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Maternal Body Mass Index and Gestational Weight Gain and Their Association with Pregnancy Complications and Perinatal Conditions

Author

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  • Martin Simko

    (IInd Gynecology and Obstetrics Clinic, Faculty of Medicine, Comenius University, Bratislava 84199, Slovakia)

  • Adrian Totka

    (IInd Gynecology and Obstetrics Clinic, Faculty of Medicine, Comenius University, Bratislava 84199, Slovakia)

  • Diana Vondrova

    (Institute of Hygiene, Faculty of Medicine, Comenius University, Bratislava 84199, Slovakia)

  • Martin Samohyl

    (Institute of Hygiene, Faculty of Medicine, Comenius University, Bratislava 84199, Slovakia)

  • Jana Jurkovicova

    (Institute of Hygiene, Faculty of Medicine, Comenius University, Bratislava 84199, Slovakia)

  • Michal Trnka

    (Institute of Medical Physics, Biophysics, Informatics, and Telemedicine Faculty of Medicine, Comenius University, Bratislava 84199, Slovakia)

  • Anna Cibulkova

    (Institute of Foreign Languages, Faculty of Medicine, Comenius University, Bratislava 84199, Slovakia)

  • Juraj Stofko

    (Institute of Physiotherapy, Balneology and Medical Rehabilitation, University of Ss. Cyril and Methodius in Trnava, 91701, Slovakia)

  • Lubica Argalasova

    (Institute of Hygiene, Faculty of Medicine, Comenius University, Bratislava 84199, Slovakia)

Abstract

This study aimed to evaluate the impact of selected pregnancy pathologies statistically depending on overweight/obesity and excessive maternal weight gain during pregnancy on women who gave birth in the years 2013–2015 at the Second Department of Gynecology and Obstetrics at the University Hospital in Bratislava, Slovakia. In a retrospective study, we analyzed data gathered from the sample, which consisted of 7122 women. Our results suggest a statistically significant, higher risk for the groups of women with overweight and obesity and gestational hypertension (adjusted odds ratio (AOR) = 15.3; 95% CI 9.0−25.8 for obesity), preeclampsia (AOR = 3.4; 95% CI 1.9−6.0 for overweight and AOR = 13.2; 95% CI 7.7−22.5 for obesity), and gestational diabetes mellitus (AOR = 1.9; 95% CI 1.2−2.9 for overweight and AOR = 2.4; 95% CI 1.4−4.0 for obesity). A higher incidence of pregnancies terminated by cesarean section was observed in the group of obese women. Gestational weight gain above IOM (Institute of Medicine) recommendations was associated with a higher risk of pregnancy terminated by C-section (AOR = 1.2; 95% CI 1.0−1.3), gestational hypertension (AOR = 1.7; 95% CI 1.0−2.7), and infant macrosomia (AOR = 1.7; 95% CI 1.3−2.1). Overweight and obesity during pregnancy significantly contribute to the development of pregnancy pathologies and increased incidence of cesarean section. Systematic efforts to reduce weight before pregnancy through prepregnancy dietary counseling, regular physical activity, and healthy lifestyle should be the primary goal.

Suggested Citation

  • Martin Simko & Adrian Totka & Diana Vondrova & Martin Samohyl & Jana Jurkovicova & Michal Trnka & Anna Cibulkova & Juraj Stofko & Lubica Argalasova, 2019. "Maternal Body Mass Index and Gestational Weight Gain and Their Association with Pregnancy Complications and Perinatal Conditions," IJERPH, MDPI, vol. 16(10), pages 1-11, May.
    • Handle: RePEc:gam:jijerp:v:16:y:2019:i:10:p:1751-:d:231977
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    References listed on IDEAS

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    1. Bernard F. Fuemmeler & Nancy Zucker & Yaou Sheng & Carmen E. Sanchez & Rachel Maguire & Susan K. Murphy & Scott H. Kollins & Cathrine Hoyo, 2019. "Pre-Pregnancy Weight and Symptoms of Attention Deficit Hyperactivity Disorder and Executive Functioning Behaviors in Preschool Children," IJERPH, MDPI, vol. 16(4), pages 1-14, February.
    2. Baeten, J.M. & Bukusi, E.A. & Lambe, M., 2001. "Pregnancy complications and outcomes among overweight and obese nulliparous women," American Journal of Public Health, American Public Health Association, vol. 91(3), pages 436-440.
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    Cited by:

    1. Muliana Edi & Yit Siew Chin & Fui Chee Woon & Geeta Appannah & Poh Ying Lim & on behalf of the MICOS Research Group, 2021. "Inadequate Gestational Weight Gain and Exposure to Second-Hand Smoke during Pregnancy Increase the Risk of Low Birth Weight: A Cross-Sectional Study among Full-Term Infants," IJERPH, MDPI, vol. 18(3), pages 1-12, January.

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