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

Hdl Handle:
http://hdl.handle.net/10149/91713
Title:
The impact of maternal BMI status on pregnancy outcomes with immediate short-term obstetric resource implications: a meta-analysis
Authors:
Heslehurst, N. (Nicola); Simpson, H. (Helen); Ells, L. J. (Louisa); Rankin, J. (Judith); Wilkinson, J. R. (John); Lang, R. (Rebecca); Brown, T. J. (Tamara); Summerbell, C. D. (Carolyn)
Affiliation:
University of Teesside. School of Health and Social Care. The Centre for Food, Physical Activity, and Obesity Research.
Citation:
Heslehurst, N. et al. (2008) 'The impact of maternal BMI status on pregnancy outcomes with immediate short-term obstetric resource implications: a meta-analysis', Obesity Reviews, 9 (6), pp.635-683.
Publisher:
Wiley-Blackwell
Journal:
Obesity Reviews
Issue Date:
Jul-2008
URI:
http://hdl.handle.net/10149/91713
DOI:
10.1111/j.1467-789X.2008.00511.x
PubMed ID:
18673307
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.
Type:
Article
Language:
en
Keywords:
maternal; obesity; pregnancy; service; BMI; body mass index
ISSN:
1467-7881; 1467-789X
Rights:
Subject to restrictions, author can archive post-print (ie final draft post-refereeing). For full details see http://www.sherpa.ac.uk/romeo/ [10/02/2010]
Citation Count:
6 [Scopus, 10/02/2010]

Full metadata record

DC FieldValue Language
dc.contributor.authorHeslehurst, N. (Nicola)en
dc.contributor.authorSimpson, H. (Helen)en
dc.contributor.authorElls, L. J. (Louisa)en
dc.contributor.authorRankin, J. (Judith)en
dc.contributor.authorWilkinson, J. R. (John)en
dc.contributor.authorLang, R. (Rebecca)en
dc.contributor.authorBrown, T. J. (Tamara)en
dc.contributor.authorSummerbell, C. D. (Carolyn)en
dc.date.accessioned2010-02-10T09:21:26Z-
dc.date.available2010-02-10T09:21:26Z-
dc.date.issued2008-07-
dc.identifier.citationObesity Reviews; 9 (6): 635-683en
dc.identifier.issn1467-7881-
dc.identifier.issn1467-789X-
dc.identifier.pmid18673307-
dc.identifier.doi10.1111/j.1467-789X.2008.00511.x-
dc.identifier.urihttp://hdl.handle.net/10149/91713-
dc.description.abstractObesity 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.en
dc.language.isoenen
dc.publisherWiley-Blackwellen
dc.rightsSubject to restrictions, author can archive post-print (ie final draft post-refereeing). For full details see http://www.sherpa.ac.uk/romeo/ [10/02/2010]en
dc.subjectmaternalen
dc.subjectobesityen
dc.subjectpregnancyen
dc.subjectserviceen
dc.subjectBMIen
dc.subjectbody mass indexen
dc.titleThe impact of maternal BMI status on pregnancy outcomes with immediate short-term obstetric resource implications: a meta-analysisen
dc.typeArticleen
dc.contributor.departmentUniversity of Teesside. School of Health and Social Care. The Centre for Food, Physical Activity, and Obesity Research.en
dc.identifier.journalObesity Reviewsen
ref.citationcount6 [Scopus, 10/02/2010]en
or.citation.harvardHeslehurst, N. et al. (2008) 'The impact of maternal BMI status on pregnancy outcomes with immediate short-term obstetric resource implications: a meta-analysis', Obesity Reviews, 9 (6), pp.635-683.-

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