Skip to main content

Research Repository

Advanced Search

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

Heslehurst, N; Simpson, H; Ells, LJ; Rankin, J; Wilkinson, J; Lang, R; Brown, TJ; Summerbell, CD

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


Authors

N Heslehurst

H Simpson

LJ Ells

J Rankin

J Wilkinson

R Lang

TJ Brown



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.

Citation

Heslehurst, N., Simpson, H., Ells, L., Rankin, J., Wilkinson, J., Lang, R., …Summerbell, C. (2008). The impact of maternal BMI status on pregnancy outcomes with immediate short-term obstetric resource implications: a meta-analysis. Obesity Reviews, 9(6), 635-683. https://doi.org/10.1111/j.1467-789x.2008.00511.x

Journal Article Type Article
Publication Date Nov 1, 2008
Deposit Date May 27, 2009
Publicly Available Date Nov 27, 2012
Journal Obesity Reviews
Print ISSN 1467-7881
Electronic ISSN 1467-789X
Publisher Wiley
Peer Reviewed Peer Reviewed
Volume 9
Issue 6
Pages 635-683
DOI https://doi.org/10.1111/j.1467-789x.2008.00511.x
Keywords Maternal, Obesity, Pregnancy, Service.
Public URL https://durham-repository.worktribe.com/output/1529430

Files





You might also like



Downloadable Citations