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The association of pre-pregnancy overweight and obesity with delivery outcomes: a comparison of immigrant and non-immigrant women in Berlin, Germany

Author

Listed:
  • Katharina Reiss

    (Bielefeld University)

  • Jürgen Breckenkamp

    (Bielefeld University)

  • Theda Borde

    (University of Applied Sciences)

  • Silke Brenne

    (Charité Universitätsmedizin Berlin)

  • Wolfgang Henrich

    (Charité Universitätsmedizin Berlin)

  • Matthias David

    (Charité Universitätsmedizin Berlin)

  • Oliver Razum

    (Bielefeld University)

Abstract

Objectives To analyse the influence of maternal overweight/obesity on delivery outcomes among first- and second-generation immigrant women and non-immigrant women. Methods We used perinatal data from Berlin/Germany (n = 1987 first generation, n = 687 second generation, n = 2185 non-immigrants; gestational age: 24+ weeks; maternal age: 18+ years). Poisson models were fitted to estimate the effect of pre-pregnancy overweight/obesity (categorised according to WHO) on mode of delivery (vaginal vs. emergency caesarean section (ECS)) and labour onset (spontaneous vs. induced). Results First generation, second generation and non-immigrant women were more likely to have their labour induced when obese [first generation: RR = 1.41 (95 % CI: 1.15–1.72); second generation: RR = 1.51 (95 % CI: 1.14–2.00); non-immigrants: RR = 1.53 (95 % CI: 1.28–1.81)] compared to normal weight. There were also indications of obese women being more likely to deliver by ECS than women of normal weight, irrespective of migrant status. Conclusions An elevated RR for obese and in parts for overweight women of labour induction and ECS pertains irrespective of migrant status. This warrants further research looking into pathophysiological in addition to health-system factors. Weight control interventions addressed at overweight/obese women planning pregnancies are urgently needed.

Suggested Citation

  • Katharina Reiss & Jürgen Breckenkamp & Theda Borde & Silke Brenne & Wolfgang Henrich & Matthias David & Oliver Razum, 2016. "The association of pre-pregnancy overweight and obesity with delivery outcomes: a comparison of immigrant and non-immigrant women in Berlin, Germany," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 61(4), pages 455-463, May.
    • Handle: RePEc:spr:ijphth:v:61:y:2016:i:4:d:10.1007_s00038-016-0825-9
    DOI: 10.1007/s00038-016-0825-9
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    References listed on IDEAS

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    1. Sonja Merten & Corinne Wyss & Ursula Ackermann-Liebrich, 2007. "Caesarean sections and breastfeeding initiation among migrants in Switzerland," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 52(4), pages 210-222, August.
    2. Anna Reeske & Jacob Spallek & Karin Bammann & Gabriele Eiben & Stefaan De Henauw & Yiannis Kourides & Peter Nagy & Wolfgang Ahrens, 2013. "Migrant Background and Weight Gain in Early Infancy: Results from the German Study Sample of the IDEFICS Study," PLOS ONE, Public Library of Science, vol. 8(4), pages 1-10, April.
    3. Gordon-Larsen, Penny & Harris, Kathleen Mullan & Ward, Dianne S. & Popkin, Barry M., 2003. "Acculturation and overweight-related behaviors among Hispanic immigrants to the US: the National Longitudinal Study of Adolescent Health," Social Science & Medicine, Elsevier, vol. 57(11), pages 2023-2034, December.
    4. Karen Schellong & Sandra Schulz & Thomas Harder & Andreas Plagemann, 2012. "Birth Weight and Long-Term Overweight Risk: Systematic Review and a Meta-Analysis Including 643,902 Persons from 66 Studies and 26 Countries Globally," PLOS ONE, Public Library of Science, vol. 7(10), pages 1-1, October.
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