Evidence map›Paper›PMID 27165864›Full record

ArticleInternational journal of public health2016

The association of pre-pregnancy overweight and obesity with delivery outcomes: a comparison of immigrant and non-immigrant women in Berlin, Germany.

Katharina Reiss, Jürgen Breckenkamp, Theda Borde, Silke Brenne, Wolfgang Henrich, Matthias David, Oliver Razum

Abstract read
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In one paragraph

Article in International journal of public health, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed, 1 pooled it
1.0field-weighted citation impact, top 22% of its field
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

2 citing papers in PubMed, 1 synthesis or guideline pooled it, 7 citations in OpenAlex.

  1. Pooled it
  2. Migration Background Should Be Considered.Deutsches Arzteblatt international · 2018
    Article
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

7 authors at 3 institutions in 1 country.

Katharina ReissDepartment of Epidemiology and International Public Health, Bielefeld School of Public Health (BiSPH), Bielefeld University, Bielefeld, Germany.
Jürgen BreckenkampDepartment of Epidemiology and International Public Health, Bielefeld School of Public Health (BiSPH), Bielefeld University, Bielefeld, Germany. juergen.breckenkamp@uni-bielefeld.de.
Theda BordeAlice Salomon Hochschule Berlin, University of Applied Sciences, Berlin, Germany.
Silke BrenneDepartment of Gynecology, Campus Virchow-Klinikum, Charité Universitätsmedizin Berlin, Berlin, Germany.
Wolfgang HenrichDepartment of Gynecology, Campus Virchow-Klinikum, Charité Universitätsmedizin Berlin, Berlin, Germany.
Matthias DavidDepartment of Gynecology, Campus Virchow-Klinikum, Charité Universitätsmedizin Berlin, Berlin, Germany.
Oliver RazumDepartment of Epidemiology and International Public Health, Bielefeld School of Public Health (BiSPH), Bielefeld University, Bielefeld, Germany.
Bielefeld University · DECharité - Universitätsmedizin Berlin · DEAlice-Salomon-Hochschule Berlin · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesTo analyse the influence of maternal overweight/obesity on delivery outcomes among first- and second-generation immigrant women and non-immigrant women.

methodsWe used perinatal data from Berlin/Germany (n = 1987 first generation, n = 687 second generation, n = 2185 non-immigrants; gestational age: 24+ weeks; maternal age: 18+ years). Poisson models were fitted to estimate the effect of pre-pregnancy overweight/obesity (categorised according to WHO) on mode of delivery (vaginal vs. emergency caesarean section (ECS)) and labour onset (spontaneous vs. induced).

resultsFirst generation, second generation and non-immigrant women were more likely to have their labour induced when obese [first generation: RR = 1.41 (95 % CI: 1.15-1.72); second generation: RR = 1.51 (95 % CI: 1.14-2.00); non-immigrants: RR = 1.53 (95 % CI: 1.28-1.81)] compared to normal weight. There were also indications of obese women being more likely to deliver by ECS than women of normal weight, irrespective of migrant status.

conclusionsAn elevated RR for obese and in parts for overweight women of labour induction and ECS pertains irrespective of migrant status. This warrants further research looking into pathophysiological in addition to health-system factors. Weight control interventions addressed at overweight/obese women planning pregnancies are urgently needed.

Indexed as

AdolescentAdultBerlinBody Mass IndexDelivery, ObstetricEmigrants and ImmigrantsFemaleHealth BehaviorHumansLabor, InducedObesityOverweightPregnancyPregnancy ComplicationsPregnancy OutcomeRisk FactorsEmergency caesarean sectionImmigrantsInduction of labourOverweight/obesityPre-pregnancy BMI

Identifiers

PMID27165864
OpenAlexW2379686834

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.