Fit for Birth - the effect of weight changes in obese pregnant women on maternal and neonatal outcomes: a pilot prospective cohort study

Clinical Obesity
R P NarayananJ P H Wilding

Abstract

The 'Fit for Birth' study aimed to explore patterns of gestational weight gain and their relationship with pregnancy outcomes. The study had three aims: 1. To explore the feasibility of conducting a large cohort study in this setting. 2. To describe patterns of weight gain through pregnancy in obese women. 3. To explore associations of weight change during pregnancy with outcomes. Pregnant women with a BMI ≥ 30 kg m(-2) at first antenatal clinic visit. This was a single centre pilot observational study based at the Liverpool Women's Hospital, a large UK maternity hospital.Women were recruited into the study at their antenatal booking visit and had weights measured throughout pregnancy. Patterns of weight gain were described and related to maternal and neonatal outcomes. The primary outcome was a composite measure consisting of any of 12 adverse maternal and foetal outcomes. This was compared by categorized pregnancy weight gain (<0 kg, 0-5 kg, 5.1-9 kg and >9 kg). Eight hundred and twenty four women consented to participation between June 2009 and June 2010. Weight data were collected on 756 women. Only 385 women had weights measured in all three study assessment periods (6-20 weeks, 20 + 1 to 32 weeks and >32 weeks gestation) ...Continue Reading

References

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Citations

Feb 6, 2020·International Journal for Quality in Health Care : Journal of the International Society for Quality in Health Care·J C AbayomiL M Newson
Apr 24, 2019·Journal of Epidemiology and Community Health·Rahini MahendranMahendran Amalan
May 31, 2017·Clinical Obesity·H LongworthJ P H Wilding
Aug 8, 2018·The Journal of Clinical Endocrinology and Metabolism·James KentUNKNOWN Reproductive Medicine Network

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