ArticleBJOG : an international journal of obstetrics and gynaecology2017
Spontaneous and indicated preterm delivery risk is increased among overweight and obese women without prepregnancy chronic disease.
Article in BJOG : an international journal of obstetrics and gynaecology, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 1 of them a synthesis that pooled it.
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15 citing papers in PubMed, 1 synthesis or guideline pooled it, 38 citations in OpenAlex.
- Maternal pre-pregnancy body mass index and risk of preterm birth: a collaboration using large routine health datasets.BMC medicine · 2024Pooled it
- Longitudinal urine metabolic profiling and gestational age prediction in human pregnancy.Briefings in bioinformatics · 2024Article
- Impact of pre-pregnancy weight on the risk of premature rupture of membranes in Chinese women.Heliyon · 2023Article
- Evaluation of maternal risk factors for preterm delivery in Fatemieh Hospital of Hamadan, Iran, 2019: A case-control study.Journal of family medicine and primary care · 2021Article
- Healthy preconception and early-pregnancy lifestyle and risk of preterm birth: a prospective cohort study.The American journal of clinical nutrition · 2021Article
- Accelerated fetal growth in early pregnancy and risk of preterm birth: a prospective cohort study.BMC pregnancy and childbirth · 2020Article
- Dysregulation of bile acids increases the risk for preterm birth in pregnant women.Nature communications · 2020Article
- Adverse maternal and neonatal outcomes among women with preeclampsia with severe features <34 weeks gestation with versus without comorbidity.Pregnancy hypertension · 2020Article
- Adiponectin links maternal metabolism to uterine contractility.FASEB journal : official publication of the Federation of American Societies for Experimental Biology · 2019Article
- Maternal obesity classes, preterm and post-term birth: a retrospective analysis of 479,864 births in England.BMC pregnancy and childbirth · 2019Article
- Association of chorioamnionitis and its duration with neonatal morbidity and mortality.Journal of perinatology : official journal of the California Perinatal Association · 2019Observational
- The comparison of plasma fibronectin in term and preterm delivery: A cross-sectional, descriptive-analytical study.International journal of reproductive biomedicine · 2019Article
- The Association Between Trimester-Specific Weight Gain and Severe Preeclampsia/Adverse Perinatal Outcome in Gestational Diabetes Mellitus Complicated by Preeclampsia: A Retrospective Case Study.Diabetes therapy : research, treatment and education of diabetes and related disorders · 2019Article
- Maternal obesity: a serious pediatric health crisis.Pediatric research · 2018Article
- The Risks Associated With Obesity in Pregnancy.Deutsches Arzteblatt international · 2018Review
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5 authors at 2 institutions in 2 countries.
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Abstract
objectiveTo investigate the independent impact of prepregnancy obesity on preterm delivery among women without chronic diseases by gestational age, preterm category and parity.
designA retrospective cohort study.
settingData from the Consortium on Safe Labor (CSL) in the USA (2002-08). POPULATION: Singleton deliveries at ≥23 weeks of gestation in the CSL (43 200 nulliparas and 63 129 multiparas) with a prepregnancy body mass index (BMI) ≥18.5 kg/m
methodsAssociation of prepregnancy BMI and the risk of preterm delivery was examined using Poisson regression with normal weight as reference.
main outcome measuresPreterm deliveries were categorised by gestational age (extremely, very, moderate to late) and category (spontaneous, indicated, no recorded indication).
resultsRelative risk of spontaneous preterm delivery was increased for extremely preterm among obese nulliparas (1.26, 95% CI: 0.94-1.70 for overweight; 1.88, 95% CI: 1.30-2.71 for obese class I; 1.99, 95% CI: 1.32-3.01 for obese class II/III) and decreased for moderate to late preterm delivery among overweight and obese multiparas (0.90, 95% CI: 0.83-0.97 for overweight; 0.87, 95% CI: 0.78-0.97 for obese class I; 0.79, 95% CI: 0.69-0.90 for obese class II/III). Indicated preterm delivery risk was increased with prepregnancy BMI in a dose-response manner for extremely preterm and moderate to late preterm among nulliparas, as it was for moderate to late preterm delivery among multiparas.
conclusionsPrepregnancy BMI was associated with increased risk of preterm delivery even in the absence of chronic diseases, but the association was heterogeneous by preterm categories, gestational age and parity. TWEETABLE ABSTRACT: Obese nulliparas without chronic disease had higher risk for spontaneous delivery <28 weeks of gestation.
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