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Medicina Fluminensis : Medicina Fluminensis, Vol. 53 No. 1, 2017.

Original scientific paper

https://doi.org/10.21860/medflum2017_173374

Pre-pregnancy body mass index and perinatal outcome

Anita Barišić orcid id orcid.org/0000-0002-5403-3129 ; Zavod za biologiju i medicinsku genetiku, Medicinski fakultet Sveučilišta u Rijeci, Rijeka
Aleks Finderle ; Klinika za ginekologiju i porodništvo, KBC Rijeka, Rijeka

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Abstract

Aim: To determine the connection of maternal body mass index (BMI) before pregnancy with perinatal outcome of pregnant women received at the Department of Obstetrics and Gynecology, Clinical Hospital Center Rijeka, during the period from 1 January 2010 to 31 December 2014. Patients and methods: We analyzed a group of 14,779 pregnant women, based on data collected from the Register of Clinical Hospital Center Rijeka. Results: Women with a BMI < 18 are more likely in the diagnosis of intrauterine growth restriction (P < 0.001), premature birth (P = 0.005) and threatened abortion (P = 0.001), giving birth of a child < 2500 g (P = 0.022), fetal death (P = 0.019). Pregnant women with a BMI 25-29.99 are more likely to: gestational diabetes mellitus (P < 0.001), gestational hypertension (P < 0.001), preeclampsia (P = 0.007), child acidosis at birth (P = 0.029), Apgar index ≤ 7 (P = 0.001), birth weight < 2500 g (P < 0.001) and ≥ 4000 g (P < 0.001). They are also in statistically significant increased risk of fetal death (P = 0.001), instrumental vaginal delivery (P = 0.041) and Caesarean section (P < 0.001). Pregnant women with a BMI ≥ 30 are more likely to: gestational diabetes mellitus (P < 0.001), gestational hypertension (P < 0.001), preeclampsia (P < 0.001), premature birth (P = 0.001), Apgar index ≤ 7 (P = 0.001), birth weight < 2500 g (P < 0.001) and ≥ 4000 g (P < 0.001). They are also in statistically significant increased risk of fever (P = 0.001), infant death (P = 0.001) and Caesarean section (P < 0.001). Conclusion: In this retrospective analysis, it has been shown that women with a BMI < 18 (underweight) and those with a BMI > 25 (overweight and obese) are at higher risk for perinatal complications.

Keywords

body mass index; obesity; overweight; perinatal complications; underweight

Hrčak ID:

173374

URI

https://hrcak.srce.hr/173374

Publication date:

1.3.2017.

Article data in other languages: croatian

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