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Pregnancy Complications and Outcomes Among Overweight and Obese Nulliparous Women

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Specialty Public Health
Date 2001 Mar 10
PMID 11236410
Citations 192
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Abstract

Objectives: This study examined the associations between prepregnancy weight and the risk of pregnancy complications and adverse outcomes among nulliparous women.

Methods: We conducted a population-based cohort study with 96,801 Washington State birth certificates from 1992 to 1996. Women were categorized by body mass index. Multivariate logistic regression was performed.

Results: The rate of occurrence of most of the outcomes increased with increasing body mass index category. Compared with lean women, both overweight and obese women had a significantly increased risk for gestational diabetes, preeclampsia, eclampsia, cesarean delivery, and delivery of a macrosomic infant.

Conclusions: Among nulliparous women, not only prepregnancy obesity but also overweight increases the risk of pregnancy complications and adverse pregnancy outcomes.

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