) had a body mass index of <25 and 87 (47.5%) had a body mass index of > or = 25. The composite outcome occurred more frequently in the body mass index of > or = 2 5 group (28.7%), compared with those with a body mass index of <25 (18.8%), although this was not statistically significant (odds ratio, 1.75; 95% confidence interval, 0.83-3.72). Body mass index was not associated with outcomes after adjusting for confounding.
CONCLUSION: Maternal body mass index did not affect neonatal prematurity morbidities in those receiving corticosteroids. Copyright 2010 Mosby, Inc. All rights reserved.

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Year:  2009        PMID: 20022589      PMCID: PMC2834852          DOI: 10.1016/j.ajog.2009.10.859

Source DB:  PubMed          Journal:  Am J Obstet Gynecol        ISSN: 0002-9378            Impact factor:   8.661


  10 in total

1.  Pregnancy complications and outcomes among overweight and obese nulliparous women.

Authors:  J M Baeten; E A Bukusi; M Lambe
Journal:  Am J Public Health       Date:  2001-03       Impact factor: 9.308

2.  Maternal obesity and pregnancy outcome: a study of 287,213 pregnancies in London.

Authors:  N J Sebire; M Jolly; J P Harris; J Wadsworth; M Joffe; R W Beard; L Regan; S Robinson
Journal:  Int J Obes Relat Metab Disord       Date:  2001-08

3.  A controlled trial of antepartum glucocorticoid treatment for prevention of the respiratory distress syndrome in premature infants.

Authors:  G C Liggins; R N Howie
Journal:  Pediatrics       Date:  1972-10       Impact factor: 7.124

4.  Maternal obesity in early pregnancy and risk of spontaneous and elective preterm deliveries: a retrospective cohort study.

Authors:  Gordon C S Smith; Imran Shah; Jill P Pell; Jennifer A Crossley; Richard Dobbie
Journal:  Am J Public Health       Date:  2006-11-30       Impact factor: 9.308

5.  Single versus weekly courses of antenatal corticosteroids: evaluation of safety and efficacy.

Authors:  Ronald J Wapner; Yoram Sorokin; Elizabeth A Thom; Francee Johnson; Donald J Dudley; Catherine Y Spong; Alan M Peaceman; Kenneth J Leveno; Margaret Harper; Steve N Caritis; Menachem Miodovnik; Brian Mercer; John M Thorp; Atef Moawad; Mary Jo O'Sullivan; Susan Ramin; Marshall W Carpenter; Dwight J Rouse; Baha Sibai; Steven G Gabbe
Journal:  Am J Obstet Gynecol       Date:  2006-07-17       Impact factor: 8.661

6.  Maternal morbid obesity and the risk of adverse pregnancy outcome.

Authors:  Marie I Cedergren
Journal:  Obstet Gynecol       Date:  2004-02       Impact factor: 7.661

Review 7.  Effect of corticosteroids for fetal maturation on perinatal outcomes. NIH Consensus Development Panel on the Effect of Corticosteroids for Fetal Maturation on Perinatal Outcomes.

Authors: 
Journal:  JAMA       Date:  1995-02-01       Impact factor: 56.272

8.  Prevalence and trends in obesity among US adults, 1999-2000.

Authors:  Katherine M Flegal; Margaret D Carroll; Cynthia L Ogden; Clifford L Johnson
Journal:  JAMA       Date:  2002-10-09       Impact factor: 56.272

9.  Intramuscular gluteal injections in the increasingly obese population: retrospective study.

Authors:  Andrew Charles Nisbet
Journal:  BMJ       Date:  2006-03-08

10.  Bioavailability of hCG after intramuscular or subcutaneous injection in obese and non-obese women.

Authors:  Carina C W Chan; Ernest H Y Ng; Maureen M Y Chan; Oi Shan Tang; Estella Y L Lau; William S B Yeung; Pak-Chung Ho
Journal:  Hum Reprod       Date:  2003-11       Impact factor: 6.918

  10 in total
  3 in total

Review 1.  Repeat doses of prenatal corticosteroids for women at risk of preterm birth for improving neonatal health outcomes.

Authors:  Caroline A Crowther; Christopher Jd McKinlay; Philippa Middleton; Jane E Harding
Journal:  Cochrane Database Syst Rev       Date:  2011-06-15

Review 2.  Antenatal corticosteroids in the management of preterm birth: are we back where we started?

Authors:  Clarissa Bonanno; Ronald J Wapner
Journal:  Obstet Gynecol Clin North Am       Date:  2012-03       Impact factor: 2.844

Review 3.  Repeat doses of prenatal corticosteroids for women at risk of preterm birth for improving neonatal health outcomes.

Authors:  Caroline A Crowther; Christopher J D McKinlay; Philippa Middleton; Jane E Harding
Journal:  Cochrane Database Syst Rev       Date:  2015-07-05
  3 in total

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