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Titolo:
Is maternal underweight really a risk factor for adverse pregnancy outcome? A population-based study in London
Autore:
Sebire, NJ; Jolly, M; Harris, J; Regan, L; Robinson, S;
Indirizzi:
Imperial Coll, St Marys Hosp, Sch Med, Dept Metab Med, London W2 1PG, England Imperial Coll London England W2 1PG pt Metab Med, London W2 1PG, England Imperial Coll, St Marys Hosp, Sch Med, Dept Obstet & Gynaecol, London, England Imperial Coll London England d, Dept Obstet & Gynaecol, London, England Imperial Coll, St Marys Hosp, Sch Med, Dept Epidemiol, London, England Imperial Coll London England , Sch Med, Dept Epidemiol, London, England
Titolo Testata:
BRITISH JOURNAL OF OBSTETRICS AND GYNAECOLOGY
fascicolo: 1, volume: 108, anno: 2001,
pagine: 61 - 66
SICI:
1470-0328(200101)108:1<61:IMURAR>2.0.ZU;2-L
Fonte:
ISI
Lingua:
ENG
Soggetto:
WEIGHT-GAIN; PRETERM DELIVERY; WOMEN;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Life Sciences
Citazioni:
18
Recensione:
Indirizzi per estratti:
Indirizzo: Robinson, S Imperial Coll, St Marys Hosp, Sch Med, Dept Metab Med, London W2 1PG, England Imperial Coll London England W2 1PG , London W2 1PG, England
Citazione:
N.J. Sebire et al., "Is maternal underweight really a risk factor for adverse pregnancy outcome? A population-based study in London", BR J OBST G, 108(1), 2001, pp. 61-66

Abstract

Objective To determine the maternal and fetal risk of adverse outcome during pregnancy in relation to low maternal body mass index in an unselected population. Design Retrospective analysis. Methods Information for the years between 1988 and 1997 was extracted froma validated maternity database, including all but one of the maternity units in the North West Thames Region; 215,105 completed singleton pregnancieswere studied. Comparison of pregnancy outcome was made on the basis of maternal body mass index at booking. There were 176,923 with a normal weight body mass index ( = 20 < 25). There were 38,182 with an underweight body mass index (< 20). Comparisons included antenatal complications (e.g. gestational diabetes, pre-eclampsia); intervention in labour, maternal morbidities (e.g. infection, postpartum haemorrhage, pulmonary thromboembolism); and neonatal outcome (admitted to special care baby unit at 24 hour of age, gestation at delivery, birthweight, stillbirth). Data are presented as percentages of outcomes in the normal and underweight groups with adjusted odds ratios and confidence intervals according to body mass index group. Results In the underweight group only antenatal anaemia, preterm delivery and birthweight below the 5th centile were more frequent than in women of normal body mass index. The prevalence of certain complications, including development of gestational diabetes mellitus, pre-eclampsia, obstetric intervention and postpartum haemorrhage, were significantly lower in those with low body mass index. Conclusion Low maternal body mass index is associated with increased prevalence of some pregnancy complications, notably preterm delivery and low birthweight, but overall the outcome is favourable and several adverse outcomes are less common in this group of women.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 25/01/20 alle ore 06:25:40