Evidence map›Paper›PMID 26101664›Full record

Observational studyJournal of obesity2015

Health Care Consumption during Pregnancy in relation to Maternal Body Mass Index: A Swedish Population Based Observational Study.

Elisabeth S Lindholm, Daniel Altman, Margareta Norman, Marie Blomberg

Abstract readObservational Study
In one paragraph

Observational study in Journal of obesity, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

6 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Article
  5. Article
  6. Observational
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Elisabeth S LindholmDivision of Obstetrics and Gynecology, Department of Clinical Science, Karolinska Institutet, 171 77 Stockholm, Sweden.
Daniel AltmanDivision of Obstetrics and Gynecology, Department of Clinical Science, Karolinska Institutet, 171 77 Stockholm, Sweden.
Margareta NormanDivision of Obstetrics and Gynecology, Department of Clinical Science, Karolinska Institutet, 171 77 Stockholm, Sweden.
Marie BlombergDepartment of Obstetrics and Gynecology and Department of Clinical and Experimental Medicine, Linköping University, 581 83 Linköping, Sweden.ORCID 0000-0003-4679-550X

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo assess whether antenatal health care consumption is associated with maternal body mass index (BMI).

designA register based observational study.

methodsThe Swedish Medical Birth Register, the Maternal Health Care Register, and the Inpatient Register were used to determine antenatal health care consumption according to BMI categories for primiparous women with singleton pregnancies, from 2006 to 2008, n = 71,638. Pairwise comparisons among BMI groups are obtained post hoc by Tukey HSD test.

resultObese women were more often admitted for in-patient care (p < 0.001), had longer antenatal hospital stays (p < 0.001), and were more often sick-listed by an obstetrician (p < 0.001) during their pregnancy, compared to women with normal weight women. Preeclampsia was more than four times as common, hypertension five times as common, and gestational diabetes 11 times as common when comparing in-patient care, obese to normal weight women (p < 0.001 for all comparisons). Underweight mothers had longer stay in hospitals (p < 0.05) and hydronephrosis and hyperemesis gravidarum were more than twice as common (both p < 0.001).

conclusionObese and underweight mothers consumed significantly more health care resources and obese women were significantly more often sick-listed during their pregnancy when compared to pregnant women of normal weight.

Indexed as

AdultBody Mass IndexDiabetes, GestationalFemaleHumansHypertension, Pregnancy-InducedLength of StayMaternal Health ServicesOverweightPre-EclampsiaPregnancyPregnant PeopleSwedenThinness

Identifiers

PMID26101664
PMCPMC4460241

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.