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A cohort study of high maternal Body Mass Index and the risk of adverse pregnancy and delivery outcomes in Scotland

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A cohort study of high maternal Body Mass Index and the risk of adverse pregnancy and delivery outcomes in Scotland. / Doi, Lawrence; Williams, Andrew James; Marryat, Louise; Frank, John.

In: BMJ Open, Vol. 10, No. 2, e026168, 20.02.2020.

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Doi, L, Williams, AJ, Marryat, L & Frank, J 2020, 'A cohort study of high maternal Body Mass Index and the risk of adverse pregnancy and delivery outcomes in Scotland', BMJ Open, vol. 10, no. 2, e026168. https://doi.org/10.1136/bmjopen-2018-026168

APA

Doi, L., Williams, A. J., Marryat, L., & Frank, J. (2020). A cohort study of high maternal Body Mass Index and the risk of adverse pregnancy and delivery outcomes in Scotland. BMJ Open, 10(2), [e026168]. https://doi.org/10.1136/bmjopen-2018-026168

Vancouver

Doi L, Williams AJ, Marryat L, Frank J. A cohort study of high maternal Body Mass Index and the risk of adverse pregnancy and delivery outcomes in Scotland. BMJ Open. 2020 Feb 20;10(2). e026168. https://doi.org/10.1136/bmjopen-2018-026168

Author

Doi, Lawrence ; Williams, Andrew James ; Marryat, Louise ; Frank, John. / A cohort study of high maternal Body Mass Index and the risk of adverse pregnancy and delivery outcomes in Scotland. In: BMJ Open. 2020 ; Vol. 10, No. 2.

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@article{de57193fb6b84bc895824ac9363e3000,
title = "A cohort study of high maternal Body Mass Index and the risk of adverse pregnancy and delivery outcomes in Scotland",
abstract = "Objective To examine the association between high maternal weight status and complications during pregnancy and delivery. Setting Scotland. Participants Data from 132 899 first-time singleton deliveries in Scotland between 2008 and 2015 were used. Women with overweight and obesity were compared with women with normal weight. Associations between maternal body mass index and complications during pregnancy and delivery were evaluated. Outcome measures Gestational diabetes, gestational hypertension, pre-eclampsia, placenta praevia, placental abruption, induction of labour, elective and emergency caesarean sections, pre-term delivery, post-term delivery, low Apgar score, small for gestational age and large for gestational age. Results In the multivariable models controlling for potential confounders, we found that, compared with women with normal weight, the odds of the following outcomes were significantly increased for women with overweight and obesity (overweight adjusted ORs; 95% CI, followed by the same for women with obesity): gestational hypertension (1.61; 1.49 to 1.74), (2.48; 2.30 to 2.68); gestational diabetes (2.14; 1.86 to 2.46), (8.25; 7.33 to 9.30); pre-eclampsia (1.46; 1.32 to 1.63) (2.07; 1.87 to 2.29); labour induction (1.28; 1.23 to 1.33), (1.69; 1.62 to 1.76) and emergency caesarean section (1.82; 1.74 to 1.91), (3.14; 3.00 to 3.29). Conclusions Women with overweight and obesity in Scotland are at greater odds of adverse pregnancy and delivery outcomes. The odds of these conditions increases with increasing body mass index. Health professionals should be empowered and trained to deliver promising dietary and lifestyle interventions to women at risk of overweight and obesity prior to conception, and control excessive weight gain in pregnancy.",
author = "Lawrence Doi and Williams, {Andrew James} and Louise Marryat and John Frank",
note = "Funding: SCPHRP core grant from the Medical Research Council (Grant Number MR/K023209/1) and the Chief Scientist Office of Scotland. AJW is supported by the European Centre for Environment and Human Health, University of Exeter. LM is supported by the Farr Institute @ Scotland, which is supported by a 10-funder consortium: Arthritis Research UK, the British Heart Foundation, Cancer Research UK, the Economic and Social Research Council, the Engineering and Physical Sciences Research Council, the Medical Research Council, the National Institute of Health Research, the National Institute for Social Care and Health Research (Welsh Assembly Government), the Chief Scientist Office (Scottish Government Health Directorates), (MRC Grant No: MR/K007017/1). ",
year = "2020",
month = feb,
day = "20",
doi = "10.1136/bmjopen-2018-026168",
language = "English",
volume = "10",
journal = "BMJ Open",
issn = "2044-6055",
publisher = "BMJ Publishing Group Ltd",
number = "2",

}

RIS (suitable for import to EndNote) - Download

TY - JOUR

T1 - A cohort study of high maternal Body Mass Index and the risk of adverse pregnancy and delivery outcomes in Scotland

AU - Doi, Lawrence

AU - Williams, Andrew James

AU - Marryat, Louise

AU - Frank, John

N1 - Funding: SCPHRP core grant from the Medical Research Council (Grant Number MR/K023209/1) and the Chief Scientist Office of Scotland. AJW is supported by the European Centre for Environment and Human Health, University of Exeter. LM is supported by the Farr Institute @ Scotland, which is supported by a 10-funder consortium: Arthritis Research UK, the British Heart Foundation, Cancer Research UK, the Economic and Social Research Council, the Engineering and Physical Sciences Research Council, the Medical Research Council, the National Institute of Health Research, the National Institute for Social Care and Health Research (Welsh Assembly Government), the Chief Scientist Office (Scottish Government Health Directorates), (MRC Grant No: MR/K007017/1).

PY - 2020/2/20

Y1 - 2020/2/20

N2 - Objective To examine the association between high maternal weight status and complications during pregnancy and delivery. Setting Scotland. Participants Data from 132 899 first-time singleton deliveries in Scotland between 2008 and 2015 were used. Women with overweight and obesity were compared with women with normal weight. Associations between maternal body mass index and complications during pregnancy and delivery were evaluated. Outcome measures Gestational diabetes, gestational hypertension, pre-eclampsia, placenta praevia, placental abruption, induction of labour, elective and emergency caesarean sections, pre-term delivery, post-term delivery, low Apgar score, small for gestational age and large for gestational age. Results In the multivariable models controlling for potential confounders, we found that, compared with women with normal weight, the odds of the following outcomes were significantly increased for women with overweight and obesity (overweight adjusted ORs; 95% CI, followed by the same for women with obesity): gestational hypertension (1.61; 1.49 to 1.74), (2.48; 2.30 to 2.68); gestational diabetes (2.14; 1.86 to 2.46), (8.25; 7.33 to 9.30); pre-eclampsia (1.46; 1.32 to 1.63) (2.07; 1.87 to 2.29); labour induction (1.28; 1.23 to 1.33), (1.69; 1.62 to 1.76) and emergency caesarean section (1.82; 1.74 to 1.91), (3.14; 3.00 to 3.29). Conclusions Women with overweight and obesity in Scotland are at greater odds of adverse pregnancy and delivery outcomes. The odds of these conditions increases with increasing body mass index. Health professionals should be empowered and trained to deliver promising dietary and lifestyle interventions to women at risk of overweight and obesity prior to conception, and control excessive weight gain in pregnancy.

AB - Objective To examine the association between high maternal weight status and complications during pregnancy and delivery. Setting Scotland. Participants Data from 132 899 first-time singleton deliveries in Scotland between 2008 and 2015 were used. Women with overweight and obesity were compared with women with normal weight. Associations between maternal body mass index and complications during pregnancy and delivery were evaluated. Outcome measures Gestational diabetes, gestational hypertension, pre-eclampsia, placenta praevia, placental abruption, induction of labour, elective and emergency caesarean sections, pre-term delivery, post-term delivery, low Apgar score, small for gestational age and large for gestational age. Results In the multivariable models controlling for potential confounders, we found that, compared with women with normal weight, the odds of the following outcomes were significantly increased for women with overweight and obesity (overweight adjusted ORs; 95% CI, followed by the same for women with obesity): gestational hypertension (1.61; 1.49 to 1.74), (2.48; 2.30 to 2.68); gestational diabetes (2.14; 1.86 to 2.46), (8.25; 7.33 to 9.30); pre-eclampsia (1.46; 1.32 to 1.63) (2.07; 1.87 to 2.29); labour induction (1.28; 1.23 to 1.33), (1.69; 1.62 to 1.76) and emergency caesarean section (1.82; 1.74 to 1.91), (3.14; 3.00 to 3.29). Conclusions Women with overweight and obesity in Scotland are at greater odds of adverse pregnancy and delivery outcomes. The odds of these conditions increases with increasing body mass index. Health professionals should be empowered and trained to deliver promising dietary and lifestyle interventions to women at risk of overweight and obesity prior to conception, and control excessive weight gain in pregnancy.

U2 - 10.1136/bmjopen-2018-026168

DO - 10.1136/bmjopen-2018-026168

M3 - Article

VL - 10

JO - BMJ Open

JF - BMJ Open

SN - 2044-6055

IS - 2

M1 - e026168

ER -

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