Open AccessThe Effects of Pre-Pregnancy Body Mass Index and Weight Gain During Pregnancy on Perinatal Outcomes: A Retrospective Cohort Study
Author(s) -
Engin Yurtçu,
Sibel Mutlu,
Enis Özkaya
Publication year - 2021
Publication title -
gynecology obstetrics and reproductive medicine
Language(s) - English
Resource type - Journals
ISSN - 2602-4918
DOI - 10.21613/gorm.2021.1149
Subject(s) - medicine , pregnancy , body mass index , obstetrics , weight gain , gestational diabetes , overweight , apgar score , birth weight , preeclampsia , gestational age , mass index , retrospective cohort study , gestation , body weight , genetics , biology
OBJECTIVE: To investigate the effects of pre-pregnancy body mass index and weight gain during pregnancy on perinatal outcomes and delivery mode.STUDY DESIGN: In this retrospective cohort study, 722 pregnant women giving birth between 2018-2019 were screened from our hospital database. First, they were divided into four groups according to their pre-pregnancy body mass index (low-weight/normal-weight/overweight/obese), and then they were redivided into three groups according to pregnancy weight gain (≤7/8-15/≥16 kg). Prenatal body mass index and pregnancy weight gain were compared concerning maternal-neonatal results and mode of delivery.RESULTS: According to pre-pregnancy body mass index, among the obese pregnant group, gestational diabetes mellitus (p 4000 g.CONCLUSION: Pre-pregnancy high body mass index is associated with negative obstetric outcomes like gestational diabetes, preeclampsia, preterm delivery, and increased cesarean rates, and poor fetal incidences with a low APGAR score and high neonatal intensive care admission rates.