Archives of Gynecology and Obstetrics

, Volume 284, Issue 4, pp 827–836

Pregnancy, obesity, gestational weight gain, and parity as predictors of peripartum complications

  • Everett F. Magann
  • Dorota A. Doherty
  • Suneet P. Chauhan
  • Jennifer M. Klimpel
  • Shannon D. Huff
  • John C. Morrison
Materno-fetal Medicine

DOI: 10.1007/s00404-010-1754-0

Cite this article as:
Magann, E.F., Doherty, D.A., Chauhan, S.P. et al. Arch Gynecol Obstet (2011) 284: 827. doi:10.1007/s00404-010-1754-0

Abstract

Purpose

To determine if the best predictor of pregnancy complications is pre-pregnancy body mass index (BMI) alone or in combination with other factors.

Methods

BMI and peripartum outcomes of singleton pregnancies were evaluated. Recursive partitioning and logistic regression modeling was used.

Results

Of the 4,286 cohorts, 26% were obese (BMI >30 kg/m2) and, compared to cohorts with normal weight, at risk for wound infections (P < 0.001), and shoulder dystocia (P < 0.001). High-risk patients (15%; BMI >32.5, parity, pregnancy weight gain of 28 lb by 28 weeks) were at increased risk for wound infection (P < 0.001), endometritis (P < 0.001), shoulder dystocia (P = 0.001) and 5 min Apgar score <4 (P < 0.041) and at lower risk for pre-term delivery (P = 0.007).

Conclusions

Since BMI, parity, and weight gain until 28 weeks together provide better prediction of peripartum complications than BMI alone, these characteristics can be used to triage and refer patients.

Keywords

PregnancyMaternal obesityBody mass indexPregnancy complications

Copyright information

© Springer-Verlag 2010

Authors and Affiliations

  • Everett F. Magann
    • 1
  • Dorota A. Doherty
    • 2
  • Suneet P. Chauhan
    • 3
  • Jennifer M. Klimpel
    • 4
  • Shannon D. Huff
    • 5
  • John C. Morrison
    • 5
  1. 1.Departments of Obstetrics and GynecologyUniversity of Arkansas for the Medical SciencesLittle RockUSA
  2. 2.School of Women’s and Infants’ HealthUniversity of Western AustraliaPerthAustralia
  3. 3.Eastern Virginia Medical SchoolNorfolkUSA
  4. 4.Naval Medical Center—PortsmouthPortsmouthUSA
  5. 5.University of Mississippi Medical CenterJacksonUSA