The impact of maternal BMI status on pregnancy outcomes with immediate short-term obstetric resource implications: A meta-analysis

Nicola Heslehurst, Helen Simpson, Louisa J Ells, Judith Rankin, John R Wilkinson, R. Lang, Tamara J Brown, Carolyn D Summerbell

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Abstract

Obesity is rising in the obstetric population, yet there is an absence of services and guidance for the management of maternal obesity. This systematic review aimed to investigate relationships between obesity and impact on obstetric care. Literature was systematically searched for cohort studies of pregnant women with anthropometric measurements recorded within 16-weeks gestation, followed up for the term of the pregnancy, with at least one obese and one comparison group. Two researchers independently data-extracted and quality-assessed each included study. Outcome measures were those that directly or indirectly impacted on maternity resources. Primary outcomes included instrumental delivery, caesarean delivery, duration of hospital stay, neonatal intensive care, neonatal trauma, haemorrhage, infection and 3rd/4th degree tears. Meta-analysis shows a significant relationship between obesity and increased odds of caesarean and instrumental deliveries, haemorrhage, infection, longer duration of hospital stay and increased neonatal intensive care requirement. Maternal obesity significantly contributes to a poorer prognosis for mother and baby during delivery and in the immediate post-partum period. National clinical guidelines for management of obese pregnant women, and public health interventions to help safeguard the health of mothers and their babies are urgently required.

Original languageEnglish
Pages (from-to)635-683
Number of pages49
JournalObesity Reviews
Volume9
Issue number6
DOIs
Publication statusPublished - Jul 2008

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Pregnancy Outcome
Obstetrics
Meta-Analysis
Obesity
Mothers
Neonatal Intensive Care
Pregnant Women
Length of Stay
Hemorrhage
Pregnancy
Women's Health
Infection
Tears
Cohort Studies
Public Health
Research Personnel
Outcome Assessment (Health Care)
Guidelines
Health
Wounds and Injuries

Cite this

Heslehurst, Nicola ; Simpson, Helen ; Ells, Louisa J ; Rankin, Judith ; Wilkinson, John R ; Lang, R. ; Brown, Tamara J ; Summerbell, Carolyn D. / The impact of maternal BMI status on pregnancy outcomes with immediate short-term obstetric resource implications: A meta-analysis. In: Obesity Reviews. 2008 ; Vol. 9, No. 6. pp. 635-683.
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The impact of maternal BMI status on pregnancy outcomes with immediate short-term obstetric resource implications: A meta-analysis. / Heslehurst, Nicola; Simpson, Helen; Ells, Louisa J; Rankin, Judith; Wilkinson, John R; Lang, R.; Brown, Tamara J; Summerbell, Carolyn D.

In: Obesity Reviews, Vol. 9, No. 6, 07.2008, p. 635-683.

Research output: Contribution to journalReview articleResearchpeer-review

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