ArticleArchives of gynecology and obstetrics2011
Risks of pregnancy and birth in obese primiparous women: an analysis of German perinatal statistics.
Article in Archives of gynecology and obstetrics, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 2 of them syntheses that pooled it.
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Who cites it
20 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Global trends in prevalence of maternal overweight and obesity: A systematic review and meta-analysis of routinely collected data retrospective cohorts.International journal of population data science · 2024Pooled it
- Maternal body mass index and post-term birth: a systematic review and meta-analysis.Obesity reviews : an official journal of the International Association for the Study of Obesity · 2017Pooled it
- Peripartum and Perinatal Outcomes in Pregnant Women with Elevated Preconceptional Body Mass Index in a Maternity Hospital (Care Level IV).Geburtshilfe und Frauenheilkunde · 2025Article
- Differences in cervical length during the second trimester among normal weight, overweight and obese women: A systematic review and meta-analysis.European journal of obstetrics & gynecology and reproductive biology: X · 2024Review
- Article
- Adverse obstetric and perinatal outcomes in 2333 singleton pregnancies conceived after different endometrial preparation protocols: a retrospective study in China.BMC pregnancy and childbirth · 2022Article
- The Possibility of Using Bioelectrical Impedance Analysis in Pregnant and Postpartum Women.Diagnostics (Basel, Switzerland) · 2021Review
- Can the Rate of C-sections Performed in a Level I Perinatal Center Be Reduced? - An Analysis of the University Gynecology Clinic Rostock, 2008 - 2014.Geburtshilfe und Frauenheilkunde · 2017Article
- Obesity or Underweight-What is Worse in Pregnancy?Journal of obstetrics and gynaecology of India · 2016Article
- Evaluating the Obstetrical Implications of Antenatal Testing for Women with Morbid Obesity: Maternal and Fetal Outcomes of Increased Surveillance.American journal of perinatology · 2016Article
- Variation in preterm birth rate and the role of short cervical length across two populations: a comparative cohort study.Journal of perinatology : official journal of the California Perinatal Association · 2016Article
- Maternal pre-pregnancy BMI, gestational weight gain and breastfeeding.European journal of clinical nutrition · 2016Article
- Pandemic of Pregnant Obese Women: Is It Time to Re-Evaluate Antenatal Weight Loss?Healthcare (Basel, Switzerland) · 2015Review
- Pre-pregnancy Body Mass Index (BMI) and delivery outcomes in a Canadian population.BMC pregnancy and childbirth · 2014Article
- Analysis of the German Perinatal Survey of the Years 2007-2011 and Comparison with Data From 1995-1997: Maternal Characteristics.Geburtshilfe und Frauenheilkunde · 2013Article
- Anxiety and depressed mood in obese pregnant women: a prospective controlled cohort study.Obesity facts · 2013Article
- Maternal sepsis: a Scottish population-based case-control study.BJOG : an international journal of obstetrics and gynaecology · 2012Article
- The effects of pre-pregnancy body mass index and gestational weight gain on perinatal outcomes in Korean women: a retrospective cohort study.Reproductive biology and endocrinology : RB&E · 2011Article
- Health disparities in risk for cervical insufficiency.Human reproduction (Oxford, England) · 2010Article
- Flow-mediated Dilation of the Brachial Artery in Women with Hypertensive Disorders of Pregnancy.Journal of medical ultrasoundArticle
Corrections and comments
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5 authors.
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Abstract
purposeTo compare risks of pregnancy and birth in obese (body mass index, BMI ≥ 30) and normal weight women (BMI 18.5-24.99) giving birth to their first child.
methodsWe analysed data of 243,571 pregnancies in primiparous women from the German perinatal statistics of 1998-2000. We calculated odds ratios (ORs) with 95% confidence intervals (CIs) for selected pregnancy and birth risks. ORs were adjusted for the confounding factors age, smoking status, single mother status, and maternal education.
resultsObesity during pregnancy is common in primiparous women (n = 19,130; 7.9% of all cases) and it is significantly associated with a number of risks of pregnancy and birth, including diabetes [OR 3.71 (95% CI 2.93; 4.71); p < 0.001], hypertension [OR 8.44 (7.91; 9.00); p < 0.001], preecalmpsia/eclampsia [OR 6.72 (6.30; 7.17); p < 0.001], intraamniotic infection [OR 2.33 (2.05; 2.64); p < 0.001], birth weight ≥ 4,000 g [OR 2.16 (2.05; 2.28); p < 0.001], and an increased rate of Caesarean section [OR 2.23 (2.15; 2.30); p < 0.001]. Some risks were less frequent in the obese such as cervical incompetence [OR 0.55 (0.48; 0.63); p < 0.001] and preterm labour [OR 0.47 (0.43; 0.51); p < 0.001].
conclusionsObesity during pregnancy is an important clinical problem in primiparous women because it is common and it is associated with a number of risks of pregnancy and birth. Because of these increased risks, obese women need special attention clinically during the course of their first pregnancy. Weight reduction before the first pregnancy is generally indicated in obese women to prevent the above-mentioned complications of pregnancy and birth.
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