Archives of Gynecology and Obstetrics

, Volume 278, Issue 1, pp 23–26

Prepregnancy body mass index and adverse pregnancy outcomes

  • L. Driul
  • G. Cacciaguerra
  • A. Citossi
  • M. Della Martina
  • L. Peressini
  • D. Marchesoni
Original Article

DOI: 10.1007/s00404-007-0524-0

Cite this article as:
Driul, L., Cacciaguerra, G., Citossi, A. et al. Arch Gynecol Obstet (2008) 278: 23. doi:10.1007/s00404-007-0524-0

Abstract

Objective

The aim of this study was to evaluate the association between prepregnancy BMI, and adverse maternal and neonatal outcomes.

Method

In this retrospective cohort study 916 consecutive singleton gestations were included who gave birth between 1 January 2006 and 31 August 2006 at the Department of Obstetrics and Gynecology, University of Udine, Italy. Statistical analysis was performed using univaried logistic regression and measured by odds ratio.

Results

The obese patients had a statistically, significantly increased incidence of Caesarean section (OR = 2.17, p = 0.009). Women with overweight (OR = 2.43, p = 0.002) and obese weight (OR = 4.86, p < 0.0001) were at increased risk for preterm deliveries. The pre-eclampsia and the fetal macrosomia (≥4,000 g) were increased in obese women (OR = 5.68, p < 0.0001; OR = 2.58, p = 0.033, respectively).

Conclusion

Maternal prepregnancy obesity is significantly associated with increased risk of Caesarean section, preterm delivery, pre-eclampsia and macrosomia.

Keywords

Body mass indexPregnancyMaternal complications

Copyright information

© Springer-Verlag 2007

Authors and Affiliations

  • L. Driul
    • 1
  • G. Cacciaguerra
    • 1
  • A. Citossi
    • 1
  • M. Della Martina
    • 1
  • L. Peressini
    • 1
  • D. Marchesoni
    • 1
  1. 1.Department of Obstetrics and GynecologyUniversity of UdineUdineItaly